TABLE 1.
Expert panel of the Delphi study
| No. of participants | No. of responders round 1 | No. of responders round 2 | No. of responders round 3 | ||
|---|---|---|---|---|---|
| Youth mental health | |||||
| Policy | 3 | 2 | 3 | 3 | |
| CAP (hospital) psychiatrists | 8 | 3 | 7 | 7 | |
| CAP (hospital) psychologists | 3 | 3 | 3 | 3 | |
| Mental health center child and adolescent | 2 | 2 | 2 | 2 | |
| psychiatrist | |||||
| Mental health center psychotherapist | 1 | 1 | 0 | 0 | |
| Youth care | |||||
| Policy | 5 | 4 | 5 | 5 | |
| (General) youth care | 9 | 7 | 8 | 9 | |
| Youth care for (presumed) Child abuse | 3 | 3 | 3 | 3 | |
| Welfare | |||||
| Welfare centers for families | 1 | 1 | 1 | 1 | |
| General Welfare | 5 | 2 | 1 | 3 | |
| Juvenile justice | |||||
| Juvenile judges | 2 | 2 | 1 | 2 | |
| Social workers in juvenile justice | 2 | 2 | 2 | 2 | |
| Professionals from juvenile justice | 2 | 2 | 2 | 1 | |
| Institutions | |||||
| Services for persons with disabilities | 2 | 1 | 2 | 2 | |
| Education counseling | 1 | 1 | 1 | 1 | |
| Total | 47 | 36 | 41 | 42 | |
TABLE 2.
Analysis of the answers to the first round open question
| Themes | Subthemes | Examples of codes | Definition aspects where different opinions existed |
|---|---|---|---|
| Issues | Severity, interrelation of problems, domains affected | ‘Interrelation of problems,’ ‘family problems,’ ‘psychiatric problems’ | Family problems as a separate issue receiving separate emphasis vs family problems not mentioned as a separate entity |
| Care delivery problems | Fragmented care, incapacity of actual care delivery to cope | ‘Negative impact of uncoordinated care,’ ‘services overwhelmed’ | Inadequate/failing care delivery plays an important possibly causal role vs inadequate care delivery not mentioned as contributing to complexity |
| Care delivery needs | Different integrated services, assertive approach | ‘Assertive care,’ ‘integrated care provision by different sectors’ |