Children's and adolescents’ enrolment in psychosocial care: determinants, expected barriers, and outcomes

Marieke Nanninga

Research output: ThesisPhd-Thesis - Research and graduation external


A study on enrolment of children and adolescents in psychosocial care: a foundation for the transformationThis dissertation concerns enrolment of children and adolescents in psychosocial care, and how they fare further on. A group of children who entered psychosocial care in Groningen and a representative control group, over 2.000 in total, was followed for three years. The results show that parents and adolescents sometimes have negative expectations about care. For example, they expect that care will not work and that the relationship with the professional will be poor. That can hinder enrolment in care.The study also shows that little social support, limited parenting skills of parents and family problems increase the likelihood of using help. Children with mild problems mainly enrol in light care, and children with more serious and complex problems enrol in specialized help. The system of psychosocial care for children and adolescents thus seems to work as intended, with social care mainly providing help to a group that has multiple problems.Many of the children and families seem to benefit from care, their problems reduce during the period in which they received help. The duration of the care is related to the type of care - short, often less than three months, in preventive child healthcare and longer in mental healthcare and social care.The results show that the perspectives of parents and children play an important role in the access to child and adolescent psychosocial care. The reduction of problems during care is encouraging, even if we do not know whether this is purely the effect of the help received.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • University of Groningen
  • Reijneveld, Menno, Supervisor, External person
  • Knorth, Erik, Supervisor, External person
  • Jansen, Danielle E.M.C., Co-supervisor, External person
Award date12 Sep 2018
Print ISBNs978-94-034-0804-0
Publication statusPublished - 2018
Externally publishedYes

Cite this