Psych CASC / OSCE · Child and adolescent psychiatry — service interface
Explain CAMHS to adult transition plan — CASC communication station
MRCPsych/FRANZCP-style communication station: explain transfer vs transition, dual-threshold gap honestly, shared-care and alternative pathways, medication bridge, crisis plan, and young-person-led confidentiality.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the CAMHS transition clinic. [2]
Candidate instructions. Explain what good transition means, acknowledge the adult team decision honestly, outline a concrete alternative plan (GP shared care, psychology, youth services as available, crisis contacts), address fluoxetine continuity, negotiate parental involvement with the young person, and check understanding. Do not invent services that do not exist; speak in principles and local pathway language. [1][2]
References5ShowHide
- [1]Blum RW, Garell D, Hodgman CH, et al. Transition from child-centered to adult health-care systems for adolescents with chronic conditions J Adolesc Health, 1993.PMID 8312295
- [2]Singh SP, Paul M, Ford T, et al. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study Br J Psychiatry, 2010.PMID 20884954
- [3]Appleton R, Connell C, Fairclough E, Tuomainen H, Singh SP Outcomes of young people who reach the transition boundary of child and adolescent mental health services: a systematic review Eur Child Adolesc Psychiatry, 2019.PMID 30850925
- [4]Hovish K, Weaver T, Islam Z, Paul M, Singh SP Transition experiences of mental health service users, parents, and professionals in the United Kingdom: a qualitative study Psychiatr Rehabil J, 2012.PMID 22246124
- [5]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292