The WHO Child and Adolescent Mental Health Atlas, published in 2005, reported that child and adolescent mental health services (CAMHS) in Europe differed substantially in their architecture and functioning. We assessed the characteristics of national CAMHS across the European Union (EU), including legal aspects of adolescent care. Using an online mapping survey aimed at expert(s) in each country, we obtained data for all 28 countries in the EU. The characteristics and activities of CAMHS (ie, availability of services, inpatient beds, and clinicians and organisations, and delivery of specific CAMHS services and treatments) varied considerably between countries, as did funding sources and user access. Neurodevelopmental disorders were the most frequent diagnostic group (up to 81%) for people seen at CAMHS (data available from only 13 [46%] countries). 20 (70%) countries reported having an official national child and adolescent mental health policy, covering young people until their official age of transition to adulthood. The heterogeneity in resource allocation did not seem to match epidemiological burden. Substantial improvements in the planning, monitoring, and delivery of mental health services for children and adolescents are needed.

中文翻译：

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儿童和青少年心理健康服务的结构和功能：欧洲的28个国家/地区的调查。

2005年发布的《世界卫生组织儿童和青少年心理健康地图集》报告说，欧洲的儿童和青少年心理健康服务（CAMHS）在架构和功能上存在很大差异。我们评估了整个欧盟（EU）国家CAMHS的特征，包括青少年护理的法律方面。使用针对每个国家/地区专家的在线地图调查，我们获得了欧盟所有28个国家/地区的数据。CAMHS的特征和活动（即服务的可用性，住院床位，临床医生和组织以及特定CAMHS服务和治疗的提供）在各国之间差异很大，资金来源和用户访问权限也是如此。对于在CAMHS上见过的人，神经发育障碍是最常见的诊断组（高达81％）（数据仅可从13个[46％]国家获得）。20个（70％）国家报告制定了正式的国家儿童和青少年心理健康政策，覆盖年轻人直至其正式成年年龄。资源分配的异质性似乎与流行病学负担不匹配。需要在计划，监测和提供儿童和青少年心理健康服务方面进行重大改进。