Page 116 - Demo

Chapter 41142002). Study findings indicate that these interventions need to be tailored to long-term care for people with intellectual disabilities. Adaptations of these interventions have been highlighted in this study. In long-term care, clients receive integrated 24/7 care, support and treatment. This means that their whole lives are happening within the organisation. Implementation of innovations aiming to reduce restrictive measures faces a complex reality, due to the fact that various disciplines need to work together in an equal manner to pursue the same goals. These actors need to find a mutual agreement and coordinate their collective behaviour in order to provide care, which reflects the social mechanisms Coherence and Collective Action of Normalisation Process Theory. This also explains the large role of the implementation intervention Consensus Processes in normalising the method MDET and the fact that, contrary to Johnson and May (2015), we found that this intervention related to all 4 constructs of NPT.Getting started with implementation processes in long-term care for people with intellectual disabilities and change behaviour of support staff requires careful preparation. The adaptations of implementation interventions for this care setting and the NPT-EPOC framework could be useful for long-term care organisations to gain insight in which implementation interventions are most effective and in which way underlying social processes will be affected.