Page 208 - Demo
P. 208
Chapter 82062021). The impact of the Covid-19 lockdown measures in 16 March 2020 on involuntary care recording were also taken into account by examining a third impact moment for the start of the lockdown measures on 16 March 2020. A statistically significant drop in involuntary care counts occurred in week 1 of 2020. Thereafter, these counts declined gradually. The beginning of 2021, the year the law was fully implemented, showed an initial increase in involuntary care counts. This was followed by another decline. The introduction of the COVID-19 lockdown measures had no statistical effect on weekly counts of involuntary care. To conclude, the decrease in recordings of involuntary care after the Care and Coercion Act was introduced is a first indication of the effectiveness of this new law. Chapter 3 Intellectual disability organisations in the Netherlands are seeking to improve clients%u2019 quality of care by implementing methods that reduce involuntary care. The extent to which care professionals are up to the task of implementing these new methods might depend on prior experiences with implementation and hindering or facilitating implementation factors. The study in Chapter 3 described insights gained from sharing tacit and experiential implementation knowledge and experiences in two Communities of Practice (CoP), in which behavioural specialists, managers, care staff, policy makers and experts-by-experience collaborated. By qualitatively analysing their dialogues, six themes and nine subthemes were found concerning implementation in intellectual disability care. One theme revealed the potential difficulty of implementing methods to reduce involuntary because of fear among care staff. Participants suggested that this should be discussed with care staff before implementing these methods. Another theme was the quality of care dilemma, because care staff felt that they had to choose between providing immediate quality of care to clients by working their shifts and spending time away from their clients while learning about innovations that might improve quality of care in the long run. Other themes were that implementation plans were lacking or not shared with care staff, stress and overburdening among care staff, and the lack of clear communication from organisations regarding their goals for improving quality of care and choices for specific methods.