Page 150 - Demo

Chapter 6148Abstract Background: Involuntary care in intellectual disability care may be reduced by deployment of multidisciplinary consultation. The Multi-Disciplinary Expertise Team (MDET) method proved effective in a previous trial on increasing involuntary care reduction. The current study aimed to examine how four organisations adapted MDET during implementation, and tested whether these versions were also effective. Methods: Semi-structured interviews with MDET-coordinators were analysed using the Framework Reporting Adaptions and ModificationsExpanded. A quasi-experimental interrupted time-series design tested change in weekly counts of involuntary care recordings from before to during MDET implementation, in care homes that implemented MDET (n = 24) compared to care homes providing care-as-usual (CAU). Results: Adaptations to MDET varied. These included implementing MDET without an independent MDET-team and loosening recordings of involuntary care. No differential changes in recordings were found between the implementation- and CAU-groups. Discussion: Scaling-out MDET to other organisations led to adaptations that may have undermined its effects on reducing involuntary care.