Page 192 - Demo

Chapter 8190MH care for people with MID, which is the overall aim of this thesis. Five main research questions relating to these aims were formulated:1. What has been described about the care for adult patients with both ID and MH problems provided by the GP?2. What is the prevalence of MH problems in people with MID and the care provided in primary care, compared with that found for people without ID?3. What is the prevalence of MH disorders in people with MID and care provided in advanced MH services, compared with that found for people without ID?4. What are patients’ experiences, needs, and suggestions for improvement regarding MH care provided in primary care?5. What are GPs’ and MHNPs’ experiences, needs, and suggestions for improvement regarding MH care provided in primary care? To gain insight into what is known nationally and internationally about primary MH care for people with ID, including potential challenges and opportunities for improvement, a scoping review of the literature was conducted in Chapter 2. This review analysed 100 relevant publications from scientific and grey literature, revealing five main themes:1. GP role. GPs play a crucial role in primary MH care and are expected to engage in prevention, diagnosis, treatment, and follow-up. However, the included publications indicate that the current primary MH care is often of an insufficient standard, reflected in underdiagnosis of MH problems, overmedication, and insufficient follow-up. 2. Knowledge and experience. The literature demonstrates consensus regarding GPs’ limited knowledge and experience in providing care to patients with both MID and MH problems. This is attributed to insufficient training programmes and limited research in this field.3. Caregivers’ role. Both formal and informal caregivers are pivotal in recognizing MH problems, seeking help from GPs, facilitating patient–GP information transfer, and executing Katrien Pouls sHL.indd 190 24-06-2024 16:26