A short report: The Danish model for organization of healthcare for functional somatic disorders in children and adolescents

OBJECTIVE: To describe the development of a Danish national stepped-care model for children and adolescents with functional somatic disorders (FSD). METHODS: Model development was coordinated by the Danish Health Authority and informed by epidemiological findings from the Copenhagen Child Cohort 2000 (CCC2000), a national survey of pediatric services, the introduction of common diagnostic codes, and multidisciplinary expert collaboration. Organizational planning emphasized coherence across healthcare levels and integration of pediatric and child and adolescent psychiatric expertise. RESULTS: Drawing on this empirical and clinical foundation, a three-step model was established to align treatment intensity with symptom severity. Mild cases are managed in primary care through normalization of bodily sensations, reassurance, and activity-based guidance. Moderate cases are treated in pediatric departments with structured psychoeducation and a gradual return to daily activities supported by multi-agency network meetings. Severe and complex cases are jointly managed by pediatric and child and adolescent psychiatric teams, including specialized psychological therapies and family support. The national implementation strategy includes developing multidisciplinary teams in each region, whereas workforce education is organized by the Danish Medical Society for Functional Disorders. CONCLUSION: The Danish model aims to deliver coordinated, and developmentally informed care for pediatric FSD through interdisciplinary collaboration and stepped intervention. Continued investment in implementation, evaluation, and workforce development will be essential.