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FROM THE GUEST EDITOR   |    
From the Guest Editors
Gene Beresin, M.D.; David Kaye, M.D.
FOCUS 2012;10:251-253. 10.1176/appi.focus.10.3.251

Extract

It is well established that Child and Adolescent Psychiatry (CAP) is the number one shortage specialty in all of psychiatry (1). Currently, there are approximately 7,000-8,000 practicing child and adolescent psychiatrists in the United States (2). In various reports the number of youth nationwide with significant psychopathology requiring evaluation and treatment varies from 12%–22% (3), with the best evidence reporting at least 12% showing serious disturbance (4, 5). This amounts to about 10 million youth. Clearly there are insufficient child and adolescent psychiatrists to provide care to this number of children and adolescents. To compound matters, the workforce is concentrated in urban areas, with large sections of rural and inner city youth and families highly underserved (6). Finally, while the numbers of residents going into child and adolescent psychiatry have increased about 10% over the past 10 years, the number of current CAP graduates in the United States is approximately 420 per year, far below the numbers needed to improve the workforce, particularly as the baby boomers prepare to retire.

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References

American Psychiatric Association: The Physician Workforce Shortage at a Glance. March  2012. Accessed 7/30/12 http://www.psychiatry.org/advocacy–newsroom/advocacy/legislative-fact-sheets
 
Workforce Fact Sheet AACAP: (updated April  2012). Accessed 7/30/12 http://www.aacap.org/galleries/default-file/workforce_fact_sheet_201204.pdf
 
; Institute of Medicine:  Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Edited by O'Connell  ME;  Boat  T;  Warner  KE.  Washington, DC,  National Academies Press,  2009
 
Costello  EJ;  Foley  DL;  Angold  A:  10-year research update review: the epidemiology of child and adolescent psychiatric disorders, II: developmental epidemiology.  J Am Acad Child Adolesc Psychiatry   2006; 45:8–25
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Kessler  RC;  Avenevoli  S;  Costello  J;  Green  JG;  Gruber  MJ;  McLaughlin  KA;  Petukhova  M;  Sampson  NA;  Zaslavsky  AM;  Merikangas  KR:  Severity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement.  Arch Gen Psychiatry   2012; 69:381–389
[PubMed]
[CrossRef]
 
; American Academy of Child & Adolescent Psychiatry.  Resources for primary care: workforce issues. http://www.aacap.org/cs/physicians.AlliedProfessionals/workforce_issues
 
Kessler  RC;  Amminger  GP;  Aguilar-Gaxiola  S;  Alonso  J;  Lee  S;  Ustün  TB:  Age of onset of mental disorders: a review of recent literature.  Curr Opin Psychiatry   2007; 20:359–364
[PubMed]
[CrossRef]
 
McGorry  PD;  Purcell  R;  Goldstone  S;  Amminger  GP:  Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care.  Curr Opin Psychiatry   2011; 24:301–306
[PubMed]
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