Recruitment in child and adolescent psychiatry has long been a concern of the profession. The 1980 report of the Graduate Medical Education National Advisory Committee (GMENAC) identified child psychiatry as the specialty most in need of expansion. Estimates of prevalence of disorders indicate that more child and adolescent psychiatrists are required to meet the patient care needs. Although the number of residents in child and adolescent psychiatry has increased somewhat over the last ten years, it will fall far short of the GMENAC 1990 target of 9,000. Academic units need to increase the number of child and adolescent psychiatry faculty by approximately 30%. Some recommendations are presented to address continuing problems in recruitment.