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Chapter 5122to recognise a (possible) MID, record this in the patient’s file, and adjust their approach and communication accordingly. To accomplish this, it is relevant to invest in associated training programmes for GPs and staff, to create GP awareness of supporting tools such as screeners for (M)ID, for example SCIL and HASI, 30, 31 and to invest in ways to support information exchange. 32GPs were expected to initiate questions on MH problems, as participants found it difficult to talk about their MH problems. Although this can be done during any regular GP consultation, we know from previous research that standardised screening for MH problems may be helpful in order to consider MH problems at an early stage. 5 A periodic (mental) health assessment instrument could be a valuable tool in this regard, and some have already been developed and are available for GPs. 16, 33, 34 However, further research on feasibility and (cost-)effectiveness is necessary.Participants expected the GP to support them with the implementation of medical and non-medical advices in their daily lives. GPs should be aware that people with MID may lack practical skills and ensure the involvement of people providing support. Support may come from the patient’s own network, community disability teams, ID care facilities, or, in the Dutch situation, the MHNP or independent client supporters. 35 These supports should be findable and easily accessible for both the GP and the patient, have experience with people with MID, and have a good overview of (care) programmes in the region that are accessible for people with MID. Some participants found it difficult to coordinate their own care when experiencing MH problems and expected the GP to take on a role as director of their overall longitudinal care, including the organisation of support in daily living situations. However, the question is whether GPs are properly required and equipped to direct this full range of care, especially when the main focus of care is non-medical. Collaborative care with the patient, the patient’s network, and other (care) professionals may be more suitable.Participants expressed the need of a long-term trust relationship with the involved care professionals, and continuity is therefore deemed valuable Katrien Pouls sHL.indd 122 24-06-2024 16:26