This paper considers the possible long-term consultant manpower requirements in England and Wales for child and adolescent psychiatry and its specialties, including psychotherapy and community child and adolescent psychiatry. It is based on papers previously prepared by the College Executive in relation to manpower requirements for child psychiatry (Royal College of Psychiatrists, 1973) and adolescent psychiatry (Royal College of Psychiatrists, 1976), and to the role, responsibilities and work of the child and adolescent psychiatrist (Royal College of Psychiatrists, 1978) and on discussions with the Department of Health and Social Security.