Mental disorders affect approximately 10–15% of children and adolescents worldwide. In South America these numbers are probably higher due to poverty and adverse life events that frequently affect this region. The availability of qualified services and well-trained professionals to care for those children are by far insufficient. The aim of this study was to assess and describe child and adolescent psychiatry (CAP) training in Brazil, Argentina, Uruguay, and Chile, to support the development and strengthen training standards. The coordinators of CAP residency programs in Brazil, Argentina, Uruguay, and Chile were invited to answer an online questionnaire about the characteristics of their training programs. Twelve programs from Brazil, three programs from Chile, two from Argentina, and one from Uruguay completed the questionnaires. In the last three countries, CAP is recognized as an independent specialty, while in Brazil it is considered a subspecialty of psychiatry. None of the countries have a national guideline for CAP residency training. Recently, there has been an increase in the number of professionals interested in pursuing a formal CAP training. This is the first study aiming to evaluate the current scenario of CAP training in South America. The results point to a great potential in the evaluated programs, but also to the need for homogeneous criteria for CAP training and evaluation of residents. A more efficient communication among programs would be an enriching strategy for their development, which may be facilitated by the results of this study.
Child and adolescent psychiatry (CAP) training Skills Competencies South America
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Compliance with ethical standards
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
No ethical approval was required for information collection in this study as it did not involve the collection of personal information.
This work did not require a consent form nor used patients or individuals data.
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA (2015) Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry 56(3):345–365CrossRefGoogle Scholar
Paula CS, Coutinho ES, Mari JJ, Rohde LA, Miguel EC, Bordin IA (2015) Prevalence of psychiatric disorders among children and adolescents from four Brazilian regions. Braz J Psychiatry 37(2):178–179CrossRefGoogle Scholar
Erskine HE, Baxter AJ, Patton G, Moffitt TE, Patel V, Whiteford HA et al (2017) The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiol Psychiatr Sci 26(4):395–402CrossRefGoogle Scholar
Wille N, Bettge S, Ravens-Sieberer U (2008) Risk and protective factors for children’s and adolescents’ mental health: results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl 1):133–147CrossRefGoogle Scholar
Dimitry L (2012) A systematic review on the mental health of children and adolescents in areas of armed conflict in the Middle East. Child Care Health Dev 38(2):153–161CrossRefGoogle Scholar
Watson D, Cheney K, Raouf EH (2015) Children and young people in times of conflict and change: child rights in the Middle East and North Africa. Glob Stud Child 5(2):115–121CrossRefGoogle Scholar
Vicente B, Saldivia S, de la Barra F, Kohn R, Pihan R, Valdivia M, Rioseco P, Melipillan R (2012) Prevalence of child and adolescent mental disorders in Chile: a community epidemiological study. J Child Psychol Psychiatry 53(10):1026–1035CrossRefGoogle Scholar
Viola L, Garrido G, Rescorla L (2011) Testing multicultural robustness of the child behavior checklist in a national epidemiological sample in Uruguay. J Abnorm Child Psychol 39(6):897–908CrossRefGoogle Scholar
Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C et al (2011) Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet 377(9783):2093–2102CrossRefGoogle Scholar
World Health Organization (2005) Atlas: child and adolescent mental health resources: global concerns: implications for the future [Internet]. Apps.who.int. 2005. https://apps.who.int/iris/handle/10665/43307. Accessed 4 May 2019
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O et al (2011) Child and adolescent mental health worldwide: evidence for action. Lancet 378(9801):1515–1525CrossRefGoogle Scholar
Herguner S, Klasen H, Barrett E (in press) CAP STATE (The Child and Adolescent Psychiatry –Study of Training in Europe): Part 1: The 10 year follow-up. In: 17th international congress of European Society for Child and Adolescent Psychiatry (ESCAP), 2017 july 9–11, Geneve, SwitzerlandGoogle Scholar
Rodríguez JJ, Kohn R, Aguilar-Gaxiola S (2009) Organización Panamericana de la Salud. Epidemiología de los Trastornos Mentales en América Latina y el Caribe. OPS, Washington, DCGoogle Scholar
Thomas CR, Holzer CE 3rd (2006) The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry 45(9):1023–1031CrossRefGoogle Scholar
Patel V, Kieling C, Maulik PK, Divan G (2013) Improving access to care for children with mental disorders: a global perspective. Arch Dis Child 98(5):323–327CrossRefGoogle Scholar
Comisión Económica para América Latina y el Caribe: Base de datos de población [Internet]—Cepal.org (2019) https://www.cepal.org/es. Accessed 5 May 2019
Comisión Económica para América Latina y el Caribe: Sobre la base de encuestas de hogares de los países—Banco de Datos de Encuestas de Hogares (BADEHOG) [Internet]—Cepal.org (2019) https://www.cepal.org/es. Accessed 4 May 2019
Fatori D, Salum GA, Rohde LA, Pan PM, Bressan R, Evans-Lacko S et al (2019) Use of mental health services by children with mental disorders in two major cities in Brazil. Psychiatr Serv 70(4):337–341CrossRefGoogle Scholar
Kaushik A, Kostaki E, Kyriakopoulos M (2016) The stigma of mental illness in children and adolescents: a systematic review. Psychiatry Res 243:469–494CrossRefGoogle Scholar
McCarthy M, Abenojar J, Anders TF (2009) Child and adolescent psychiatry for the future: challenges and opportunities. Psychiatr Clin N Am 32(1):213–226CrossRefGoogle Scholar
Blanco-Vieira T, Silva Ribeiro W, Lauridsen-Ribeiro E, de Sa Graca Fatori D, Palma SMM, Vieira Ribeiro MV et al (2017) An evaluation of a collaborative course for child and adolescent mental health professionals. J Interprof Care 31(5):664–666CrossRefGoogle Scholar
Guerrero APS, Roberts LW (2017) Snapshots from the cutting edge: innovations in child and adolescent psychiatry training to address workforce shortages. Acad Psychiatry 41(5):571–573CrossRefGoogle Scholar
Dingle AD, Sexson SB (2007) A practical approach to implementing the core competencies in a child and adolescent psychiatry residency program. Acad Psychiatry 31(3):228–244CrossRefGoogle Scholar
Santos CW, Harper A, Saunders AE, Randle SL (2007) Developing a psychopathology curriculum during child and adolescent psychiatry residency training: general principles and a problem-based approach. Child Adolesc Psychiatr Clin N Am 16(1):95–110CrossRefGoogle Scholar
Reardon CL, Bentman A, Cowley DS, Dunaway K, Forstein M, Girgis C et al (2015) General and child and adolescent psychiatry resident training in integrated care: a survey of program directors. Acad Psychiatry 39(4):442–447CrossRefGoogle Scholar
Bannister E, Nakonezny P, Byerly M (2014) Curricula for teaching clinical practice guidelines in US psychiatry residency and child and adolescent fellowship programs: a survey study. Acad Psychiatry 38(2):198–204CrossRefGoogle Scholar