{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:45:30Z","timestamp":1791506730287,"version":"4.3.4"},"reference-count":80,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The Multicenter Youth Flexible ACT Study is an ongoing observational prospective cohort study that examines the effects of Youth Flexible ACT (Assertive Community Treatment) on young people with complex care needs who are difficult to engage in traditional (office-based) mental health services. However, a clear and detailed description of this patient group is lacking. In the current paper, we present baseline characteristics and psychosocial outcomes of the Youth Flexible ACT target group and explore the existence of underlying specific patient subgroups.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Sixteen Youth Flexible ACT teams from seven mental healthcare institutes in the Netherlands participated in the study. Research participants were monitored for 18 months and administered questionnaires measuring psychiatric- and social functioning every 6 months, yielding four measurements. Baseline data were obtained from 199 adolescents, their mental health workers, and parents\/carers. Latent Class Analysis based on HoNOSCA scores (measuring psychosocial and daily functioning) was conducted to identify underlying subgroups.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The target group of Youth Flexible ACT mainly consisted of patients older than 15 years of age with a history of (specialized) mental healthcare. They face many complex problems, including trauma; developmental, mood, and anxiety disorders; and problems with school attendance, family life, and peer relationships. Other frequently reported difficulties were substance misuse, the involvement of the legal system or police, problems with intellectual functioning, and personal finance. Patients were classified into four distinct classes: the \u201cinternalizing,\u201d \u201cexternalizing,\u201d \u201cnon-specific,\u201d and the \u201coverly impulsive\u201d subgroup. Each subgroup had its unique pattern of difficulties and focus, respectively, high levels of depression and anxiety, disruptive behavior, unspecific difficulties, and substance misuse.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> As expected, patients in Youth Flexible ACT experienced many severe problems, rendering them vulnerable to fragmented and, thus, ineffective care. Our findings underscore the need for an integrated care approach with a multidisciplinary team of skilled professionals that can bridge these wide-ranging psychosocial problems, as each class of participants experienced a different set of difficulties. Youth Flexible ACT teams need to adjust their care services accordingly.<\/jats:p>","DOI":"10.3389\/fpsyt.2020.609120","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T09:35:07Z","timestamp":1606296907000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":16,"title":["Young Patients With Persistent and Complex Care Needs Require an Integrated Care Approach: Baseline Findings From the Multicenter Youth Flexible ACT Study"],"prefix":"10.3389","volume":"11","author":[{"given":"Marieke","family":"Broersen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nynke","family":"Frieswijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Kroon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ad A.","family":"Vermulst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daan H. M.","family":"Creemers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"B1","unstructured":"Jeugd-ggz: Investeren in de toekomst. Ambities voor 2011\u201320142011"},{"key":"B2","unstructured":"Verkenningen in de kinder- en Jeugdpsychiatrie\n            SytemaS\n            GuntherN\n            ReelickF\n            DrukkerM\n            PijlB\n            van't LandH\n          UtrechtTrimbos-instituut2006"},{"key":"B3","unstructured":"VeerbeekM\n            KnispelA\n            NuijenJ\n          UtrechtTrimbos InstituutGGZ in tabellen 2013 - 20142015"},{"key":"B4","first-page":"427","article-title":"Consensus over de definitie van mensen met een ernstige psychische aandoening (EPA) en hun aantal in Nederland","volume":"55","author":"Delespaul","year":"2013","journal-title":"Tijdschrift voor Psychiatrie"},{"key":"B5","first-page":"20","article-title":"(Flexible) ACT is voor ernstige psychiatrische aandoening (EPA)","volume-title":"Handboek (Flexible) ACT","author":"Delespaul","year":"2015"},{"key":"B6","first-page":"435","article-title":"(Flexible) ACT voor kinderen en jongeren","volume-title":"Handboek (Flexible) ACT","author":"De","year":"2015"},{"key":"B7","unstructured":"Hendriksen-favierA\n          UtrechtTrimbosinstituutModelbeschrijving FACT Jeugd. Herziene versie2013"},{"key":"B8","first-page":"443","article-title":"Graag meer onderzoek naar ernstige psychische aandoeningen","volume":"61","author":"Delespaul","year":"2019","journal-title":"Tijdschrift voor