Lunsky Y, Bradley E
Department of Psychiatry, University of Toronto, Toronto, Ontario.
Can J Psychiatry. 2001 Mar;46(2):138-43. doi: 10.1177/070674370104600204.
To examine current training in developmental disabilities in Canadian psychiatry residency programs and to determine, from the programs' perspectives, how provinces across Canada are responding to the needs of persons with developmental disabilities and comorbid mental health disturbances (persons with a "dual diagnosis").
A survey was completed by residency directors, or their designate, for all 16 psychiatry residency programs in Canada.
Persons with developmental disabilities require psychiatric services throughout their lives, but inadequate training opportunities exist in many of the residency programs, particularly those involving adults and adolescents. While some didactic opportunities are usually available, supervised clinical opportunities are rare, and many of those reported are optional.
Across Canada, there have been insufficient advances in clinical training and service developments to meet the needs of individuals with developmental disabilities and comorbid mental health disturbances.
考察加拿大精神病学住院医师培训项目中目前针对发育障碍的培训情况，并从这些项目的角度确定加拿大各省如何应对发育障碍合并心理健康障碍患者（“双重诊断”患者）的需求。
加拿大所有16个精神病学住院医师培训项目的住院医师主任或其指定人员完成了一项调查。
发育障碍患者一生都需要精神科服务，但许多住院医师培训项目的培训机会不足，尤其是涉及成人和青少年的培训。虽然通常有一些理论教学机会，但有监督的临床机会很少，而且许多报告的机会是可选的。
在加拿大全国，临床培训和服务发展方面的进展不足以满足发育障碍合并心理健康障碍患者的需求。
