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Primary mental healthcare: a scoping review292second independent researcher (MK or MM). The full texts were then screened by the first author (KP) and a second independent researcher (MK, MM). Any judgement differences were discussed to reach consensus within each review pair. When consensus could not be reached, the third reviewer became involved to resolve outstanding conflicts. Publications were included if they concerned adults with an ID, an MHD, and primary care following the prepared definitions. Other criteria were: (i) adult focused (≥ 18 years); (ii) originating in Western European and Anglo-Saxon countries where GP’s have a comparable role as gatekeeper for more specialised mental healthcare; (iii) available in full text; and (iv) available in English or Dutch. There was no selection on publication type. Publications on forensic primary care were excluded because they concern a selective group of patients beyond the scope of this review. Presentation and collation of the dataA standardised data extraction form was developed to guide data charting for descriptive analysis, including publication year, country of origin, publication type, domain, and the care element(s) described. The selected publications’ content was qualitatively analysed using conventional content analysis 22 supported by ATLAS.ti software (version 8.4). This process involved repeatedly reading the articles, identifying relevant text fragments, and inductively generating codes related to the research question. All coding was conducted by two researchers independently (KP, MK). Differences in coding were discussed to reach consensus. Codes were then sorted depending on how they were related. From this, major themes were developed and organised. This iterative process was followed critically by the research team, and key findings were discussed relating to the study’s purpose and implications for future research, practice, and policy.ResultsDescriptive resultsFigure 1 presents the publication selection process. One hundred publications were included for final analysis (Supplementary Table 2.2). The publications’ main domains were ID care (39%) and primary care (34%). The Katrien Pouls sHL.indd 29 24-06-2024 16:26