Psychiatry residency training includes unique characteristics that can predispose trainees to burnout, including vicarious traumatization, prevalence of patient suicide and violence in the workplace, and social stigma surrounding mental health. For the purposes of this article, the authors examine these contributing factors and address how psychiatry residency training programs, specifically the Kaiser Permanente Oakland program, are responding to these unique challenges with wellness initiatives. Initiatives to promote wellness at Kaiser Permanente Oakland include a resident and faculty–led wellness committee, work-hour limits, reasonable call schedules, a robust mentorship program, funded social and networking events programs, and comprehensive mental health services.
Child and adolescent mental health has become a pressing, international public health crisis. However, the field of child and adolescent psychiatry has advanced in remarkable ways over the last few decades. Increasing evidence indicates that child and adolescent mental disorders are highly prevalent and impactful conditions that often go unrecognized and untreated, resulting in a tremendous adverse impact on youth, families, and communities. It is critical that future research, public policy, and training programmes continue to identify and support factors that mitigate the risk for developmental psychopathology and foster well-being and healthy development. This chapter focuses on five principal features: developmental epidemiology, healthy development and well-being, access to care, the effects of adverse childhood experiences, and paediatric psychopharmacology. Concluding remarks include strategies to promote healthy child and adolescent development, as well as for the prevention, early identification, and early intervention for child and adolescent mental disorders.
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