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CHAPTER 7 130 The aim of this study was to enhance understanding of children’s and adolescents’ enrolment in psychosocial care, including the association of enrolment with outcomes of care. We have gained more insight into the process of enrolment by assessing parents’ and adolescents’ expectations of barriers to care and by looking into determinants of enrolment in and use of care. We obtained insights both from the literature and from data gathered in the context of the Collaborative Centre on Care for Children and Youth (C4Youth). We also obtained knowledge of problems upon entry into care and care types, and on care outcomes after three and twelve months. Figure 1 provides an overview of the research model underlying this thesis, as well as the connections between the various research questions. In this general discussion we summarize the main findings per research question. We then discuss the findings in a broader perspective. We also discuss some methodological considerations. The chapter ends with implications for practice, policy, education, and further research. Figure 1 Conceptual model of this thesis RQ 1 RQ 5a RQ 4 RQ 3 Child and family characteristics: Sociodemographics Parenting skills Family social support Child and family problems Past use of psychosocial care RQ 5b Expectations of barriers to psychosocial care: Stressors and obstacles Demands and issues Perceived irrelevance Problematic relationship with therapist RQ 5b Enrolment Use of [specific types of] psychosocial care Care duration Problem solution after 3 and 12 months RQ 2
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