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Chapter 4112ImplicationsOrganisations in long-term care for people with intellectual disabilities in the Netherlands have to deal with engagement of various disciplines in care, treatment and support of a client. Professionals from these disciplines not only have to collaborate, but also have to agree on the right treatment and support for these clients, who are themselves often to a limited degree able to express their needs and wishes. When innovations are being implemented, all actors will have to adjust their actions. Therefore, implementation requires careful preparation, starting with a common understanding of the innovation and why it needs to be implemented. The social mechanisms as described by Normalisation Process Theory, and especially Coherenceand Collective Action, might be important to consider when organisations embark on the implementation of new practices. The adaptations of EPOC%u2019s implementation interventions can be used by policymakers, implementation experts and managers to embed innovations in the daily practice of support staff.The adapted NPT-EPOC framework might be helpful in designing implementation plans for long-term intellectual disability care. The framework gives direction in speculating on the possible effects of these interventions on the social mechanisms at play in implementation processes. It also shows the complexity of using and analysing implementation interventions, because single interventions often share elements with other interventions or single interventions are used together to pursue the desired effect (Johnson & May, 2015). Nevertheless, organisations in long-term care for people with intellectual disabilities and other long-term care facilities can benefit from the adapted EPOC taxonomy of professional interventions and the adapted NPT-EPOC framework as described in this article to design implementation plans and strategies for implementing complex methods, practices and tools. LimitationsIn this study, consultation plans and notes were analysed. These data were not generated with the aim of identifying implementation interventions and social mechanisms in implementation processes. Data of group homes were selected if a start had been made with implementing MDET and if