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Chapter 7180ConclusionIn conclusion, I can say that patients with both MID and MH problems are a group of patients that frequently turn to their practitioner for care and support. These patients have characteristics that make them vulnerable in primary care and impact the course of their MH trajectory and their lives. I shed light on five opportunities to improve primary MH care and support to this patient group at an early stage in their MH trajectories, upstream, which may affect their lives positively. To effectively implement these opportunities in practice, actions are needed not only from GPs and MHNPs, but also from other care professionals, policymakers, and researchers, preferably in close collaboration with one another, patients, and the network.Back to BobSuppose the five opportunities proposed in this chapter had been elaborated and applied early in Bob’s life, upstream. Would his life story then have unfolded differently, more positively? I cannot provide certainty on that because there are too many individually determined factors and circumstances at play. Would it have given him more chances for a good life? I dare to say yes. What I wish for Bob, for the other 1.17 million people with MID in the Netherlands, and for many more worldwide, is a society and healthcare landscape that is inclusive of individuals with MID, where they receive the (MH) care and support that they need. I hope that, with this thesis, I have contributed to this.Katrien Pouls sHL.indd 180 24-06-2024 16:26