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Chapter 116for people, with and without MID, with questions concerning their MH. Their care provision constitutes both a demand-driven approach in assessment, treatment, and follow-up of MH problems and a more proactive approach aimed at prevention by identifying risk factors for MH problems and providing health education. 13 The GP provides primary MH care and is a gatekeeper to specialist care. In this regard, the GP plays an important role in integrative MH care, where task-sharing with other care providers is seen as a prerequisite for good MH care. 14 In the Netherlands, all costs involved are covered by mandatory health insurance. In providing MH care, the Dutch GP is generally supported by a mental health nurse practitioner (MHNP). 15 An MHNP works under the supervision of the GP, plays a role in the assessment of MH symptoms, and gives short periods of treatment and support to people with mild MH symptoms. In 2016, an MHNP was employed in 87% of all Dutch primary care practices. 15When deemed necessary, the GP can refer to different care professionals and (MH) services. In the Netherlands, MH services are subdivided into basic MH services for mild and low-complex MH problems and advanced MH services for more severe and complex MH disorders. 16 Care provided by either basic or advanced MH services is covered by the mandatory health insurance. Additionally, for less intensive forms of (MH) care and support in the home setting, the Dutch GP can refer to the local authorities’ community teams. These costs are covered under the Social Support Act, when indicated by the authorities. 12When dealing with patients with MID, the GP can refer to more specialized care. In the Netherlands, these are services such as an ID physician or MH services specialized in people with ID. However, their availability is limited because of the still low numbers of these specialized forms of care, and sometimes services are not fully covered by the health insurance and additional financing must be applied for at the Dutch Care Needs Assessment Centre (CIZ, Centrum Indicatiestelling Zorg). 12Katrien Pouls sHL.indd 16 24-06-2024 16:26