Psychiatrie"},{"key":"B9","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1007\/s12454-013-0018-1","article-title":"FACT als organisatiemodel voor langdurig zorgafhankelijke kinderen en jongeren","volume":"12","author":"Storm","year":"2013","journal-title":"Kind en Adolescent Praktijk"},{"key":"B10","first-page":"892","article-title":"Jeugd-F-ACT: problematiek van een bijzondere populatie in kaart gebracht","volume":"57","author":"Van","year":"2015","journal-title":"Tijdschrift voor Psychiatrie"},{"key":"B11","unstructured":"ZoonM\n            van RooijenK\n            Berg-le ClerqeT\n          NJI instituutWat werkt in de hulp aan gezinnen met meervoudige en complexe problemen?2020"},{"key":"B12","unstructured":"HolwerdaA\n            JansenDEMC\n            ReijneveldSA\n          GroningenUniversitair Medisch Centrum GroningenDe effectiviteit van hulpverlening aan multiprobleemgezinnen: een overzicht2014"},{"key":"B13","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1097\/YCO.0b013e32832c9082","article-title":"Alternatives to admission for children and adolescents: providing intensive mental healthcare services at home and in communities: what works?","volume":"22","author":"Lamb","year":"2009","journal-title":"Curr Opin Psychiatry"},{"key":"B14","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1192\/bjp.bp.112.119214","article-title":"Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK","volume":"22","author":"McGorry","year":"2013","journal-title":"Br J Psychiatry"},{"key":"B15","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1007\/s00127-008-0476-0","article-title":"Disengagement from mental health services: a literature review","volume":"44","author":"O'Brien","year":"2009","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"B16","unstructured":"ThornicroftG\n            TansellaM\n          CopenhagenWorld Health Organization (European Region) Health Evidence NetworkWhat Are the Arguments for Community-Based Mental Health Care?2003"},{"key":"B17","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/s10560-011-0237-x","article-title":"Examining outpatient treatment dropout in adolescents: a literature review","volume":"28","author":"Block","year":"2011","journal-title":"Child Adolesc Soc Work"},{"key":"B18","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1002\/capr.12166","article-title":"\u2018Nobody else can lead your life': what adolescents need from psychotherapists in change processes","volume":"18","author":"Lavik","year":"2018","journal-title":"Couns Psychother Res"},{"key":"B19","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/j.cpr.2013.04.005","article-title":"A meta-analytic review on treatment dropout in child and adolescent outpatient mental health care","volume":"33","author":"De Haan","year":"2013","journal-title":"Clin Psychol Rev"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1007\/s10826-015-0292-6","article-title":"What young people want: a qualitative study of adolescents' priorities for engagement across psychological services","volume":"25","author":"Gibson","year":"2016","journal-title":"J Child Fam Stud"},{"key":"B21","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1186\/s13033-019-0306-7","article-title":"Key attributes of integrated community-based youth service hubs for mental health: a scoping review","volume":"13","author":"Settipani","year":"2019","journal-title":"Int J Ment Health Syst"},{"key":"B22","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s13034-018-0249-9","article-title":"Lost in transition? Perceptions of health care among young people with mental health problems in Germany: a qualitative study","volume":"12","author":"Loos","year":"2018","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"B23","doi-asserted-by":"publisher","first-page":"770","DOI":"10.1176\/appi.ps.201200394","article-title":"Disengagement from care: perspectives of individuals with serious mental illness and of service providers","volume":"64","author":"Smith","year":"2013","journal-title":"Psychiatr Serv"},{"key":"B24","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1111\/j.1751-7893.2011.00338.x","article-title":"Does engagement with an intensive outreach service predict better treatment outcomes in \u2018high-risk'youth?","volume":"6","author":"Schley","year":"2012","journal-title":"Early Interv Psychiatry"},{"key":"B25","doi-asserted-by":"publisher","first-page":"75","DOI":"10.3389\/fpsyg.2019.00075","article-title":"\u2018I just stopped going': a mixed methods investigation into types of therapy dropout in adolescents with depression","volume":"10","author":"O'Keeffe","year":"2019","journal-title":"Front Psychol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1007\/s10597-007-9089-4","article-title":"FACT: a Dutch version of ACT","volume":"43","author":"Van Veldhuizen","year":"2007","journal-title":"Community Ment Health