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Chapter 6150to identify how organisations would adapt MDET to their context and to test the effectiveness of these adapted versions for reducing involuntary care.MDET is a multi-component method aimed at reducing involuntary care through consultation by MDET-experts in care teams working with clients with intellectual disabilities (Schippers, 2019). MDET-experts were care professionals with different backgrounds working in the organisation, such as behavioural specialists with a background in psychology and pedagogical sciences, occupational therapists and physicians with expertise in phasing out involuntary care measures. They were brought together by a MDET coordinator to form an independent MDET-expert team. The choice to involve particular MDET-experts was determined by the questions and challenges that existed in a specific care home. MDET-experts investigated the causes and application of involuntary care and restrictive measures to clients, suggested options for phasing out these measures, and discussed these with care teams. The method involved three core components: (1) inventory and recording of all applied forms of involuntary care, (2) a consultation plan for phasing out involuntary care for individual clients, and (3) advising on changes at the team level to recognise and reduce involuntary care (Schippers, 2019). The protocol for MDET followed a series of six consecutive phases: preparation, start, plan, action, completion and follow-up (Bisschops et al., 2022). Schippers (2019) tested MDET in a large long-term care organisation for people with intellectual disabilities in the Netherlands. This study showed 20.1% more reduction of involuntary care in randomly chosen care homes in which MDET was implemented compared to randomly chosen care homes that provided care-as-usual (CAU). Development of the MDET method ran parallel to preparations for the introduction of the CCA, which was aimed to improve the rights of clients with intellectual disabilities and clients with psychogeriatric disorders (Staatsblad, 2018). The CCA came into effect in January 2020 and replaced the old Special Admission Act (Bakkum et al., 2023; BOPZ, 1994; Frederiks & de Visser, 2022). Within the Act, care is considered voluntary when clients either consent or do not show resistance, otherwise care is involuntary. Involuntary care can only be applied as a temporary measure of last resort, against a significant risk of harm to oneself or others, while acknowledging