Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

doi:10.1186/s12909-019-1576-0

. 2019 Jun 13;19(1):204.

doi: 10.1186/s12909-019-1576-0.

Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Milestone Consortium; Frederick Russet¹, Veronique Humbertclaude², Gwen Dieleman³, Katarina Dodig-Ćurković⁴, Gaelle Hendrickx⁵, Vlatka Kovač⁴, Fiona McNicholas⁶, Athanasios Maras^{7

8}, Santosh Paramala^{9

10

11}, Moli Paul^{12

13}, Ulrike M E Schulze¹⁴, Giulia Signorini¹⁵, Cathy Street¹², Priya Tah¹², Helena Tuomainen¹², Swaran P Singh¹², Sabine Tremmery^{5

16}, Diane Purper-Ouakil²

Collaborators, Affiliations

Collaborators

Milestone Consortium:
Swaran Singh, Helena Tuomainen, Jason Madan, Jane Warwick, Cathy Street, Dieter Wolke, Moli Paul, Priya Tah, Rebecca Appleton, Alastair Canaway, James Griffin, Giovanni de Girolamo, Giulia Signorini, Paramala Santosh, Ilyas Sagar-Ouriaghli, Natalie Heaney, Diane Purper-Ouakil, Frédérick Russet, Virginie Maurice, Véronique Humbertclaude, Athanasios Maras, Larissa van Bodegom, Mathilde Overbeek, Esther Kooymans, Ulrike Schulze, Melanie Saam, Ulrike Breuninger, Sabine Tremmery, Gaëlle Hendrickx, Fiona McNicholas, Aleksandra Gronostaj, Tomislav Franić, Nikolina Davidović, Frank Verhulst, Gwen Dieleman, Suzanne Gerritsen, Kate Lievesley, Amanda Tuffrey, Anna Wilson, Charlotte Gatherer, Leanne Walker

Affiliations

¹ CHU Montpellier-Saint Eloi, Médecine Psychologique de l'Enfant et de l'Adolescent, 80, Av Fliche, 34295, Montpellier Cedex 5, France. f-russet@chu-montpellier.fr.
² CHU Montpellier-Saint Eloi, Médecine Psychologique de l'Enfant et de l'Adolescent, 80, Av Fliche, 34295, Montpellier Cedex 5, France.
³ Department of Child and Adolescent Psychiatry and Psychology, Erasmus University Medical Center, Rotterdam, Netherlands.
⁴ University of Osijek, Osijek, Croatia.
⁵ Department of Neurosciences, Child & Adolescent Psychiatry, University of Leuven, Leuven, Belgium.
⁶ Department of Child and Adolescent Psychiatry, School of Medicine and Medical Science and Geary Institute, University College Dublin, Dublin, Ireland.
⁷ Yulius Academy, Rotterdam, Netherlands.
⁸ Department of Child and Adolescent Psychiatry, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, Netherlands.
⁹ Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
¹⁰ Centre for Interventional Paediatric Psychopharmacology and Rare Diseases (CIPPRD), National and Specialist Child and Adolescent Mental Health Services, Maudsley Hospital, London, UK.
¹¹ HealthTracker Ltd, Gillingham, UK.
¹² Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
¹³ Stratford Child and Adolescent Health Service, Coventry and Warwickshire Partnership Trust, Stratford on Avon, UK.
¹⁴ Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
¹⁵ Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Centre, Brescia, Italy.
¹⁶ Department of Child & Adolescent Psychiatry, University Hospitals Leuven, Leuven, Belgium.

PMID: 31196080
PMCID: PMC6567390
DOI: 10.1186/s12909-019-1576-0

Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Milestone Consortium et al. BMC Med Educ. 2019.

. 2019 Jun 13;19(1):204.

doi: 10.1186/s12909-019-1576-0.

