Fig 1.
Simplified overview of the Dutch youth care system in relation to the social and medical domains concerning a child and its family and/or social network1.
1Figure derived from: Akwa GGZ [Internet]. Utrecht; c2022 [cited 2022 Feb 21]. Generieke module Samenwerkingsafspraken (jeugd); [about 9 screens]. Available from: https://www.ggzstandaarden.nl/generieke-modules/landelijke-samenwerkingsafspraken-jeugd-ggz/inleiding/doelstelling-van-deze-standaard (in Dutch).
Fig 2.
Methods: Processes related to data acquisition and data analysis (convergent design)1.
1Figure derived from: Creswell JW, Plano Clark VL. Choosing a mixed methods design. In: Creswell JW, Plano Clark VL, editors. Designing and conducting mixed methods research. Thousand Oaks: SAGE Publications Ltd; 2017. p. 53–106. 2CDM = Clinical Decision-Making. 3Sampling criteria included district in which GPs’ general practices were established (with a maximum of one GP per district for the interview sub-study), GPs who reported seeing psychosocial problems among children and youth a minimum of three times per two weeks and experienced GPs who worked for themselves.
Table 1.
Characteristics of GPs–online survey (n = 15) and interviews (n = 14), N = 29.
Fig 3.
Flowchart of mechanisms for GPs’ everyday clinical decision-making when encountering psychosocial problems in children and youth1,2.
1Presented flowchart shows GPs’ sequence of reflections and decisions when confronted with psychosocial problems in children and youths during office hours. 2Boxes show in-depth considerations related to a specific mechanism.