The child and adolescent psychiatry: study of training in Europe (CAP-STATE)

  • Elizabeth BarrettEmail author
  • Brian Jacobs
  • Henrikje Klasen
  • Sabri Herguner
  • Sara Agnafors
  • Visnja Banjac
  • Nikita Bezborodovs
  • Erica Cini
  • Christoph Hamann
  • Mercedes M. Huscsava
  • Maya Kostadinova
  • Yuliia Kramar
  • Vanja Mandic Maravic
  • Jane McGrath
  • Silvia Molteni
  • Maria Goretti Moron-Nozaleda
  • Susanne Mudra
  • Gordana Nikolova
  • Kallistheni Pantelidou Vorkas
  • Ana Teresa Prata
  • Alexis Revet
  • Judeson Royle Joseph
  • Reelika Serbak
  • Aran Tomac
  • Helena Van den Steene
  • Georgios Xylouris
  • Anna Zielinska
  • Johannes Hebebrand
Original Contribution


There is great cultural diversity across Europe. This is reflected in the organisation of child and adolescent mental health (CAMH) services and the training of the respective professionals in different countries in Europe. Patients and their parents will want a high quality, knowledgeable, and skillful service from child and adolescent psychiatrists (CAPs) wherever they see them in Europe. A European comparison of training programs allows all stakeholders in different European countries to assess the diversity and to initiate discussions as to the introduction of improvements within national training programs. Major issues to be addressed in comparing child and adolescent psychiatric training programs across Europe include: (1) formal organisation and content of training programs and the relationship to adult psychiatry and paediatrics; (2) flexibility of training, given different trainee interests and that many trainees will have young families; (3) quality of governance of training systems; (4) access to research; and (5) networking. The Child and Adolescent Psychiatry—Study of Training in Europe (CAP-State) is a survey of training for child and adolescent psychiatrists (CAPs) across European countries. It aims to revisit and extend the survey carried out in 2006 by Karabekiroglu and colleagues. The current article is embedded in a special issue of European Child + Adolescent Psychiatry attempting to for the first time address training in CAP at the European and global levels. Structured information was sought from each of 38 European and neighboring countries (subsequently loosely referred to as Europe) and obtained from 31. The information was provided by a senior trainee or recently qualified specialist and their information was checked and supplemented by information from a senior child and adolescent psychiatry trainer. Results showed that there is a very wide range of provision of training in child and adolescent psychiatry in different countries in Europe. There remains very substantial diversity in training across Europe and in the degree to which it is subject to national oversight and governance. Some possible reasons for this variation are discussed and some recommendations made.


Child psychiatry training Medical education Skills Competencies 



The following contributed country data: Annemie Baelemans, Salma Baidusi Natoor, Stepanka Beranova, Ariel Como, Saliha Kılınç, Jasna Klara Lipovšek, Viktorija Palubeckiene, Sara Emilie Poulsen, Natalia Sergeeva.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

787_2019_1416_MOESM1_ESM.pdf (944 kb)
Supplementary file1 (PDF 945 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019
corrected publication 2020

Authors and Affiliations

  1. 1.Child and Adolescent PsychiatryUniversity College DublinDublinIreland
  2. 2.Child and Adolescent Liaison PsychiatryChildren’s University HospitalDublin 1Ireland
  3. 3.Child and Adolescent PsychiatrySouth London and Maudsley HospitalLondonUK
  4. 4.Section of Child and Adolescent PsychiatryEuropean Union of Medical Specialists (UEMS-CAP)BrusselsBelgium
  5. 5.Department of PsychiatryLeiden University Medical CentreLeidenNetherlands
  6. 6.Child and Adolescent PsychiatryPrivate PracticeAnkaraTurkey
  7. 7.Division of Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Faculty of Health SciencesLinköping UniversityLinköpingSweden
  8. 8.Clinic of PsychiatryUniversity Clinical Center of the Republic of SrpskaBanjalukaBosnia and Herzegovina
  9. 9.Department of Psychiatry and NarcologyRiga Stradins UniversityRigaLatvia
  10. 10.Child and Adolescent PsychiatristEast London Foundation Trust, East London Foundation TrustLondonUK
  11. 11.University Hospital of Child and Adolescent Psychiatry and PsychotherapyUniversity of BernBern 60Switzerland
  12. 12.Department of Child and Adolescent PsychiatryMedical University of ViennaViennaAustria
  13. 13.Child and Adolescent PsychiatristUniversity Hospital “Alexandrovska”SofiaBulgaria
  14. 14.DNCC CAMHSDublin 1Ireland
  15. 15.TMA ‘‘PSYCHIATRY”KievUkraine
  16. 16.Department for Psychotic DisordersInstitute of Mental HealthBelgradeSerbia
  17. 17.Child and Adolescent Psychiatrist, Linn Dara Child and Adolescent Mental Health ServiceCherry Orchard HospitalDublin 10Ireland
  18. 18.Child Neuropsychiatry Unit, Department of Brain and Behavioral SciencesUniversity of PaviaPaviaItaly
  19. 19.Department of Psychiatry and Clinical Psychology, Neurodevelopment Outpatient Clinic and Day Hospital for Pre-pubertal Children, Niño Jesús Children’s HospitalHospital Infantil Universitario Niño JesúsMadridSpain
  20. 20.Department of Child and Adolescent Psychiatry, Psychotherapy und PsychosomaticsUniversity Medical Center Hamburg-EppendorfHamburgGermany
  21. 21.Department of Child and Adolescent PsychiatryUniversity Clinic of PsychiatrySkopjeMacedonia
  22. 22.Child and Adolescent PsychiatristPresident of Cypriot Society of Child and Adolescent PsychiatryNicosiaCyprus
  23. 23.Child and Adolescent Psychiatry Specialty, Centro Hospitalar de Lisboa CentralHospital Dona EstefâniaLisbonPortugal
  24. 24.Child and Adolescent Psychiatrist, Department of Child and Adolescent Psychiatry, Faculty of MedicineToulouse University Hospital (CHU de Toulouse), UMR1027, INSERM, University of Toulouse IIIToulouseFrance
  25. 25.Child and Adolescent Psyciatric DepartmentUniversity Hospital of North-NorwayTromsøNorway
  26. 26.Child Psychiatrist, Tallinn Children´s HospitalTallinnEstonia
  27. 27.Child and Adolescent Psychiatry and in General (Adult) PsychiatryCAMHS ClareEnnisIreland
  28. 28.Collaborative Antwerp Psychiatric Research Institute (CAPRI)University of AntwerpWilrijkBelgium
  29. 29.Child and Adolescent PsychiatristGeneral Childrens Hospital “Agia Sophia”AthensGreece
  30. 30.Department of Child and Adolescent Psychiatry, Public Pediatric Teaching Clinical HospitalMedical University of WarsawWarsawPoland
  31. 31.Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital EssenUniversity of Duisburg-EssenDuisburgGermany

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