This is an English translation of our Dutch quality statute. We offer this translation to make our procedures and quality standards accessible to non-Dutch speakers. Please note that the original Dutch version of the quality statute is the official and legally binding document.

Approved Quality Statute Mental Health Care – Independent Practitioners – Format 4.0

As of January 1, 2017, all providers of “medical mental health care,” i.e., generalist basic mental health care and specialized mental health care within the Dutch Health Insurance Act, are required to publish a quality statute. This concerns an approved quality statute.

I. General information

1. Mental health care provider details

Name of coordinating practitioner: CM HERBEN
BIG registration number: 79914008001
Personal AGB code: 03306556

Practice information 1

Practice name or trade name: rTMS International
Email address: info@rtms-international.com
Chamber of Commerce number: 87691671
Website: www.rtms-international.com
Practice AGB code: 94067170

1b. If you operate at multiple locations, please list the locations and adresses below:

Our independent practice operates at multiple locations. Our locations are in:

• Rotterdam
• Haarlem
• Oegstgeest
• Breda
• De Bilt
• Arnhem
• Zwolle

2. Care provided in

There is currently a transitional situation in which we work with both a distinction between generalist basic mental health care and specialized mental health care, and a classification according to the settings of the Healthcare Performance Model. In the future, the first distinction will lapse.

2a. At least one option must be checked. Multiple options are possible.

Generalist basic mental health care

Specialized mental health care

2b. Provides care in Setting 1 and fulfills the requirements for the indicative and coordinating role as follows:

Our practice offers outpatient mental health care in accordance with Setting 1. The indicative role is performed by a coordinating practitioner who meets the requirements set in the Healthcare Performance Model and the quality statute.

The coordinating practitioner diagnoses the client together with them, creates the treatment plan, monitors progress, coordinates care, and liaises with other involved professionals if applicable. The indicative role is carried out by coordinating practitioners registered as clinical psychologists or psychiatrists (with a BIG registration).

Treatment takes place at one of our practice locations or via online contact, depending on the client’s preferences and situation.

3. Description of focus areas/care offering

Clients can come to our practice with the following problems (e.g., focus areas, types of complaints, treatment forms):

3a. Describe the general vision/approach of the practice and what your client population looks like in a maximum of 10 sentences. For example: what issues/target groups does the practice focus on, do you involve family/environment in treatment, do you apply eHealth applications, etc.:

At rTMS International, we believe in the transformative power of rTMS as an advanced treatment for mental disorders such as depression, anxiety, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). Our vision is rooted in striving for a world where neuromodulation is not only recognized as an effective therapy but also as a hopeful path to recovery. We aim to push the boundaries of neuromodulation, helping clients restore their mental well-being and reshape their lives through this innovative treatment.

Our vision is based on the belief that everyone deserves care that is not only effective but also personal, accessible, and humane. We strive for a society where the stigma around mental health disappears, and people are welcomed and supported on their journey to recovery and mental well-being. We believe that combining neuromodulation with psychosocial support provides a unique and powerful approach that can change lives.

That’s why we aim to make this integrated approach the standard in treating mental health disorders. We help clients not only relieve symptoms but also strengthen their resilience and reshape their lives. By embracing this approach, we want to contribute to a world where everyone gets the chance to live a healthy and fulfilling life.

3b. Clients with the following primary diagnosis(es) can come to my practice:

Depressive mood disorders

4. Practice composition

The following practitioners are associated with the practice:

Coordinating Practitioner 1
Name: Herben
BIG-registratienummer: 79914008001

Coordinating Practitioner 2
Name: van den Bergh
BIG-registrationnr.: 19921118201

Coordinating Practitioner 3
Name: Ramcharan
BIG-registrationnr.: 19917947701

Practitioner 1
Name: Arnoud Spaans
BIG-registrationnr.: 19935723630
Expertise: Depression, OCD with ACT and rTMS

