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CHAPTER 7 140 within the family itself or with the help of the social network. This relates to the aims of the current transition and transformation of the system: (1) to prevent psychosocial problems and to rely on the responsibility and opportunities of children and their families themselves, with help of their social network, and (2) to de-medicalize and normalize the upbringing of children by strengthening the pedagogic climate in families, neighbourhoods, and schools [58]. Our findings imply the value of efforts to strengthen parenting skills and activate the social network of children and families. Second, our finding that a majority of the community sample expects barriers to psychosocial care implies that a negative perception may prevent them from obtaining appropriate care. The most prevalent barriers are the expectation that treatment is irrelevant and the fear that the relationship with the professional will be problematic. Professionals and policy makers should be aware of this in order to develop strategies to lower barriers for these specific groups. The BTPS-exp, or its themes, can be used to address these barriers. This could be a starting point to reach another aim of the transition of the system, i.e. to provide effective, timely and tailored care to children and families, preferably in their own environment. Third, we found that at the very moment of enrolment, children, adolescents and parents continue to expect substantial barriers to care. This expectation could keep children and families from actually starting psychosocial care, adhering to treatment or taking advice [26, 31, 32]. For practice, this implies that professionals and policy makers should be aware of these expectations, and that adolescents and parents differ to some extent in their views on barriers. Explicit discussion of barriers between the family and the professional is needed in order to actively search for solutions and better attune treatment to the situation of the child. Again, the themes of the BTPS-exp might be helpful in this. Fourth, our finding that children and adolescents enroled in PCH are treated relatively briefly and with positive care outcomes in terms of problem solution, is promising. This relates to the aim of the transformation of the system of psychosocial care to putting more effort into the prevention of psychosocial problems, and may imply that PCH can have a central role in reaching this aim. Finally, we found that a substantial number of the children and adolescents and their families benefit from or at least during psychosocial care in terms of resolution and relief of problems; this supports professionals working in the field. Although we cannot establish whether this is an effect purely of the psychosocial care itself, it might be worthwhile to bring about positive stories of children and families that benefited from psychosocial care with the help of the professionals involved. This could somewhat counterbalance the negative imaging of psychosocial care in the media [59].

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