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

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A Correction to this article was published on 19 January 2020

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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.

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Change history

  • 19 January 2020

    The original article has been corrected.

  • 19 January 2020

    The original article has been corrected.

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Acknowledgements

The following contributed country data: Annemie Baelemans, Salma Baidusi Natoor, Stepanka Beranova, Ariel Como, Saliha Kılınç, Jasna Klara Lipovšek, Viktorija Palubeckiene, Sara Emilie Poulsen, Natalia Sergeeva.

Author information

Author notes

  1. Maya Kostadinova

    Present address: DNCC CAMHS, 44 North Great George’s Street, Dublin 1, Ireland

  2. Elizabeth Barrett and Brian Jacobs are Joint first authors.

Authors and Affiliations

  1. Child and Adolescent Psychiatry, University College Dublin, Dublin, Ireland

    Elizabeth Barrett

  2. Child and Adolescent Liaison Psychiatry, Children’s University Hospital, Temple St., Dublin 1, Ireland

    Elizabeth Barrett

  3. Child and Adolescent Psychiatry, South London and Maudsley Hospital, London, UK

    Brian Jacobs

  4. Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium

    Brian Jacobs

  5. Department of Psychiatry, Leiden University Medical Centre, Leiden, Netherlands

    Henrikje Klasen

  6. Child and Adolescent Psychiatry, Private Practice, Ankara, Turkey

    Sabri Herguner

  7. Division of Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, 581 85, Linköping, Sweden

    Sara Agnafors

  8. Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Radoja Domanovica 21, Banjaluka, Bosnia and Herzegovina

    Visnja Banjac

  9. Department of Psychiatry and Narcology, Riga Stradins University, Tvaika iela 2, Riga, 1005, Latvia

    Nikita Bezborodovs

  10. Child and Adolescent Psychiatrist, East London Foundation Trust, East London Foundation Trust, London, UK

    Erica Cini

  11. University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Forschungsabteilung KJP UPD Bern, Bolligenstrasse 111, Haus A, 3000, Bern 60, Switzerland

    Christoph Hamann

  12. Department of Child and Adolescent Psychiatry, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria

    Mercedes M. Huscsava

  13. Child and Adolescent Psychiatrist, University Hospital “Alexandrovska”, Sofia, Bulgaria

    Maya Kostadinova

  14. TMA ‘‘PSYCHIATRY”, Kirilivska str. 103, Kiev, Ukraine

    Yuliia Kramar

  15. Department for Psychotic Disorders, Institute of Mental Health, Belgrade, Serbia

    Vanja Mandic Maravic

  16. Child and Adolescent Psychiatrist, Linn Dara Child and Adolescent Mental Health Service, Cherry Orchard Hospital, Ballyfermot, Dublin 10, Ireland

    Jane McGrath

  17. Child Neuropsychiatry Unit, Department of Brain and Behavioral Sciences, University of Pavia, via Mondino 2, 27100, Pavia, Italy

    Silvia Molteni

  18. Department of Psychiatry and Clinical Psychology, Neurodevelopment Outpatient Clinic and Day Hospital for Pre-pubertal Children, Niño Jesús Children’s Hospital, Hospital Infantil Universitario Niño Jesús, av/Menéndez Pelayo 65, 28009, Madrid, Spain

    Maria Goretti Moron-Nozaleda

  19. Department of Child and Adolescent Psychiatry, Psychotherapy und Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W35, 20246, Hamburg, Germany

    Susanne Mudra

  20. Department of Child and Adolescent Psychiatry, University Clinic of Psychiatry, Belgradska b.b, 1000, Skopje, Macedonia

    Gordana Nikolova

  21. Child and Adolescent Psychiatrist, President of Cypriot Society of Child and Adolescent Psychiatry, 77, Kennedy Ave, 1076, Nicosia, Cyprus

    Kallistheni Pantelidou Vorkas

  22. Child and Adolescent Psychiatry Specialty, Centro Hospitalar de Lisboa Central, Hospital Dona Estefânia, Rua Jacinta Marto, 1169-045, Lisbon, Portugal

    Ana Teresa Prata

  23. Child and Adolescent Psychiatrist, Department of Child and Adolescent Psychiatry, Faculty of Medicine, Toulouse University Hospital (CHU de Toulouse), UMR1027, INSERM, University of Toulouse III, Toulouse, France

    Alexis Revet

  24. Child and Adolescent Psyciatric Department, University Hospital of North-Norway, Tromsø, Norway

    Judeson Royle Joseph

  25. Child Psychiatrist, Tallinn Children´s Hospital, Tervise 28, Tallinn, Estonia

    Reelika Serbak

  26. Child and Adolescent Psychiatry and in General (Adult) Psychiatry, CAMHS Clare, Unit 6, Quin Rd. Business Pk. Quin Rd., Ennis, Ireland

    Aran Tomac

  27. Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium

    Helena Van den Steene

  28. Child and Adolescent Psychiatrist, General Childrens Hospital “Agia Sophia”, Athens, Greece

    Georgios Xylouris

  29. Department of Child and Adolescent Psychiatry, Public Pediatric Teaching Clinical Hospital, Medical University of Warsaw, 63A, Żwirki i Wigury Str., 02-091, Warsaw, Poland

    Anna Zielinska

  30. Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Duisburg, Germany

    Johannes Hebebrand

Authors
  1. Elizabeth Barrett
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  2. Brian Jacobs
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  4. Sabri Herguner
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  5. Sara Agnafors
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  6. Visnja Banjac
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  7. Nikita Bezborodovs
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  8. Erica Cini
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  9. Christoph Hamann
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  10. Mercedes M. Huscsava
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  11. Maya Kostadinova
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  12. Yuliia Kramar
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  13. Vanja Mandic Maravic
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  14. Jane McGrath
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  15. Silvia Molteni
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  16. Maria Goretti Moron-Nozaleda
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  17. Susanne Mudra
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  18. Gordana Nikolova
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  19. Kallistheni Pantelidou Vorkas
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  20. Ana Teresa Prata
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  21. Alexis Revet
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  22. Judeson Royle Joseph
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  23. Reelika Serbak
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  24. Aran Tomac
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  25. Helena Van den Steene
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  26. Georgios Xylouris
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  27. Anna Zielinska
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  28. Johannes Hebebrand
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Corresponding author

Correspondence to Elizabeth Barrett.

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Conflict of interest

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

Additional information

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

Henrikje Klasen: Sadly Dr. Rikje Klasen who was deeply involved in the design and implementation of this paper died part way through the preparation. She is greatly missed.

Henrikje Klasen: Deceased.

The original version of this article was revised due to incorrect thirteenth name of the author.

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Barrett, E., Jacobs, B., Klasen, H. et al. The child and adolescent psychiatry: study of training in Europe (CAP-STATE). Eur Child Adolesc Psychiatry 29, 11–27 (2020). https://doi.org/10.1007/s00787-019-01416-3

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