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Chapter 490were all more prominent in the MID subgroup without ID registration, with even fewer diagnostic (73.7%), treatment (59.9%), and/or psychotherapy (12.7%) activities. Patients with MID more often had activities recorded without direct patient involvement, in particular interprofessional consultations outside the MH service setting (59.1 vs 42.1%) and activities concerning legal affairs (6.9 vs 3.8%), compared to patients with no ID. In addition, when internal or external interprofessional consultation was required within an MH trajectory, the mean number of consultations per patient with MID was higher (respectively, 134.9 vs 115.1 internal and 9.5 vs 6.2 external interprofessional consultations per patient). Patients with MID were more likely to require a crisis intervention or an MH hospital admission compared to patients without ID (respectively, OR 2.00, 95%CI 1.90–2.10 and 1.72, 95%CI 1.63–1.82), including those patients where the ID was unregistered (respectively, OR 1.93, 95%CI 1.81–2.05 and 1.20, 95%CI 1.10–1.30).Katrien Pouls sHL.indd 90 24-06-2024 16:26