Practitioner 2
Name: Azra Cutic
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 3
Name: Barbara van de Meeberg
BIG-registrationnr.: 19058268830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 4
Name: Caressa Bons
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 5
Name: Elvan Kaya
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 6
Name: Estelle Guérin
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 7
Name: Harris Hassanudin
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 8
Name: Jamie Euser
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 9
Name: Karlijn Tuitel
BIG-registrationnr.: 59920329830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 10
Name: Klaas van Urk
BIG-registrationnr.: 29925894130
Expertise: Depression, OCD with ACT and rTMS

Practitioner 11
Name: Marieke van den Broek
BIG-registrationnr.: 49919236325
Expertise: Depression, OCD with ACT and rTMS

Practitioner 12
Name: Marjolein Aarts
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 13
Name: Melissa Konterman
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 14
Name: Nikita Groenewegen
BIG-registrationnr.: 19924334330
Expertise: Depression, OCD with ACT and rTMS

Practitioner 15
Name: Oumaima Brika
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 16
Name: Vivianne Baljon
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 17
Name: Sandra Meijer
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 18
Name: Sophie Spierenburg
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

Practitioner 19
Name: Soukaïna Ettalie
BIG-registrationnr.: 99929451830
Expertise: Depression, OCD with ACT and rTMS

Practitioner 20
Name: Stephany Hernandez Molina
BIG-registrationnr.:
Expertise: Depression, OCD with ACT and rTMS

5. Professional (multidisciplinary) network

5a. I use a professional (multidisciplinary) network including:

General practitioners

Fellow psychologists and psychotherapists

Mental health institutions

Other: An engaged Supervisory Board. They regularly observe and provide input. The board consists of:

• P. Krijsen (chair)
• S. van der Leer (member)
• R. van Dommelen (member)

5b. I collaborate most frequently in my (multidisciplinary) professional network with (name/names and if applicable BIG registration(s): 

Psychiatrists around Rotterdam (PsyQ, Care to Change, GGZ Delfland).
Mental health institutions around Utrecht: Altrecht, Lievegoed, Psymens, UMC Utrecht.
Around Haarlem: GGZ in Geest, Fivoor, Spaarne Gasthuis, Max Ernst.

5c. I use this professional network in the following situations, unless the client does not consent:

Medication tapering, personality assessments, diagnostics, referrals if there are no depression, anxiety, or OCD symptoms, or if rTMS is ineffective.

5d. Clients can reach (me, the mental health crisis service, or GP/emergency department) during evenings/nights/weekends/crises:

Not applicable. However, contact is always possible by phone/email (or WhatsApp).

5e. Do you have specific agreements with a mental health crisis service, GP out-of-hours service, or emergency department?

No, because: If the crisis service is needed, we know how to reach them directly. This is also stated on our website.

5f. I am part of a learning network with the following five (including myself) independent care providers or have joined the learning network of the following provider:

1. GGZ Delfland with colleagues, including A. Breunese

2. On a daily basis with colleagues E. Guerin, M. Aarts, C. Bons, B. Bosma, C. Herben, M. van den Bergh, J. Euser, E. Kaya, O. Brika, N. Groenewegen, and M. van den Broek.

5g. The learning network contributes to collective learning and improvement in the following way:

Intervision network 1
Cases are discussed monthly.

Intervision network 2
Cases are discussed online daily (except weekends). Every two weeks via Zoom.

6. Contracts with health insurers and reimbursement of insured care

Do you have a contract with the health insurer?

No

7. Treatment fees:

I have published the rates I apply on my website or in the practice.
I have published the rate for self-paying clients on my website or in the practice.
I apply terms and a rate for no-shows: published on my website or in the practice.
Link to website with treatment fees, and, if applicable, no-show conditions and no-show rate:
https://rtms-international.com/algemene-voorwaarden/

8. Quality assurance

I comply with the following quality requirements arising from my professional registration, specialization, or professional/sector association:

Intervision
Continuing education and training
The code of ethics of my professional association
Link to website with proof of the basic quality requirements of your professional group:
https://psynip.nl/wp-content/uploads/pdfs/NIP_beroepscode_maart_2024_def.pdf

Organization of care

9. Complaints and dispute procedure

My clients can address complaints and disputes about me or my treatment to me or to (name and contact details of complaints officer):

