Collaboration - Mentally challenged people
Health care institutions for people with intellectual disabilities are often associated with GPs and doctors for the mentally disabled (AVGs), as well as specialized dentists. When mentally handicapped people live at home, they use primary care in the neighborhood. GPs can go to AVGs for advice. Sometimes a joint consultation takes place: the patient has an appointment with the general practitioner and the AVG at the same time. There is no structural cooperation in many regions. This is partly because financing is a problem. There is a guideline for collaboration between a general practitioner and AVG (https://www.lhv.nl/service/handreiking-samenwerkinghuisarts-en-avg).
The Tailor-made Primary Care project for people with intellectual disabilities was set up to identify bottlenecks and find solutions. It also examines whether the standards of the general practitioner organization NHG for people with intellectual disabilities need to be adjusted.
For oral care there are centers for special dentistry (CBT). Treatment in a CBT is only possible after referral by a dentist, general practitioner or medical specialist.