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Child and adolescent psychiatry training and services in the Middle East region: a current status assessment

European Child & Adolescent Psychiatry volume 29, pages 51–61 (2020)Cite this article

Abstract

Mental health is a key component of health, yet appropriate care is limited. Evidence concerning child and adolescent mental health has predominantly come from western countries, while the Middle East region, with a large youth population, has reported very little on it. This original, cross-sectional study of child and adolescent psychiatry in the Middle East provides an assessment of current postgraduate programs, services and what is needed to build workforce capacity. Academic psychiatrists from 16 Middle East countries were invited to form a Consortium to map current postgraduate training as one of the determinants of available child and adolescent psychiatry services, identify gaps in the distribution of child and adolescent psychiatrists, and propose potential steps to improve access to child and adolescent mental health care. The study collected data from 15 of the 16 countries invited (no data provided from Yemen). The study revealed underdeveloped child and adolescent psychiatry academic systems throughout the region. Despite recognition of the specialty in a majority of the countries (11/15), only six countries had established a designated child and adolescent psychiatry training program. The overall shortage of child and adolescent mental health specialists varied, yet all Consortium members reported a need for additional child and adolescent psychiatry specialists and allied professionals. Lack of child and adolescent psychiatry specialized programs in place throughout the region has evidently contributed to the shortage of qualified child and adolescent mental health workforce in the Middle East.

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Acknowledgements

We would like to thank all Consortium members who contributed to the collection of data and sharing of information for the successful completion of this study and advancement made towards the evidence-based knowledge surrounding child and adolescent psychiatry. A special thank you and acknowledgment to Dr. John Fayyad for his endless contributions to the field; his dedication and invaluable insight will be missed.

Author information

Affiliations

  1. Norwegian University of Science and Technology, Trondheim, Norway

    Carolyn E. Clausen & Norbert Skokauskas

  2. Royal Ottawa Mental Health Centre, University of Ottawa, Ottawa, ON, Canada

    Khalid Bazaid

  3. Sidra Medicine /Weill Cornell Medicine, Doha, Qatar

    Muhammad Waqar Azeem

  4. University of Medical Sciences and Technology, Khartoum, Khartoum, Sudan

    Fathelaliem Abdelrahim & Abdelgadir Hussein Osman

  5. Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Ahmed A. Abd Elgawad

  6. Alamanra Kuwait Center for Mental Health, Kuwait City, Kuwait

    Bibi Alamiri

  7. College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain

    Ahmed Malalla AlAnsari

  8. College of Medicine, Al-Qadisiyah University, Al-Diwaniya, Iraq

    Ali Alhamzawi

  9. Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

    Ahmad Mohammed Al Mai

  10. University of Khartoum, Khartoum, Sudan

    Aisha Motwakil Bakhiet

  11. Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan

    Mahmoud Bashtawi

  12. Faculty of Medicine, Hacettepe University, Ankara, Turkey

    Füsun Çuhadaroğlu

  13. World Health Organization, Damascus, Syria

    Mazen Hedar & Eyad Yanes

  14. College of Medicine, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia

    Mohammad Holdar

  15. Mental Health Unit, Ministry of Health, Ramallah, Palestine

    Samah Jabr

  16. Sultan Qaboos University Hospital, Muscat, Sultanate of Oman

    Ather Sajjad Jafri

  17. The Royal Medical Services of Jordan, King Hussein Medical City, Amman, Jordan

    Amjad Jumaian

  18. Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt

    Suaad Moussa

  19. Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Katayoon Razjouyan

  20. University of Hawai’i John A. Burns School of Medicine, Honolulu, HI, USA

    Anthony Guerrero

Authors
  1. Carolyn E. Clausen
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  2. Khalid Bazaid
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  3. Muhammad Waqar Azeem
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  4. Fathelaliem Abdelrahim
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  6. Bibi Alamiri
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  7. Ahmed Malalla AlAnsari
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  8. Ali Alhamzawi
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  9. Ahmad Mohammed Al Mai
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  10. Aisha Motwakil Bakhiet
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  11. Mahmoud Bashtawi
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  12. Füsun Çuhadaroğlu
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  13. Mazen Hedar
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  14. Mohammad Holdar
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  15. Samah Jabr
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  16. Ather Sajjad Jafri
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  17. Amjad Jumaian
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  18. Suaad Moussa
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  19. Abdelgadir Hussein Osman
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  20. Katayoon Razjouyan
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  21. Eyad Yanes
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  22. Anthony Guerrero
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  23. Norbert Skokauskas
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Consortia

Consortium on Academic Child, Adolescent Psychiatry in the Middle East (CACAP ME)

Corresponding author

Correspondence to Carolyn E. Clausen.

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Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

No ethical approval was required for the information-gathering in this study, as it did not involve the collection of personal information or biological material, but the organization of generally publicly-available information that was known to the representative professionals as Consortium members.

Additional information

This article is part of the focused issue: The European and Global Perspective on Training in Child s Adolescent Psychiatry.

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Clausen, C.E., Bazaid, K., Azeem, M. et al. Child and adolescent psychiatry training and services in the Middle East region: a current status assessment. Eur Child Adolesc Psychiatry 29, 51–61 (2020). https://doi.org/10.1007/s00787-019-01360-2

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  • DOI: https://doi.org/10.1007/s00787-019-01360-2

Keywords

  • Child and adolescent psychiatry (CAP)
  • Postgraduate training
  • Middle East (ME)
  • Child and adolescent mental health