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General discussion1797In this last chapter, the main findings of the five studies within this dissertation are summarised, integrated, and discussed in four overarching topics: (1) Impact of implementing the Care and Coercion Act on involuntary care recordings, (2) Shining light into the %u201cblack box%u201d of implementation processes in intellectual disability care, (3) The value of collaboration in a Community of Practice for implementation efforts, and (4) Implementing methods to reduce involuntary care in multiple care organisations. The main findings will then be considered in the context of the limitations of the studies. Implications for future research and practical implications are also addressed. This chapter ends with a general conclusion. Main findings and interpretations Impact of implementing the Care and Coercion Act on involuntary care recordings (Chapter 2)In the Netherlands, the Care and Coercion Act (CCA) came into effect on January 1st, 2020 (Staatsblad, 2018). This Act was based on the principles of the United Nations Convention on the Rights of Persons with Disabilities (Nations, 2006) and replaced the old Special Admission Act that had been the law since 1994 (BOPZ, 1994). The main change was that the CCA strengthened the rights of clients with intellectual disabilities to selfdetermine the nature and form of their care treatment and support. Other changes were that a step-by-step plan with multi-disciplinary consultation to evaluate involuntary care practices is part of the law and care organisations are obliged to record involuntary care and report the collated recordings semi-annually to the Dutch Health Care Inspectorate. The study described In Chapter 2 investigated the impact of the CCA on the number of involuntary care recordings within a large care organisation providing care to people with intellectual disabilities and challenging behaviour. These are people who need intensive care, support, and treatment (ZZP 6 and 7 of the Dutch care allocation system). An interrupted time series design was used to examine weekly recordings of involuntary care (which were called restrictive measures before 2020, under the Special Admission Act) from the period 1 January 2017 to 31 December 2021.