Projected Deficiencies in the Child and Adolescent Psychiatrist Workforce in the USA: A Call to Action.

IF 2.6 4区医学 Q1 EDUCATION & EDUCATIONAL RESEARCH

Academic Psychiatry Pub Date : 2026-06-26 DOI:10.1007/s40596-026-02386-w

Jason Silvestre, Sydney Seeger, Charles A Reitman, Benoit Dube

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引用次数: 0

Abstract

Objective: Studies have highlighted deficiencies in the emerging child and adolescent psychiatry (CAP) workforce. The primary objectives of this study were to analyze the supply, demand, and adequacy of the CAP workforce in the United States (US).

Methods: This was a cross-sectional analysis of full-time equivalent physicians in the CAP workforce utilizing the Health Workforce Simulation Model. Annual supply was defined as the number of CAP physicians working each year. Annual demand was defined as the number of CAP physicians needed each year under status quo and improved access scenarios. Workforce adequacy was defined as the ratio of supply over demand. Linear regression was used to analyze CAP workforce trends from 2024 to 2037.

Results: The national supply of CAP physicians was projected to increase from 2024 to 2037 (10,990 to 12,500, 13.7% increase, P < 0.001) and was outpaced by status quo demand (14,440 to 19,280, 33.5% increase, P < 0.001) and improved access demand (20,610 to 27,960, 35.7% increase, P < 0.001) for CAP physicians. As a result, CAP workforce adequacy was projected to significantly decrease under the status quo (76.1% to 64.8%, P < 0.001) and improved access scenarios (53.3% to 44.7%, P < 0.001). By 2037, the states with the lowest CAP workforce adequacy were Indiana (27.1%), Tennessee (26.5%), and Idaho (14.3%). CAP ranked towards the worst among all specialties under the improved access scenario in 2024 and 2037.

Conclusions: Critical workforce shortages are anticipated in CAP, which were greatest in certain states. Accelerated efforts are needed to improve the adequacy of the US CAP workforce.

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美国儿童和青少年精神科医生队伍的预计不足：行动呼吁。

目的：研究强调了新兴儿童和青少年精神病学（CAP）劳动力的不足。本研究的主要目的是分析美国CAP劳动力的供应、需求和充分性。方法：利用卫生人力模拟模型对CAP劳动力中的全职同等医生进行横断面分析。年供应量被定义为每年工作的CAP医生的数量。年度需求被定义为在现状和改善的获取情况下每年需要的CAP医生数量。劳动力充足性被定义为供给大于需求的比率。采用线性回归分析2024 - 2037年CAP劳动力趋势。结果：预计从2024年到2037年，CAP医生的全国供应将增加（10,990到12,500，增长13.7%）。结论：CAP预计将出现严重的劳动力短缺，在某些州最为严重。需要加快努力，提高美国CAP劳动力的充分性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Psychiatry Multiple-

CiteScore

3.60

自引率

20.00%

发文量

157

期刊介绍： Academic Psychiatry is the international journal of the American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry, and Association of Directors of Medical Student Education in Psychiatry. Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy. The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.