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CHAPTER 5 100 might even prevent problems, rather than that the social network promotes early problem recognition and help-seeking, as has been suggested previously [28]. We found that poorly supervised children were more likely to have psychosocial problems, leading to a higher likelihood of enrolment in psychosocial care. An explanation may be that the antisocial behaviour of these children is corrected to a lesser degree. Moreover, they may hang out on the streets more often and, therefore, be more likely to develop antisocial behaviour, particularly if they are in the company of antisocial peers [52]. Inconsistent parental disciplining was also associated with children’s psychosocial problems and via psychosocial problems with care enrolment. This may be explained by Dwairy’s theory that inconsistent parental behaviour can lead to children having feelings of ambivalence towards themselves and their parents [53]. Unpredictable parent behaviour may also cause the child to have feelings of hurt and injustice, which may disturb children’s attachment to and identification with their parents [53]. The associations between family social support, parenting skills and psychosocial care enrolment did not differ between children with and without psychosocial problems, i.e. there was no moderation. This challenges the assumption that parenting is more important in the case of child problems. Poor parenting may lead to more child problems and make enrolment in care more likely, which fits with previous findings that children’s need for psychosocial care depend on a complex interaction of factors [54]. However, it appears not to affect the likelihood of enrolment in psychosocial care further, depending on the severity of the child’s problems. Strengths and limitations An important strength of this study is the inclusion of children enroled in psychosocial care as well as children who were not. Additional strengths are its large sample size, extensive recruitment procedure and successful actions to reduce missing data. This study made it possible to examine a broad field of psychosocial care for children and adolescents. A limitation of our study might be the potential selection bias due to a low response rate. However, we found trivial to small differences between respondents and non- respondents, which decreases the likelihood of bias. Moreover, we lack information on those who opted out of the study, but it seems reasonable to assume that these resemble the non-responders [55]. Another limitation of our study might be the reliance on only parent-reported information. However, we used only well-validated questionnaires which, for example regarding psychosocial problems, have been shown to be very informative [56,57]. Another limitation is that we cannot be decisive on