Psychiatry training in 42 European countries: A comparative analysis

Baessler, Franziska; Zafar, Ali; Gargot, Thomas; Costa, Mariana Pinto da; Biskup, Ewelina; Picker, Livia De; Koelkebeck, Katja; Riese, Florian; Ryland, Howard; Kazakova, Olga; Birkle, Sarah Maria; Kanellopoulos, Thanos; Grassl, Roland; Braicu, Alina; Schultz, Jobst‐Hendrik; Dias, Marisa Casanova

doi:10.1016/j.euroneuro.2021.02.003

Cited by 11 publications

(13 citation statements)

References 38 publications

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“…Concerns have been raised about the widespread specialization model across Europe which was described by Baessler et al ( 22 ) and has been considered as a barrier to a common culture between CAP and AP ( 23 ). However, our findings about the adherence to UEMS standards highlight that separate specialities generally do provide a significant compulsory theoretical core cross-training, which is a facilitating factor for enhancing communication and information transfer.…”

Section: Discussionmentioning

confidence: 99%

“…Training of mental health professionals on transition-related topics could therefore facilitate the process at the clinical level and improve clinical practice. Among existing studies on psychiatry training across Europe (14)(15)(16)(17)(18)(19)(20)(21)(22), only one focused on transitional care and revealed that, according to trainees, practical and theoretical training on this topic occurred, respectively, in only 27.8 and 16.7% of European countries (21). A systematic review of psychiatrist's training in Europe highlighted that a training specifically dedicated to transition was included only in the United Kingdom (UK) and in Ireland (23).…”

Section: Introductionmentioning

confidence: 99%

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Are Psychiatrists Trained to Address the Mental Health Needs of Young People Transitioning From Child to Adult Services? Insights From a European Survey

et al. 2022

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BackgroundIn mental health, transition refers to the pathway of young people from child and adolescent to adult services. Training of mental health psychiatrists on transition-related topics offers the opportunity to improve clinical practice and experiences of young people reaching the upper age limit of child and adolescent care.MethodsNational psychiatrist's organizations or experts from 21 European countries were surveyed 1/ to describe the status of transition in adult psychiatry (AP) and child and adolescent psychiatry (CAP) postgraduate training in Europe; 2/ to explore the amount of cross-training between both specialties. This survey was a part of the MILESTONE project aiming to study and improve the transition process of young people at the service boundary.ResultsTransition was a mandatory topic in the AP curriculum of 1/19 countries (5%) and in the CAP curriculum of 4/17 countries (24%). Most topics relevant for transition planning were addressed during AP training in 7/17 countries (41%) to 10/17 countries (59%), and during CAP training in 9/11 countries (82%) to 13/13 countries (100%). Depending on the training models, theoretical education in CAP was mandatory during AP training in 94% (15/16) to 100% of the countries (3/3); and in AP during CAP training in 81% (13/16) to 100% of the countries (3/3). Placements were mandatory in CAP during AP training in 67% (2/3) to 71% of the countries (12/17); and in AP during CAP training in 87% (13/15) to 100% of the countries (3/3).Discussion and ConclusionSpecific training about transition is limited during CAP and AP postgraduate training in Europe. Cross-training between both specialties offers a basis for improved communication between child and adult services but efforts should be sustained in practical training. Recommendations are provided to foster further development and meet the specific needs of young people transitioning to adult services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are Psychiatrists Trained to Address the Mental Health Needs of Young People Transitioning From Child to Adult Services? Insights From a European Survey

et al. 2022

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“…Amendments to medical education move at a notoriously slow pace, and thus need to be planned and prepared well in advance. In Europe in particular, we have recently demonstrated that psychiatric training curricula are highly heterogeneous and difficult to influence or harmonize, as each country determines the content and structure of its own postgraduate psychiatric training program ( Baessler et al., 2021 ). Training the Immunopsychiatrists of the future therefore calls for unrelenting and coordinated action by stakeholder organisations, starting today.…”

Section: Integration Within the Psychiatric Paradigmmentioning

confidence: 99%

The future of immunopsychiatry: Three milestones to clinical innovation

Picker

2021

Brain, Behavior, & Immunity - Health

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Psychoneuroimmunology, the area of research dedicated to understanding the fundamental interactions between the central nervous system and the immune system, has given rise to the development of Immunopsychiatry, a new discipline which harnesses the immune system to produce beneficial outcomes for mental health problems. Immunopsychiatry has the potential to become a clinically relevant specialty area in psychiatric practice, but has not yet been adopted by the wider mental health community. This paper aims to map out the future trajectory of Immunopsychiatry on its road towards science-to-policy knowledge translation and clinical implementation. Three critical milestones which will need to be reached in order for Immunopsychiatry to fulfil its promise for clinical innovation are discussed: a clear definition of patients who fall within the immunopsychiatric continuum; demonstration of well-defined clinical benefit and incorporation in clinical guidelines; and convergence with other paradigms in biological psychiatry.

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“…A minimum of 5 years of training is recommended, with practical experience in different areas of psychiatric practice, including exposure to psychiatric conditions throughout the life span across Europe. However, there are currently no European recommendations specifically pertaining to perinatal psychiatry, and the situation on the ground still varies widely between countries (Baessler et al 2015(Baessler et al , 2021Kuzman et al 2012). For instance, whilst 80% of countries stipulate a placement in a non-psychiatric specialty such as internal medicine or neurology, only 40% do so for substance abuse and 26% for old age psychiatry (Baessler et al 2021).…”

Section: Introductionmentioning

confidence: 99%

“…However, there are currently no European recommendations specifically pertaining to perinatal psychiatry, and the situation on the ground still varies widely between countries (Baessler et al 2015 , 2021 ; Kuzman et al 2012 ). For instance, whilst 80% of countries stipulate a placement in a non-psychiatric specialty such as internal medicine or neurology, only 40% do so for substance abuse and 26% for old age psychiatry (Baessler et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Psychiatric training in perinatal mental health across Europe

Dias

Güngör

Naughton

et al. 2022

Arch Womens Ment Health

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Perinatal mental illness is associated with considerable maternal and infant morbidity and mortality. However, there are currently no specific guidelines on the standards and structure of postgraduate perinatal psychiatric training in Europe. We describe the characteristics of available and desired specialist perinatal psychiatry training from the perspective of European psychiatrists in training. An online survey was conducted among 34 national psychiatric trainee association representatives of the European Federation of Psychiatric Trainees (EFPT). Participants from the countries in which perinatal psychiatry training was available were invited to participate in in-depth follow-up interviews. Six countries out of 34 (18%) reported that specialist training in perinatal mental health was available (Finland, France, Germany, Ireland, Malta, and the UK). The nature of available training varied in duration, the supervision and assessment model employed, and the training scheme context. Of the 28 countries where specialist perinatal psychiatry training was unavailable, the majority of national representatives (22 countries, 76%) wanted specialist perinatal psychiatry training to be included in their national training curricula. There is a gap between the expected skills and the available training for psychiatrists to meet the mental healthcare needs of women in the perinatal period. Given the prevalence and impact of perinatal mental illness and the expressed desires of trainees themselves for specialist training, this finding should prompt urgent action.

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Psychiatry training in 42 European countries: A comparative analysis

Cited by 11 publications

References 38 publications

Are Psychiatrists Trained to Address the Mental Health Needs of Young People Transitioning From Child to Adult Services? Insights From a European Survey

Are Psychiatrists Trained to Address the Mental Health Needs of Young People Transitioning From Child to Adult Services? Insights From a European Survey

The future of immunopsychiatry: Three milestones to clinical innovation

Psychiatric training in perinatal mental health across Europe

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