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Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

Ellesmere Port CAMHS, Stanney Lane Clinic, Stanney Lane, Ellesmere Port, Cheshire CH65 9AE

Pamela Case, Senior Clinical Practitioner

Fieldhead Hospital, Wakefield

Richard Gater, Senior Lecturer in Psychiatry

Royal Preston Hospital, Preston

Caroline Lindsey, Consultant Child and Adolescent Psychiatrist

The Tavistock Clinic, London

Declaration of interest

None.

AIMS AND METHOD

A postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.

RESULTS

A response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.

CLINICAL IMPLICATIONS

A multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

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