The child and adolescent psychiatry: study of training in Europe (CAP-STATE)

Abstract

There is great cultural diversity across Europe. This is reflected in the organisation of child and adolescent mental health (CAMH) services and the training of the respective professionals in different countries in Europe. Patients and their parents will want a high quality, knowledgeable, and skillful service from child and adolescent psychiatrists (CAPs) wherever they see them in Europe. A European comparison of training programs allows all stakeholders in different European countries to assess the diversity and to initiate discussions as to the introduction of improvements within national training programs. Major issues to be addressed in comparing child and adolescent psychiatric training programs across Europe include: (1) formal organisation and content of training programs and the relationship to adult psychiatry and paediatrics; (2) flexibility of training, given different trainee interests and that many trainees will have young families; (3) quality of governance of training systems; (4) access to research; and (5) networking. The Child and Adolescent Psychiatry-Study of Training in Europe (CAP-State) is a survey of training for child and adolescent psychiatrists (CAPs) across European countries. It aims to revisit and extend the survey carried out in 2006 by Karabekiroglu and colleagues.The current article is embedded in a special issue of European Child + Adolescent Psychiatry attempting to for the first time address training in CAP at the European and global levels. Structured information was sought from each of 38 European and neighboring countries (subsequently loosely referred to as Europe) and obtained from 31. The information was provided by a senior trainee or recently qualified specialist and their information was checked and supplemented by information from a senior child and adolescent psychiatry trainer. Results showed that there is a very wide range of provision of training in child and adolescent psychiatry in different countries in Europe. There remains very substantial diversity in training across Europe and in the degree to which it is subject to national oversight and governance. Some possible reasons for this variation are discussed and some recommendations made.

Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland

“…The important role of supervision has been highlighted in this study and elsewhere, and though busy services may perhaps impact on supervisor and trainee availability, this is likely the time when supervision is needed most, and it is important that supervisors are supported in this vein. The CAP-STATE study [40] recognizes the need for interventions to support training institutions-highlighting the importance of allocating dedicated time for trainers to support and teach trainees, so that they in turn may become competent trainers themselves.…”

An international perspective on training in child and adolescent psychiatry

“…It seems to apply to arts, sports, and most professional activities. The various papers in this issue [1][2][3][4][5][6][7][8][9] of ECAP offer a perspective on how our trainees in Europe as well as other parts of the world spend their 10,000 h. They offer an overview of differences and similarities in length and content of training, but also on how we guide our trainees through their personal and professional development and help them spend those 10.000 h in the most productive and fruitful way to prepare to attend to children's mental health needs in the future.…”

Training for child and adolescent psychiatry in the twenty-first century

“…The introduction of a shared mandatory transition training for CAPs and adult psychiatry trainees that follows a developmental approach would greatly assist. Further, identification of the optimal amount of child and adolescent training in adult psychiatry and vice versa should be urgently considered, as well as a harmonization of curricula, which in Europe appear to be very heterogeneous [5,15,16].…”

“…To extend upon a global synopsis published in 2015 [1] and overviews of other specific regions (e.g., Far East [2], Europe, [3]), we have invited experts to provide a detailed overview of the training of child and adolescent psychiatrists in their countries/regions. Based on the papers in this focused issue 'The European and global perspective on training in child and adolescent psychiatry' [4][5][6][7][8][9][10][11][12], previous work and the experience and opinions of the authors, in this editorial we aim to provide an overview of the competencies already in our training that we may want to safeguard for the future and consider new competencies and skills it may be wise to include. As CAP training is firmly embedded in local care systems and society, our aim is not to provide a one-size fits all approach, but rather to provide readers with good examples around the world that can be built upon in their efforts to equip training programs to provide the trainees with a solid foundation for their future work.…”