J"},{"key":"B27","unstructured":"2020"},{"key":"B28","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1136\/bmjopen-2019-035146","article-title":"Investigating the critical elements and psychosocial outcomes of Youth Flexible Assertive Community Treatment: a study protocol for an observational prospective cohort study","volume":"10","author":"Broersen","year":"2020","journal-title":"BMJ Open"},{"key":"B29","unstructured":"GowersSG\n            HarringtonRC\n            WhittonA\n            BeevorAS\n            LelliottP\n            WingJK\n          ChesterUniversity of LiverpoolHoNOSCA Health of the Nation Outcome Scales (Child & Adolescent Mental Health). Trainer's Guide1998"},{"key":"B30","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1192\/bjp.174.5.413","article-title":"Brief scale for measuring the outcomes of emotional and behavioural disorders in children Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA)","volume":"174","author":"Gowers","year":"1999","journal-title":"Br J Psychiatry"},{"key":"B31","first-page":"1998","volume-title":"Mplus User's Guide","author":"Muth\u00e9n","year":""},{"key":"B32","volume-title":"IBM SPSS Statistics for Windows, Version 25.0","year":"2017"},{"key":"B33","volume-title":"Latent Class and Latent Transition Analysis: With Applications in the Social, Behavioral and Health Sciences","author":"Collins","year":"2010"},{"key":"B34","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1214\/aos\/1176344136","article-title":"Estimating the dimension of a model","volume":"6","author":"Schwarz","year":"1978","journal-title":"Ann Stat"},{"key":"B35","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1109\/TAC.1974.1100705","article-title":"A New look at the statistical model identifaction","volume":"19","author":"Akaike","year":"1974","journal-title":"IEEE Trans Automat Contr"},{"key":"B36","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/BF02294360","article-title":"Application of model-selection criteria to some problems in multivariate analysis","volume":"52","author":"Sclove","year":"1987","journal-title":"Psychometrika"},{"key":"B37","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1080\/10705510701575396","article-title":"Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study","volume":"14","author":"Nylund","year":"2007","journal-title":"Struct Equ Modeling"},{"key":"B38","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1007\/BF01246098","article-title":"An Entropy criterion for assessing the number of clusters in a mixture model","volume":"13","author":"Celeux","year":"1996","journal-title":"J Classif"},{"key":"B39","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1177\/0272431616648452","article-title":"Introduction to latent class analysis with applications","volume":"37","author":"Porcu","year":"2017","journal-title":"J Early Adolesc"},{"key":"B40","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"B41","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1097\/00004583-200111000-00015","article-title":"Psychometric properties of the strengths and difficulties questionnaire","volume":"40","author":"Goodman","year":"2001","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B42","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1007\/s00787-003-0341-3","article-title":"Dutch version of the Strengths and Difficulties Questionnaire (SDQ)","volume":"12","author":"Van Widenfelt","year":"2003","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B43","volume-title":"CDI-2: Screeningsvragenlijst voor depressie bij kinderen en jongeren (Nederlandse bewerking)","author":"Bodden","year":"2016"},{"key":"B44","volume-title":"The Child Depression Inventory 2 (CDI-2)","author":"Kovacs","year":"2011"},{"key":"B45","doi-asserted-by":"publisher","first-page":"1288","DOI":"10.1093\/schbul\/sbs068","article-title":"The validity of the 16-item version of the prodromal questionnaire (PQ-16) to screen for ultra high risk of developing psychosis in the general help-seeking population","volume":"38","author":"Ising","year":"2012","journal-title":"Schizophr Bull"},{"key":"B46","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/eip.12362","article-title":"Screening for psychosis risk among adolescents in child and adolescent mental health services: a description of the first step with the 16-item version of the Prodromal Questionnaire (PQ-16)","volume":"12","author":"De Jong","year":"2016","journal-title":"Early Interv Psychiatry"},{"key":"B47","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1007\/s007870050057","article-title":"The strengths and difficulties questionnaire: a pilot study on the validity of the self-report version","volume":"7","author":"Goodman","year":"1998","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B48","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1016\/j.acap.2018.12.008","article-title":"The strengths and difficulties questionnaire self-report: a valid instrument for the identification of emotional and behavioral