caa a22 4500 605477183 CHVBK 20210128100359.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00787-014-0590-3 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0590-3 Enrolment of children and adolescents in psychosocial care: more likely with low family social support and poor parenting skills [Elektronische Daten] [Marieke Nanninga, Danielle Jansen, Erik Knorth, Sijmen Reijneveld] Abstract : Knowledge about determinants of child and adolescent enrolment in psychosocial care concerns only single types of care and usually only socio-demographic factors. The social environment is also a likely key determinant but evidence is lacking. The aim of this study was to examine the associations between family social support, parenting skills and child and adolescent enrolment in psychosocial care. We obtained data on 1,331 children (response rate 56.6%), 4-18years old, enrolled in preventive child health care, and child and adolescentsocial care and mental health care because of psychosocial problems, and on 463 children (response rate 70.3%) not enrolled in psychosocial care. Results showed that enrolment in psychosocial care was associated with low family social support (odds ratio; 95%-confidence interval: 3.2; 2.4-4.4), and with poor parenting skills, i.e. poor supervision (1.5; 1.1-2.1) and inconsistent disciplining (1.5; 1.1-2.1). Children's psychosocial problems partially mediated the associations with family social support and completely with parenting skills. Children's problems did not moderate the associations. Positive parenting was not associated with care enrolment. We conclude that low family social support and poor parenting are important factors associated with enrolment, in particular because they are associated with more frequent occurrence of children's psychosocial problems. This implies that professionals and policymakers need to be aware that factors in children's social environment are related with enrolment in psychosocial care, in addition to children's psychosocial problems. Springer-Verlag Berlin Heidelberg, 2014 Child nationallicence Adolescent nationallicence Psychosocial care utilisation nationallicence Social support nationallicence Parenting nationallicence Health services accessibility nationallicence Nanninga Marieke Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut Jansen Danielle Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut Knorth Erik Department of Special Needs Education and Youth Care, University of Groningen, Groningen, The Netherlands aut Reijneveld Sijmen Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 407-416 1018-8827 24:4<407 2015 24 787 https://doi.org/10.1007/s00787-014-0590-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0590-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nanninga Marieke Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Jansen Danielle Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Knorth Erik Department of Special Needs Education and Youth Care, University of Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Reijneveld Sijmen Department of Health Sciences, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1/FA10, 9713 AV, Groningen, The Netherlands aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 407-416 1018-8827 24:4<407 2015 24 787