NIP: collegevantoezicht@psynip.nl
Link to website: https://www.denfg.nl/niet-tevreden-over-je-hulpverlener.html
https://www.psynip.nl/uw-
beroep/tuchtrecht-en-klachten/klachtprocedure/

10. Arrangements during vacation and emergencies

10a. During my absence due to vacation or illness, clients can contact the following substitute practitioner:

N. Groenewgen, E. Guérin

10b. I have arranged and documented the transfer of care in case the practice suddenly closes due to death or other emergencies:

Yes

II. The care process – the client’s journey through the practice

11. Waiting time for intake and treatment

Clients can find information about waiting times for intake and treatment and support via this link or document (and can also request it by phone).

Link to waiting times for intake and treatment: https://rtms-international.com/contact/

12. Registration and intake/problem analysis

12a. The registration procedure in the practice is arranged as follows (e.g.: who receives the phone registration, who conducts the intake, how communication with the client proceeds):

The phone registration is handled by the company Bizziphone. They take a note, email this to the practitioner, and the client is called back as soon as possible.

The pre-intake is conducted by Ms. V. Baljon (psychologist in training). The second intake on-site is carried out by the psychologist at that location. They establish a (working) diagnosis and create a treatment plan.

Further communication with the patient takes place via email or phone contact with Mr. B. Wernsen or the secretariat consisting of Ms. T. Simon and L. van Gilst.

12b. I refer the client to another care provider with a more suitable offering or back to the referrer – if possible with appropriate advice – if the practice has no suitable offer for the client’s care request:

Yes

13. Treatment and guidance

13a. The client has been informed about who their point of contact is during treatment (name and function of the person are known to the client):

Yes

13b. For longer-term treatment (> 12 weeks), the coordinating practitioner sends a copy or summary of the treatment plan as a letter to the GP (or other referrer), unless the client does not consent:

Yes

13c. I ensure good communication with the client and – if applicable and with the client’s consent – their relatives, regarding the course of treatment and guidance. I do this as follows:

Face-to-face after every 15 and 25 sessions.

13d. The progress of treatment and guidance is monitored in the practice as follows (e.g.: progress meetings, evaluations, questionnaires, ROM):

The progress of treatment is systematically monitored through
progress discussions, periodic evaluations of the treatment plan, and the use of questionnaires. We use:

• Y-BOCS

• BDI-2

• Self-reports by the client

The results are discussed with the client and, if necessary, the treatment plan is adjusted based on these evaluations.

13e. I periodically and promptly reflect with the client (and possibly their relatives and/or co-practitioners) on the progress, efficiency, and effectiveness of the treatment. The standard interval I use for this is:

Every 4 weeks and after 15 and 25 sessions.

13f. I measure client satisfaction in the following way (when, how):

After every 15 sessions during an appointment.

14. Closure/aftercare

14a. I discuss the results of the treatment and guidance and possible follow-up steps with the client (and possibly their relatives):

Yes

14b. The referrer is informed by the coordinating practitioner by means of a discharge letter, unless the client objects:

Yes

14c. If follow-up treatment is needed, I give specific advice to the referrer. I inform the follow-up practitioner where necessary about the course of treatment and the achieved results including follow-up advice, unless the client objects:

Yes

Handling of client data

15. Handling of client data

15a. I request the client’s permission when sharing information with professionals not involved in the treatment:

Yes

15b. In situations where professional confidentiality might be breached, I follow the applicable guidelines of the professional association, including the mandatory reporting code for child abuse and domestic violence (in case of duty to report conflict, suspicion of child abuse or domestic violence), the protocol for material control, and I request the control plan from the health insurer (in case of material control):

Yes

15c. I use the privacy statement if the client does not want their diagnosis shared with their health insurer/NZa:

Yes

III. Signature

Name: Bram Wernsen
Place: Rotterdam
Date: 03-07-2025

I declare that I adhere to the legal frameworks of my professional practice,
act in accordance with the National Quality Statute for mental health care, and that I have completed this quality statute truthfully:

Yes