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General discussion163Box 7.2. Recommendations to improve or implement early recognition and acknowledgement of mild intellectual disabilities in patients in primary careWhat practitioners can doy Follow training programmes on:- How to recognize signals that indicate mild intellectual disability (MID)- The use of MID screening tools- Conversational techniques on how to discuss a suspicion of MID with a patient- How to effectively communicate with patients with MIDy Train practitioners’ support staff on how to effectively communicate with patients with MID y Implement the use of MID screening tools in daily practicey Refer patients for an IQ test including psychodiagnostics assessment to identify their needs across different areas of skillsy Register patient’s MID and additional communication and support needs in the patient’s medical file, in a consistent mannery Communicate identified MID to other involved professionals, with the patient’s consentWhat practitioners’ and patients’ networks can doy Professionals outside the general practitioner (GP) practice who come into contact with people with MID should also be adequately equipped to recognize MID, use MID screening tools, and address a suspicion of MID with the persony Routinely screen for (M)ID in mental health services during intake assessmentsy Share identified MID with other involved professionals, with the patient’s consentWhat health policymakers can doy Incentivize the incorporation of intellectual disabilities modules in GP training and postgraduate trainingy Provide an up-to-date regional overview of where an IQ test can be administered y Fully reimburse an IQ test, including psychodiagnostics assessment, by basic health insurance y Support development of a GP guideline on recognition, screening, addressing, diagnosing, acknowledging, and registering (M)ID in their patientsy Further implement the International Classification for Primary Care version 3 in GP practicesWhat researchers can doy Gain further insight into patients’ experiences and needs regarding practitioners addressing potential MIDContinuity of care The benefits of continuity of careContinuity of care is expected to have a positive effect on both the primary MH trajectory and the MH outcome for patients with MID. Continuity of care is one of the core values in primary care1 and includes longitudinal and relational continuity of care. 19 Longitudinal continuity involves the longterm relationship between the primary care provider and the patient, beyond specific episodes of illness. Relational continuity refers to the quality of the 7Katrien Pouls sHL.indd 163 24-06-2024 16:26