Potential effects of Covid-19 on training in CAP: the balance after a year

Deschamps, Peter; Bailey, Sue; Dubicka, Bernadka; Hansen, Anna Sofie; Jacobs, Brian; Kapornai, Krisztina; Klauser, Paul; Kumperščak, Hojka Gregorič; Revet, Alexis; Seker, Asilay; Schröder, Carmen; Schumann, Thorsten

doi:10.1007/s00787-021-01831-5

Cited by 4 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As previously highlighted [ 5 ], this study is not without limitations. First, the overall response rate was significantly lower than in the first part of the survey (27% vs. 50%), and only 22 countries were eventually represented, despite sending 4 reminders in total.…”

mentioning

confidence: 81%

“…In April 2020, the European Society for Child and Adolescent Psychiatry (ESCAP) Research Academy, a network of young clinician–scientists in child and adolescent psychiatry (CAP) [ 4 ], and the ESCAP Board launched the CovCAP longitudinal survey to estimate the impact of COVID-19 on CAP services in Europe and to assess their ability to meet the new challenges brought on by the crisis. Heads of CAP university services in ESCAP member countries were contacted by email and invited to complete a self-report online questionnaire survey (detail of the methods have been published previously [ 5 ]; some questions were modified, removed or added in the second survey of the CovCAP study). The first stage of the study (i.e., March/April 2020) yielded surprisingly consistent results, showing a substantial reduction in the number of both outpatient visits and hospital admissions and a moderate effect on psychopathology.…”

mentioning

confidence: 99%

“…The first stage of the study (i.e., March/April 2020) yielded surprisingly consistent results, showing a substantial reduction in the number of both outpatient visits and hospital admissions and a moderate effect on psychopathology. In contrast, the effect on the organization of CAP services appeared profound, with a clear acceleration in the adoption of new technologies, including telepsychiatry [ 5 ]. In this brief report, we briefly present the main findings from the second step of the survey, 1 year after the COVID-19 pandemic began to hit Europe (i.e., February/March 2021).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Perceived impact of the COVID-19 pandemic on child and adolescent psychiatric services after 1 year (February/March 2021): ESCAP CovCAP survey

Revet

Hebebrand

Anagnostopoulos

et al. 2021

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

In April 2020, the European Society for Child and Adolescent Psychiatry (ESCAP) Research Academy and the ESCAP Board launched the first questionnaire of the CovCAP longitudinal survey to estimate the impact of COVID-19 on child and adolescent psychiatry (CAP) services in Europe. In this brief report, we present the main findings from the second questionnaire of the survey, one year after the COVID-19 pandemic began to hit Europe (i.e., February/March 2021). While service delivery to patients and their families was affected in a major way (reported by 68%) at the beginning of the pandemic, the majority of respondents (59%) in this second survey only reported a minor impact on care delivery. The use of telemedicine remained widespread (91%) but the proportion of CAP services partially closed or transformed to accommodate COVID-19 patients (59% in 2020) dropped to 20%. On the other hand, the perceived impact on the mental health and psychopathology of children and adolescents dramatically increased from “medium” (> 50%) in 2020 to “strong” or “extreme” (80%) in 2021. Four nosographic entities were particularly impacted: suicidal crises, anxiety disorders, eating disorders and major depressive episodes. Accordingly, this was associated with a substantial increase in the number of referrals or requests for assessments (91% reported an increase in 2021 while 61% reported a decrease in 2020). Finally, heads of the CAP departments expressed strong concerns regarding the management of the long-term consequences of this crisis, especially regarding the provision of care in light of the perceived increase in referrals. Supplementary Information The online version contains supplementary material available at 10.1007/s00787-021-01851-1.

show abstract

mentioning

confidence: 81%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Perceived impact of the COVID-19 pandemic on child and adolescent psychiatric services after 1 year (February/March 2021): ESCAP CovCAP survey

Revet

Hebebrand

Anagnostopoulos

et al. 2021

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…The evidence regarding the impact of innovation in training and service provision is sparse but some can be inferred from the covid-19 pandemic, when care and postgraduate medical training was initially strongly affected [20] but also opened perspectives into different care models and training practices [21].…”

Section: Discussionmentioning

confidence: 99%

Rethinking how to deal with demand and supply in CAP: a European training perspective

Deschamps,

Dubicka,

Hansen

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Mental health care is suffering from a substantial gap between current service provision capacity and demand. For the generation of young doctors in psychiatry training programs today, this means they face substantial and potentially overwhelming challenges in their clinical practice. This situation calls for creative solutions in psychiatry training to prepare them best for these challenges. Methods Perspectives of European trainers in child and adolescent psychiatry (CAP) were collected and analysed following an iterative procedure in three rounds using thematic analysis of focus groups. Results The three iterative rounds resulted in five proposed strategies for meeting the challenges of current and future demand in CAP specifically addressing implications for CAP training. Examples were provided illustrating how these strategies could be put into daily training practices. Four strategies aimed mainly at increasing capacity: efficiency (making best use of the existing CAP workforce); consultation (task-sharing); innovation (practicing differently); and wellbeing of the CAP workforce. An additional strategy focusing on prevention and early intervention was identified to decrease demand upstream. Conclusion Rethinking CAP training practices through a European perspective on the balance between capacity and demand yielded strategies for aspects of training that are not yet universally applied. Implementation is partly dependent on the larger service provision system of care while training has leverage for future capacity and quality of care.

show abstract

“…We have also tried our first virtual workshop on innovative treatments during the summer of 2020. This event was successful from a pedagogical and scientific perspective, but the social aspect which are the very spirit of these meetings was very much missing [ 8 ].…”

mentioning

confidence: 99%