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Psych CASC / OSCEForensic psychiatry — victimology

Psych CASC / OSCE · Forensic psychiatry — victimology

Explain trauma-informed care after sexual assault to a distressed victim — CASC communication station

MRCPsych/FRANZCP-style CASC: trauma-informed communication with a sexual-assault survivor; prevent secondary victimisation; outline stepped care and multi-agency plan.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
A 24-year-old woman is in ED after reporting rape by an acquaintance. Police want a full statement now. She is tearful, hyperventilating, and says every professional is 'making me go through it again.' You must explain secondary victimisation, how assessment will work, safety and next steps, and what mental-health care looks like — without forcing a full trauma narrative or inventing statute numbers.

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar seeing a sexual-assault survivor in ED. The examiner plays the patient.[1][2]

Candidate instructions. Establish rapport and safety. Acknowledge secondary victimisation. Explain what you need to assess without forcing a full narrative. Outline medical/forensic options and mental-health next steps (trauma-focused therapy when ready; medication options if needed). Coordinate with police without becoming an interrogator. Check understanding. Do not invent statute section numbers for victims schemes.[1][3][6]

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References7ShowHide
  1. [1]Campbell R, Raja S Secondary victimization of rape victims: insights from mental health professionals who treat survivors of violence Violence Vict, 1999.PMID 10606433
  2. [2]Campbell R The psychological impact of rape victims Am Psychol, 2008.PMID 19014228
  3. [3]Guideline Development Panel for the Treatment of PTSD in Adults, American Psychological Association Summary of the clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in adults Am Psychol, 2019.PMID 31305099
  4. [4]Foa EB, Hembree EA, Cahill SP, Rauch SA, et al. Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring J Consult Clin Psychol, 2005.PMID 16287395
  5. [5]Brady K, Pearlstein T, Asnis GM, Baker D, et al. Efficacy and safety of sertraline treatment of posttraumatic stress disorder: a randomized controlled trial JAMA, 2000.PMID 10770145
  6. [6]Rodwell D, Frith H Using a trauma-informed care framework to explore social climate and borderline personality disorder in forensic inpatient settings Int J Ment Health Nurs, 2024.PMID 38291657
  7. [7]Blevins CA, Weathers FW, Davis MT, Witte TK, Domino JL The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation J Trauma Stress, 2015.PMID 26606250
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