Child and adolescent psychiatry in the Far East: A 5-year follow up on the Consortium on Academic Child and Adolescent Psychiatry in the Far East (CACAP-FE) study

Hirota T 1 , Guerrero A 2 , Sartorius N 3 , Fung D 4 , Leventhal B 1 , Ong SH 4 Show all authors , Kaneko H 5 , Apinuntavech S 6 , Bennett A 7 , Bhoomikumar J 8 , Cheon KA 9 , Davaasuren O 10 , Gau S 11 , Hall B 12 , Koren E 13 , van Nguyen T 14 , Oo T 15 , Tan S 16 , Tateno M 17 , Thikeo M 18 , Wiguna T 19 , Wong M 20 , Zheng Y 21 , Skokauskas N 22

Affiliations 

  • 1 Department of Psychiatry, University of California San Francisco, San Francisco, USA
  • 2 Department of Psychiatry, University of Hawai'i at Mānoa John A. Burns School of Medicine, Honolulu, USA
  • 3 Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
  • 4 Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
  • 5 Department of Psychology, Center for Developmental Clinical Psychology and Psychiatry, Nagoya University, Aichi, Japan
  • 6 Department of Psychiatry, Mahidol University, Bangkok, Thailand
  • 7 Department of Psychiatry, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei
  • 8 Center for Child and Adolescent Mental Health, Ta Khmao City, Cambodia
  • 9 Department of Psychiatry, Division of Child and Adolescent Psychiatry, Yonsei University College of Medicine, Seoul, South Korea
  • 10 Department of Mental Health, Schools of Medicine, Mongolian National University of Medical Science, Ulaanbaatar, Mongolia
  • 11 Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
  • 12 Global and Community Mental Health Research Group, Faculty of Social Sciences, University of Macau, Macau
  • 13 Moscow Research Institute of Psychiatry, Moscow, Russia
  • 14 Department of Psychiatry, Hanoi Medical University, Hanoi, Vietnam
  • 15 Department of Mental Health, University of Medicine - 1 Yangon, Yangon, Myanmar
  • 16 ParkCity Medical Centre, Kuala Lumpur, Malaysia
  • 17 Tokiwa Child Development Center, Sapporo, Japan
  • 18 Faculty of Post Graduate Studies in Medicine and Public Health, University of Health Science, Vientiane, Lao People's Democratic Republic
  • 19 Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia
  • 20 Mindflow Child & Family Psychological Development Centre, Shatin, Hong Kong
  • 21 Beijing Anding Hospital, Capital Medical University, Beijing, China
  • 22 Faculty of Medicine, Centre for Child and Youth Mental Health and Child Protection, Norwegian University of Science and Technology, Trondheim, Norway
Psychiatry Clin Neurosci, 2019 Feb;73(2):84-89.
PMID: 30471156 DOI: 10.1111/pcn.12800

Abstract

AIM: Data pertaining to child and adolescent psychiatry (CAP) training systems are limited as extant research has mostly been derived from one-time data collection. This 5-year follow-up survey collects updated information on CAP training systems in the Far East, allowing for the tracking of system changes over the past 5 years.

METHODS: Data were obtained from 18 countries, or functionally self-governing areas, in the Far East, 17 of which were also included in the original study. An online questionnaire was completed by leading CAP professionals in each country. Questions were expanded in the present study to capture the contents of CAP training.

RESULTS: When compared to data from the original study, there has been progress in CAP training systems in the last 5 years. Specifically, there has been an increase in the number of countries with CAP training programs and national guidelines for the training. In addition, the number of CAP departments/divisions affiliated with academic institutions/universities has increased. Findings from 12 of 18 countries in the present study provide data on clinical contents. All informants of the present study reported the need for more child and adolescent psychiatrists and allied professionals.

CONCLUSION: Despite progress in CAP training systems over the last 5 years, the need for more professionals in child and adolescent mental health care in all the relevant areas in this region have yet to be adequately addressed. Continued national efforts and international collaborations are imperative to developing and sustaining new CAP training systems while facilitating improvements in existing programs.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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