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


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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  • 19 January 2020

    The original article has been corrected.


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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.

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Correspondence to Elizabeth Barrett.

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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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  • Child psychiatry training
  • Medical education
  • Skills
  • Competencies