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GENERAL DISCUSSION 141 Implications for research Our findings that some children and adolescents enroled in care did not seem to have problems (13%), and children and adolescents not enroled in care did have problems (35%) raise issues for further investigation. In Chapter 6 we suggest several reasons for these findings. For example, future research using qualitative methods could give more in-depth insights on these findings, including how to value them. Regarding potential over- and underdiagnoses it is worthwhile to explore other parts of the process of enrolment (like problem recognition, help-seeking, decision-making) with professionals able to detect psychosocial problems: teachers, ‘local area teams’, preventive child healthcare and general practitioners. Children with problems not receiving care may have other supportive elements in their environment that enable them to cope with their problems, and that deserve further study. Our findings on enrolment in association with outcomes of care call for further research to better understand psychosocial care. Rates of problem resolution between 35% and 62% after twelve months are substantial, and even more notable given the relatively short follow-up period. Moreover, in some cases care was probably aimed not at solving problems but at making problems more manageable, reducing the burden for the child, its family and the social environment [18, 60, 61]. Our findings invite examination of which factors – client, care or profession-related factors – are associated with resolution and/or decrease of psychosocial problems [62]. Also whether care affects outcomes such as the burden to the family or the child’s participation in school and society [45]. Regarding care outcomes, we found the level of problem solution between the care types CASC and CAMH to be rather similar across the different care types. This raises further questions: Among which children and families are outcomes less successful, and how can this be explained? Which specific characteristics of treatment make the difference and should be further examined? Continued research could shed light on those specific elements in treatment by each care type that are most strongly associated with better outcomes [46, 47]. Finally, we examined enrolment in care from the perspective of children, adolescents and their families. This is but one side of the coin; it would be interesting to examine barriers and facilitators of enrolment also from the perspective of professionals working in psychosocial care [62, 63].