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Child and adolescent psychiatry training in Brazil, Argentina, Uruguay and Chile: current panorama and future challenges

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Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil

    Sandra Scivoletto, Luara N. Otoch & Guilherme V. Polanczyk

  2. Faculdade de Medicina FMUSP, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil

    Marina A. Fondello

  3. Faculdade de Medicina, Universidade Estadual de Campinas UNICAMP, Campinas, SP, Brazil

    Eloisa H. R. Valler Celeri

  4. Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil

    Sheila C. Caetano & Maria Conceição Rosario

  5. Departamento de Psiquiatria e Medicina Legal, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

    Ana Soledade Graeff-Martins

  6. Serviço de Psiquiatria da Infância e Adolescência, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

    Ana Soledade Graeff-Martins

  7. Servicio de Salud Mental Pediátrica, Instituto Universitario Escuela de Medicina Des Hospital Italiano IUHI, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Roberto Pallia

  8. Unidad de Psiquiatría del niño Y del Adolescente, Facultad de Ciencias Médicas, Universidad de Santiago de Chile USACH, Hospital Exequiel González Cortés, Santiago, Chile

    Adriana Gutiérrez

  9. Departamento de Psiquiatría Y Salud Mental, Universidad de Concepción, Concepción, Chile

    Mario Valdivia

  10. Departamento de Psiquiatría Pediátrica, Facultad de Medicina, Universidad de La Republica, Montevideo, Uruguay

    Laura Viola

Authors
  1. Sandra Scivoletto
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  2. Marina A. Fondello
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  3. Luara N. Otoch
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  4. Eloisa H. R. Valler Celeri
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  5. Sheila C. Caetano
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  6. Ana Soledade Graeff-Martins
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  7. Maria Conceição Rosario
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  8. Roberto Pallia
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  9. Adriana Gutiérrez
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  10. Mario Valdivia
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  11. Laura Viola
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  12. Guilherme V. Polanczyk
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Corresponding author

Correspondence to Sandra Scivoletto.

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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 information collection in this study as it did not involve the collection of personal information.

Informed consent

This work did not require a consent form nor used patients or individuals data.

Additional information

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

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Scivoletto, S., Fondello, M.A., Otoch, L.N. et al. Child and adolescent psychiatry training in Brazil, Argentina, Uruguay and Chile: current panorama and future challenges. Eur Child Adolesc Psychiatry 29, 71–81 (2020). https://doi.org/10.1007/s00787-019-01454-x

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  • DOI: https://doi.org/10.1007/s00787-019-01454-x

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