The aim of the study was to examine if there is an association between how children and adolescents are referred to psychiatric child and youth clinics and what type of treatment they receive, the duration of treatment, treatment outcome, and if they occur in police registers. Knowledge on how children’s pathways to care affect different aspects of their treatment is limited, so is the knowledge on the association between source of referral and child and adolescent criminality. If source of referral is associated with differences in treatment, treatmentoutcome and criminality this may have important implications for the design and implementation of psychiatric care for children, and for the development of strategies to prevent future criminality. The data used in the analysis are drawn from The Stockholm Child-psychiatric database which consists of approximately 7600 children who consulted the Psychiatric Child and Youth Clinics (PBU) in the county of Stockholm, were born 1989 or earlier, and finished their contacts with the Psychiatric Child and Youth Clinics in the years 2003 to 2005.