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This study aims to assess the identification rates in a developmental monitoring system (i.e., preventive child healthcare, PCH system) regarding identification of emotional, behavioral (E problems, cognitive developmental and family problems in children, and the contribution of such a system to referral to (specialized) mental health and social care services. Over a predetermined period of 6months, we retrieved data from a random sample of 1370 children aged 0 to 18years from the registries of two PCH organizations in the Netherlands.