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There is a national shortage of child and adolescent psychiatrists (CAPs) in the United States. Most states have fewer than 18 CAPs per 100,000 youths younger than 18 years of age (American Academy of Child and Adolescent Psychiatry 2020). Many children and adolescents, particularly those who live in rural areas or are in underserved populations, have no access to psychiatric care. Other impediments to accessing psychiatric care include inadequate mental health insurance coverage, long wait times for services, and cultural barriers to mental health care. According to the 2016 National Survey of Children’s Health, 17% of U.S. children and adolescents (weighted estimate, 7.7 million) had at least one mental health disorder (Whitney and Peterson 2019). However, approximately half of children with a mental health disorder (49%) did not receive needed treatment or counseling from a mental health professional.
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