Authors

Collaborators

Milestone Consortium:
Swaran Singh, Helena Tuomainen, Jason Madan, Jane Warwick, Cathy Street, Dieter Wolke, Moli Paul, Priya Tah, Rebecca Appleton, Alastair Canaway, James Griffin, Giovanni de Girolamo, Giulia Signorini, Paramala Santosh, Ilyas Sagar-Ouriaghli, Natalie Heaney, Diane Purper-Ouakil, Frédérick Russet, Virginie Maurice, Véronique Humbertclaude, Athanasios Maras, Larissa van Bodegom, Mathilde Overbeek, Esther Kooymans, Ulrike Schulze, Melanie Saam, Ulrike Breuninger, Sabine Tremmery, Gaëlle Hendrickx, Fiona McNicholas, Aleksandra Gronostaj, Tomislav Franić, Nikolina Davidović, Frank Verhulst, Gwen Dieleman, Suzanne Gerritsen, Kate Lievesley, Amanda Tuffrey, Anna Wilson, Charlotte Gatherer, Leanne Walker

Affiliations

¹ CHU Montpellier-Saint Eloi, Médecine Psychologique de l'Enfant et de l'Adolescent, 80, Av Fliche, 34295, Montpellier Cedex 5, France. f-russet@chu-montpellier.fr.
² CHU Montpellier-Saint Eloi, Médecine Psychologique de l'Enfant et de l'Adolescent, 80, Av Fliche, 34295, Montpellier Cedex 5, France.
³ Department of Child and Adolescent Psychiatry and Psychology, Erasmus University Medical Center, Rotterdam, Netherlands.
⁴ University of Osijek, Osijek, Croatia.
⁵ Department of Neurosciences, Child & Adolescent Psychiatry, University of Leuven, Leuven, Belgium.
⁶ Department of Child and Adolescent Psychiatry, School of Medicine and Medical Science and Geary Institute, University College Dublin, Dublin, Ireland.
⁷ Yulius Academy, Rotterdam, Netherlands.
⁸ Department of Child and Adolescent Psychiatry, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, Netherlands.
⁹ Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
¹⁰ Centre for Interventional Paediatric Psychopharmacology and Rare Diseases (CIPPRD), National and Specialist Child and Adolescent Mental Health Services, Maudsley Hospital, London, UK.
¹¹ HealthTracker Ltd, Gillingham, UK.
¹² Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
¹³ Stratford Child and Adolescent Health Service, Coventry and Warwickshire Partnership Trust, Stratford on Avon, UK.
¹⁴ Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
¹⁵ Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Centre, Brescia, Italy.
¹⁶ Department of Child & Adolescent Psychiatry, University Hospitals Leuven, Leuven, Belgium.

PMID: 31196080
PMCID: PMC6567390
DOI: 10.1186/s12909-019-1576-0

Abstract

Background: Profound clinical, conceptual and ideological differences between child and adult mental health service models contribute to transition-related discontinuity of care. Many of these may be related to psychiatry training.

Methods: A systematic review on General Adult Psychiatry (GAP) and Child and Adult Psychiatry (CAP) training in Europe, with a particular focus on transition as a theme in GAP and CAP training.

Results: Thirty-four full-papers, six abstracts and seven additional full text documents were identified. Important variations between countries were found across several domains including assessment of trainees, clinical and educational supervision, psychotherapy training and continuing medical education. Three models of training were identified: i) a generalist common training programme; ii) totally separate training programmes; iii) mixed types. Only two national training programs (UK and Ireland) were identified to have addressed transition as a topic, both involving CAP exclusively.

Conclusion: Three models of training in GAP and CAP across Europe are identified, suggesting that the harmonization is not yet realised and a possible barrier to improving transitional care. Training in transition has only recently been considered. It is timely, topical and important to develop evidence-based training approaches on transitional care across Europe into both CAP and GAP training.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

