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Becker KD, Daleiden EL, Kataoka SH, Edwards SM, Best KM, Donohue A, Chorpita BF. Pilot Study of the MAP Curriculum for Psychotherapy Competencies in Child and Adolescent Psychiatry. Am J Psychother 2021; 75:82-88. [PMID: 34724809 DOI: 10.1176/appi.psychotherapy.20210010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE This pilot study aimed to evaluate the relevance, feasibility, acceptability, and instructional efficacy of the Managing and Adapting Practice (MAP) curriculum for enhancing the teaching of psychotherapy to child and adolescent psychiatry (CAP) fellows. MAP is a system of resources and decision models that supports practitioners in selecting and implementing psychotherapeutic interventions for children and adolescents. The MAP curriculum includes modules to guide education about psychotherapeutic procedures (e.g., behavioral activation) common in evidence-based treatments for an array of childhood problems and to support development of competencies in assessment, treatment planning, and reflective practice. METHODS Curriculum coding was used to examine the relevance of MAP's core components to the skills articulated in the Accreditation Council for Graduate Medical Education (ACGME) CAP milestones. Feasibility, acceptability, and learning outcomes were examined after delivery of the MAP curriculum to 12 CAP fellows at two sites, with instructional features tailored according to faculty preferences and training program structure. RESULTS Coding suggested that the MAP curriculum was relevant to 95% of the 21 ACGME CAP training subcompetencies. Feasibility was indicated by the successful delivery of 100% of the planned MAP curriculum across the two sites. Acceptability was supported by positive feedback from the CAP fellows, and psychotherapy knowledge increased significantly. Finally, case review scores (mean±SD=2.21±0.15) showed positive posttraining application of MAP to two patients and exceeded scores achieved by other samples of mental health professionals. CONCLUSIONS This pilot study demonstrated the potential for the MAP curriculum to support CAP education. MAP's versatility as a curriculum supports broader adoption, with continuing rigorous empirical evaluation.
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Affiliation(s)
- Kimberly D Becker
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - Eric L Daleiden
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - Sheryl H Kataoka
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - Sarah M Edwards
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - Karin M Best
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - April Donohue
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
| | - Bruce F Chorpita
- Department of Psychology, University of South Carolina, Columbia (Becker); PracticeWise, Satellite Beach, Florida (Daleiden); Department of Psychiatry and Biobehavioral Sciences, and Jane and Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles (Kataoka, Best); Department of Psychiatry, University of Maryland, Baltimore (Edwards, Donohue); Department of Psychology, University of California, Los Angeles (Chorpita)
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Scivoletto S, Fondello MA, Otoch LN, Celeri EHRV, Caetano SC, Graeff-Martins AS, Rosario MC, Pallia R, Gutiérrez A, Valdivia M, Viola L, Polanczyk GV. Child and adolescent psychiatry training in Brazil, Argentina, Uruguay and Chile: current panorama and future challenges. Eur Child Adolesc Psychiatry 2020; 29:71-81. [PMID: 31802272 DOI: 10.1007/s00787-019-01454-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 11/28/2019] [Indexed: 11/25/2022]
Abstract
Mental disorders affect approximately 10-15% of children and adolescents worldwide. In South America these numbers are probably higher due to poverty and adverse life events that frequently affect this region. The availability of qualified services and well-trained professionals to care for those children are by far insufficient. The aim of this study was to assess and describe child and adolescent psychiatry (CAP) training in Brazil, Argentina, Uruguay, and Chile, to support the development and strengthen training standards. The coordinators of CAP residency programs in Brazil, Argentina, Uruguay, and Chile were invited to answer an online questionnaire about the characteristics of their training programs. Twelve programs from Brazil, three programs from Chile, two from Argentina, and one from Uruguay completed the questionnaires. In the last three countries, CAP is recognized as an independent specialty, while in Brazil it is considered a subspecialty of psychiatry. None of the countries have a national guideline for CAP residency training. Recently, there has been an increase in the number of professionals interested in pursuing a formal CAP training. This is the first study aiming to evaluate the current scenario of CAP training in South America. The results point to a great potential in the evaluated programs, but also to the need for homogeneous criteria for CAP training and evaluation of residents. A more efficient communication among programs would be an enriching strategy for their development, which may be facilitated by the results of this study.
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Affiliation(s)
- Sandra Scivoletto
- Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil.
| | - Marina A Fondello
- Faculdade de Medicina FMUSP, Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil
| | - Luara N Otoch
- Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil
| | | | - Sheila C Caetano
- Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
| | - Ana Soledade Graeff-Martins
- Departamento de Psiquiatria e Medicina Legal, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
- Serviço de Psiquiatria da Infância e Adolescência, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
| | - Maria Conceição Rosario
- Department of Psychiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
| | - Roberto Pallia
- Servicio de Salud Mental Pediátrica, Instituto Universitario Escuela de Medicina Des Hospital Italiano IUHI, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Adriana Gutiérrez
- Unidad de Psiquiatría del niño Y del Adolescente, Facultad de Ciencias Médicas, Universidad de Santiago de Chile USACH, Hospital Exequiel González Cortés, Santiago, Chile
| | - Mario Valdivia
- Departamento de Psiquiatría Y Salud Mental, Universidad de Concepción, Concepción, Chile
| | - Laura Viola
- Departamento de Psiquiatría Pediátrica, Facultad de Medicina, Universidad de La Republica, Montevideo, Uruguay
| | - Guilherme V Polanczyk
- Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, São Paulo, SP, Brazil
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Peeples D, Guerrero A, Bernstein B, Hunt J, Ong SH, Santos C, Sexson S, Skokauskas N. Comparing and Contrasting the Use of Problem-Based Learning in Child and Adolescent Psychiatry Programs. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2017; 41:587-591. [PMID: 28577118 DOI: 10.1007/s40596-017-0719-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 05/04/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Problem-based learning (PBL) is one of the core components of medical education. To facilitate the spread and use of PBL in child and adolescent psychiatry (CAP) fellowship training, a special interest study group (SISG) was formed at the American Academy of Child and Adolescent Psychiatry (AACAP). Different approaches to the implementation of PBL between programs represented at the SISG are compared in this report. METHODS The authors distributed a survey to SISG participants after the 2015 annual AACAP meeting, which gathered information about the different approaches programs use to implement PBL in graduate medical education. RESULTS Six CAP training programs responded to the survey, providing descriptions of the structure and content of PBL seminars. Programs chose to include a wide variety of topics in PBL courses and approach course organization in a number of ways. To the degree that PBL draws from identified reference texts, programs were similar in selecting definitive textbooks, practice parameters, and seminal articles. CONCLUSIONS This small pilot study is intended to provide a snapshot of the state of PBL implementation in CAP fellowship programs. It reflects that programs can incorporate PBL in a variety of ways, tailored to the needs of the institution. Future directions of research include assessment of resident satisfaction with PBL, impact on resident education, and identifying successful methods of implementation of PBL.
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Affiliation(s)
- Dale Peeples
- The Medical College of Georgia at Augusta University, Augusta, GA, USA.
| | | | | | | | - Say How Ong
- National University Health System of Singapore, Singapore, Singapore
| | - Cynthia Santos
- McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Sandra Sexson
- The Medical College of Georgia at Augusta University, Augusta, GA, USA
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