RT Journal Article
SR Electronic
T1 Adults with intellectual disabilities and mental health disorders in primary care: a scoping review
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP e168
OP e178
DO 10.3399/BJGP.2021.0164
VO 72
IS 716
A1 Katrien PM Pouls
A1 Monique CJ Koks-Leensen
A1 Mathilde Mastebroek
A1 Geraline L Leusink
A1 Willem JJ Assendelft
YR 2022
UL http://bjgp.org/content/72/716/e168.abstract
AB Background GPs are increasingly confronted with patients with both intellectual disabilities (ID) and mental health disorders (MHD). Currently, the care provided to these patients is found to be insufficient, putting them at risk of developing more severe MHD. Improving the quality of GP care will improve the whole of mental health care for this patient group. Therefore, an overview of the content and quality of care provided to them by the GP may be helpful.Aim To provide an up-to-date literature overview of the care provided by GPs to patients with ID and MHD, identify knowledge gaps, and inform research, practice, and policy about opportunities to improve care.Design and setting Scoping review.Method PubMed, PsycINFO, EMBASE, and grey literature were searched for publications concerning primary care and patients with ID and MHD. Selected publications were analysed qualitatively.Results One hundred publications met the inclusion criteria. Five overarching themes were identified: GP roles, knowledge and experience, caregiver roles, collaboration, and a standardised approach. The results show GPs’ vital, diverse, and demanding roles in caring for patients with both ID and MHD. GPs experience problems in fulfilling their roles, and gaps are identified regarding effective GP training programmes, applicable guidelines and tools, optimal collaborative mental health care, and corresponding payment models.Conclusion The improvement required in the current quality of GP care to patients with ID and MHD can be achieved by bridging the identified gaps and initiating close collaborations between care professionals, policymakers, and organisational managers.