problems","volume":"19","author":"Theunissen","year":"2019","journal-title":"Acad Pediatr"},{"key":"B49","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1080\/08039480310002697","article-title":"Validity of the Swedish version of the Strengths and Difficulties Questionnaire (SDQ-Swe)","volume":"57","author":"Malmberg","year":"2003","journal-title":"Nord J Psychiatry"},{"key":"B50","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1017\/S0954579419000920","article-title":"Coping with stressful life events: cognitive emotion regulation profiles and depressive symptoms in adolescents","volume":"32","author":"Van den Heuvel","year":"2019","journal-title":"Dev Psychopathol"},{"key":"B51","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/eip.12173","article-title":"Applicability of the Chinese version of the 16-item Prodromal Questionnaire (CPQ-16) for identifying attenuated psychosis syndrome in a college population","volume":"10","author":"Chen","year":"2014","journal-title":"Early Interv Psychiatry"},{"key":"B52","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1007\/s00787-004-2004-4","article-title":"Evaluation of the selfreported SDQ in a clinical setting: do self-reports tell us more than ratings by adult informants?","volume":"13","author":"Becker","year":"2004","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B53","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1007\/s00787-018-1127-y","article-title":"Using the Dutch multi-informant Strengths and Difficulties Questionnaire (SDQ) to predict adolescent psychiatric diagnoses","volume":"27","author":"Vugteveen","year":"2018","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B54","doi-asserted-by":"publisher","first-page":"77","DOI":"10.2989\/17280583.2019.1608830","article-title":"Prevalence of comorbid depressive symptoms and suicidal ideation in children with autism spectrum disorder and elevated anxiety symptoms","volume":"31","author":"Wijnhoven","year":"2019","journal-title":"J Child Adolesc Ment Health"},{"key":"B55","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1111\/eip.12233","article-title":"Distress in relation to attenuated psychotic symptoms in the ultra-high-risk population is not associated with increased risk of psychotic disorder","volume":"10","author":"Power","year":"2016","journal-title":"Early Interv Psychiatry"},{"key":"B56","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12955-018-0948-1","article-title":"Dutch norms for the Strengths and Difficulties Questionnaire (SDQ) \u2013 parent form for children aged 2\u201318 years","volume":"16","author":"Maurice-Stam","year":"2018","journal-title":"Health Qual Life Outcomes"},{"key":"B57","unstructured":"VermulstA\n            KroesG\n            de MeyerR\n            NguyenL\n            VeermanJW\n          NijmegenPraktikonHandleiding OBVL2015"},{"key":"B58","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1007\/s10826-016-0568-5","article-title":"Parental empowerment: construct validity and reliability of a Dutch Empowerment Questionnaire (EMPO)","volume":"26","author":"Damen","year":"2017","journal-title":"J Child Fam Stud"},{"key":"B59","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.childyouth.2018.04.028","article-title":"Predictors of parent-professional alliance in home-based parenting support","volume":"89","author":"De Greef","year":"2018","journal-title":"Child Youth Serv Rev"},{"key":"B60","unstructured":"DriessenM\n          Den HaagCentraal Bureau voor de StatistiekGeestelijke ongezondheid in Nederland in kaart gebracht. Een beschrijving van de MHI-5 in de gezondheidsmodule van het Permanent Onderzoek Leefsituatie2011"},{"key":"B61","volume-title":"The KIDSCREEN Questionnaires - Quality of Life Questionnaires for Children and Adolescents - Handbook","year":"2006"},{"key":"B62","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1177\/1088357614522289","article-title":"Youth with autism spectrum disorders: self- and proxy-reported quality of life and adaptive functioning","volume":"30","author":"Clark","year":"2015","journal-title":"Focus Autism Other Dev Disabl"},{"key":"B63","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1007\/s00038-009-5407-7","article-title":"Measuring mental health and well-being of school-children in 15 European countries: results from the KIDSCREEN-10 Index","volume":"54","author":"Erhart","year":"2009","journal-title":"Int J Public Health"},{"key":"B64","unstructured":"DamenH\n            VeermanJW\n            VermulstAA\n            NieuwhoffR\n            de MeyerRE\n            ScholteRHJ\n          Praktikon & PactumEmpowerment vragenlijst voor jongeren (Youth Empowerment Questionnaire; versie 3.1)2017"},{"key":"B65","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1192\/bjp.2018.298","article-title":"Cost-effectiveness of early intervention in psychosis: systematic review","volume":"215","author":"Aceituno","year":"2019","journal-title":"Br J