Addressing the specialist workforce CAMH skill-gap: providing and evaluating iCAMH training in Fiji and Papua New Guinea

Abstract

Objective: Child and adolescent mental health problems are common and result in significant morbidity. Whereas in high-income countries there is an established workforce, in lower income countries, such as the Pacific nations, the workforce has little capacity despite a potentially higher population risk of mental disorder. We report on a workforce development effort, a child and adolescent mental health training package. Method: We describe the implementation and evaluation of the International Child and Adolescent Mental Health certificate training in two Pacific nations. Results: Clinicians rated the training positively. Some participants reported concern with teaching materials. Attitudes to child and adolescent mental health were more favourable following the course. A change in knowledge or skill could not be determined. Conclusions: The training seems of value to Pacific clinicians and the framework provides for case-based learning across settings. The training would benefit from the addition of a valid assessment of participant skill and knowledge. The sociocultural and contextual factors are considerations for the content and delivery. Contextually appropriate resources and teaching strategies are important.