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GENERAL INTRODUCTION 17 4. Are family social support and parenting skills, two key aspects of the child’s social environment, associated with children’s and adolescents’ enrolment in psychosocial care? And, if so, what role do children’s psychosocial problems play in these associations? 5. Are the types of problems upon enrolment, i.e. child, parenting and family problems, associated with enrolment in different types of psychosocial care? And do care types differ in outcomes (of care duration and problem solution) after three and twelve months? Figure 2 provides an overview of the research model underlying this thesis, and the connections between the various research questions. Figure 2 Conceptual model of this thesis Outline of the study Our study is set up around the Pathway to Care model and starts in Chapter 2 with describing the expectations of barriers of parents and adolescents from the community sample, as well as child and family characteristics associated with these expectations. Expectations are measured with the Barriers to Treatment Participation Scale- Expectancies (BTPS-exp). In Chapter 3 we will examine the psychometric properties of this scale: internal consistency, scale structure, parent-adolescent agreement and validity. In Chapters 4 and 5 the focus lies on determinants of children’s and adolescents’ 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