Psychiatry"},{"key":"B66","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3109\/09638237.2016.1139073","article-title":"The replacement of assertive outreach services by reinforcing local community teams: a four-year observational study","volume":"27","author":"Firn","year":"2018","journal-title":"J Ment Health"},{"key":"B67","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1136\/ebmental-2018-300060","article-title":"Early intervention in youth mental health: progress and future directions","volume":"21","author":"McGorry","year":"2018","journal-title":"Evid Based Ment Health"},{"key":"B68","doi-asserted-by":"publisher","first-page":"355","DOI":"10.3389\/fpsyt.2019.00355","article-title":"Integrated mental health services for the developmental period (0 to 25 years): a critical review of the evidence","volume":"10","author":"Fusar-Poli","year":"2019","journal-title":"Front Psychiatry"},{"key":"B69","doi-asserted-by":"publisher","first-page":"5","DOI":"10.5694\/mja17.00694","article-title":"Integrated (one-stop shop) youth health care: best available evidence and future directions","volume":"207","author":"Hetrick","year":"2017","journal-title":"Med J Aust"},{"key":"B70","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1111\/j.1751-7893.2008.00079.x","article-title":"Early intervention with difficult to engage, \u2018high-risk' youth: evaluating an intensive outreach approach in youth mental health","volume":"2","author":"Schley","year":"2008","journal-title":"Early Interv Psychiatry"},{"key":"B71","doi-asserted-by":"publisher","first-page":"1506","DOI":"10.1016\/j.childyouth.2011.03.013","article-title":"Intensive outreach in youth mental health: description of a service model for young people who are difficult-to-engage and \u2018high-risk'","volume":"33","author":"Schley","year":"2011","journal-title":"Child Youth Serv Rev"},{"key":"B72","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.eurpsy.2019.02.002","article-title":"Not recognized enough: the effects and associations of trauma and intellectual disability in severely mentally ill outpatients","volume":"58","author":"Nieuwenhuis","year":"2019","journal-title":"Eur Psychiatry"},{"key":"B73","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1111\/jar.12599","article-title":"Screening for intellectual disabilities and borderline intelligence in Dutch outpatients with severe mental illness","volume":"32","author":"Seelen-de Lang","year":"2019","journal-title":"J Appl Res Intellect Disabil"},{"key":"B74","doi-asserted-by":"publisher","first-page":"e0207680","DOI":"10.1371\/journal.pone.0207680","article-title":"Trajectories of patients with severe mental illness in two-year contact with Flexible Assertive Community Treatment teams using Routine Outcome Monitoring data: an observational study","volume":"14","author":"Kortrijk","year":"2019","journal-title":"PLoS ONE"},{"key":"B75","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1111\/eip.12261","article-title":"The role of youth mental health services in the treatment of young people with serious mental illness: 2-year outcomes and economic implications","volume":"11","author":"Brimblecombe","year":"2017","journal-title":"Early Interv Psychiatry"},{"key":"B76","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1007\/s10597-017-0098-7","article-title":"Preventing youth from falling through the cracks between child\/adolescent and adult mental health services: a systematic review of models of care","volume":"53","author":"Nguyen","year":"2017","journal-title":"Community Ment Health J"},{"key":"B77","unstructured":"Centraal Bureau voor de Statistiek2020"},{"key":"B78","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/1753-2000-4-29","article-title":"Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings","volume":"4","author":"Hansen-Bauer","year":"2010","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"B79","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s13034-017-0159-2","article-title":"Does parent\u2013child agreement vary based on presenting problems? Results from a UK clinical sample","volume":"11","author":"Cleridou","year":"2017","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"B80","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1007\/s00787-008-0691-y","article-title":"Parent and child agreement on reports of problem behaviour obtained from a screening questionnaire, the SDQ","volume":"17","author":"Van der Meer","year":"2008","journal-title":"Eur Child Adolesc Psychiatry"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2020.609120\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T09:36:09Z","timestamp":1606296969000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2020.609120\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,25]]},"references-count":80,"alternative-id":["10.3389\/fpsyt.2020.609120"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2020.609120","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,25]]},"article-number":"609120"}}