Deschamps Peter K H, Dubicka Bernadka, Hansen Anna Sofie, Kapornai Krisztina, Piot Marie-Aude, Schroder Carmen M, Schumann Thorsten
Karakter Child and Adolescent Psychiatry, Radboud University Medical Centre, Nijmegen, Netherlands.
Greater Manchester Mental Health Trust, Hull and York Medical School University of York, University of Manchester, Manchester, UK.
Eur Child Adolesc Psychiatry. 2025 Feb 25. doi: 10.1007/s00787-025-02669-x.
Mental health care is suffering from a substantial gap between current service provision capacity and demand. For the generation of young doctors in psychiatry training programs today, this means they face substantial and potentially overwhelming challenges in their clinical practice. This situation calls for creative solutions in psychiatry training to prepare them best for these challenges. Perspectives of European trainers in child and adolescent psychiatry (CAP) were collected and analysed following an iterative procedure in three rounds using thematic analysis of focus groups. The three iterative rounds resulted in five proposed strategies for meeting the challenges of current and future demand in CAP specifically addressing implications for CAP training. Examples were provided illustrating how these strategies could be put into daily training practices. Four strategies aimed mainly at increasing capacity: efficiency (making best use of the existing CAP workforce); consultation (task-sharing); innovation (practicing differently); and wellbeing of the CAP workforce. An additional strategy focusing on prevention and early intervention was identified to decrease demand upstream. Rethinking CAP training practices through a European perspective on the balance between capacity and demand yielded strategies for aspects of training that are not yet universally applied. Implementation is partly dependent on the larger service provision system of care while training has leverage for future capacity and quality of care.
精神卫生保健领域目前的服务提供能力与需求之间存在巨大差距。对于当今参加精神病学培训项目的年轻医生一代来说，这意味着他们在临床实践中面临着巨大且可能难以应对的挑战。这种情况需要在精神病学培训中找到创造性的解决方案，以便让他们为这些挑战做好最佳准备。通过三轮迭代程序，采用焦点小组主题分析法，收集并分析了欧洲儿童和青少年精神病学（CAP）培训师的观点。这三轮迭代产生了五项应对CAP当前和未来需求挑战的拟议策略，特别涉及对CAP培训的影响。文中提供了示例，说明这些策略如何应用于日常培训实践。四项策略主要旨在提高能力：效率（充分利用现有的CAP劳动力）；咨询（任务分担）；创新（采用不同的做法）；以及CAP劳动力的福祉。还确定了一项侧重于预防和早期干预的额外策略，以减少上游需求。从欧洲视角重新思考CAP培训实践，在能力与需求之间取得平衡，从而产生了尚未普遍应用的培训方面的策略。实施部分取决于更大的护理服务提供系统，而培训对未来的护理能力和质量具有影响力。