**Fig. 1**
Flow chart: Systematic review on GAP and CAP Training in Europe

**Fig. 2**
Mapping of 3 coexisting models of training and practice of GAP and CAP in Europe

See this image and copyright information in PMC

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References

1. Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, et al. Process, outcome and experience of transition from child to adult mental health care: a multiperspective study. Br J Psychiatry. 2010;197:305–312. doi: 10.1192/bjp.bp.109.075135. - DOI - PubMed
1. Brodie I, Goldman R, Clapton J (2011, Revised 2014). Mental health service transitions for young people. Research briefing 37. Social Care Institute for Excellence www.scie.org.uk/publications/briefings.
1. Paul M, Street C, Wheeler N, Singh SP. Transition to adult services for young people with mental health needs: a systematic review. Clin Child Psychol Psychiatry. 2015;20(3):436–457. doi: 10.1177/1359104514526603. - DOI - PubMed
1. Agarwal SD, Barnett ML, Souza J, Landon BE. Adoption of Medicare’s transitional care management and chronic care management codes in primary care. JAMA. 2018;320(24):2596–2597. doi: 10.1001/jama.2018.16116. - DOI - PMC - PubMed
1. Burke L, Kirkham J, Arnott J, Gray V, Peak M, Beresford MW. The transition of adolescents with juvenile idiopathic arthritis or epilepsy from paediatric health-care services to adult health-care services: a scoping review of the literature and a synthesis of the evidence. J Child Health Care. 2018;22(3):332–358. doi: 10.1177/1367493517753330. - DOI - PubMed

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[1] Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, et al. Process, outcome and experience of transition from child to adult mental health care: a multiperspective study. Br J Psychiatry. 2010;197:305–312. doi: 10.1192/bjp.bp.109.075135. - DOI - PubMed

[2] Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, et al. Process, outcome and experience of transition from child to adult mental health care: a multiperspective study. Br J Psychiatry. 2010;197:305–312. doi: 10.1192/bjp.bp.109.075135. - DOI - PubMed

[3] Brodie I, Goldman R, Clapton J (2011, Revised 2014). Mental health service transitions for young people. Research briefing 37. Social Care Institute for Excellence www.scie.org.uk/publications/briefings.

[4] Brodie I, Goldman R, Clapton J (2011, Revised 2014). Mental health service transitions for young people. Research briefing 37. Social Care Institute for Excellence www.scie.org.uk/publications/briefings.

[5] Paul M, Street C, Wheeler N, Singh SP. Transition to adult services for young people with mental health needs: a systematic review. Clin Child Psychol Psychiatry. 2015;20(3):436–457. doi: 10.1177/1359104514526603. - DOI - PubMed

[6] Paul M, Street C, Wheeler N, Singh SP. Transition to adult services for young people with mental health needs: a systematic review. Clin Child Psychol Psychiatry. 2015;20(3):436–457. doi: 10.1177/1359104514526603. - DOI - PubMed

[7] Agarwal SD, Barnett ML, Souza J, Landon BE. Adoption of Medicare’s transitional care management and chronic care management codes in primary care. JAMA. 2018;320(24):2596–2597. doi: 10.1001/jama.2018.16116. - DOI - PMC - PubMed

[8] Agarwal SD, Barnett ML, Souza J, Landon BE. Adoption of Medicare’s transitional care management and chronic care management codes in primary care. JAMA. 2018;320(24):2596–2597. doi: 10.1001/jama.2018.16116. - DOI - PMC - PubMed

[9] Burke L, Kirkham J, Arnott J, Gray V, Peak M, Beresford MW. The transition of adolescents with juvenile idiopathic arthritis or epilepsy from paediatric health-care services to adult health-care services: a scoping review of the literature and a synthesis of the evidence. J Child Health Care. 2018;22(3):332–358. doi: 10.1177/1367493517753330. - DOI - PubMed

[10] Burke L, Kirkham J, Arnott J, Gray V, Peak M, Beresford MW. The transition of adolescents with juvenile idiopathic arthritis or epilepsy from paediatric health-care services to adult health-care services: a scoping review of the literature and a synthesis of the evidence. J Child Health Care. 2018;22(3):332–358. doi: 10.1177/1367493517753330. - DOI - PubMed

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Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Collaborators

Affiliations

Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

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Cited by

References

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LinkOut - more resources

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