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Introduction: Publications on prospective follow-up studies of Danish child psychiatric cohorts are scarce. Such studies are necessary in order to be able to inform patients about the natural course and prognosis of child psychiatric disorders. Materials and methods: Baseline data is obtained from 110 children, ie. 91 boys and 19 girls (4-13 years old) assessed in 2 child and adolescent psychiatric outpatient clinics in Denmark. As part of the baseline assessment, the children were clinically diagnosed and covered most of the child psychopathological spectrum. Baseline information included demographic data, assessment of symptom-load by means of The Child Behavior Checklist (CBCL) and a global function score. The children in the cohort were assessed once a year using the CBCL and the Teachers Report Form (TRF). Results: The symptom-load is declining, although still high during the follow-up period. The decline in total behaviour problem scores was greater in the group of children diagnosed with emotional and behavioural disorders compared to those with neuropsychiatric disorders (Attention deficits and Autism spectrum disorders). Conclusion: In spite of the relatively small sample size, this follow-up study identifies important issues of prognostic value in this clinical child psychiatric outpatient population. The material may be useful as a `treatment as usual' group in future clinical outcome studies.

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