15581-m-nanninga

SUMMARY 151 Further, care duration was relatively short in PCH and longer in CASC and CAMH. Finally, problems were resolved most often in PCH and among children not in care. Our findings relate to the aim of the transformation of the system of psychosocial care, focusing more on prevention of psychosocial problems and implying that PCH can play a central role in reaching this aim. Further our study raises several issues that need further assessment, for example which client-, care- or profession-related factors are associated with resolution and decrease of psychosocial problems, and whether care also affects outcomes like the burden to the family or the child’s participation in school and society. Finally, we found that a substantial part of the children, adolescents and their families benefit from or during psychosocial care in terms of resolution and relief of problems, showing the importance of this care. Conclusions Our findings add to the understanding of children’s and adolescents’ enrolment in psychosocial care by shedding light on factors associated with enrolment and on the association of enrolment with several outcomes of care. Our findings show that the (previous) system of psychosocial care for children and adolescents performed in accordance with the Pathways to Care model, meaning that children with mild problems were treated within light psychosocial care and children with more severe and complex problems were referred to and treated in more specialized care. Our findings also show that enrolment was affected by various factors: views regarding barriers to care, factors in the social environment of the child, parenting, social support and family problems. Finally, the psychosocial care provided was associated with substantial reductions in the problems of children and adolescents.