Page 26 - Demo

Chapter 124The Multi-Disciplinary Expertise Team (MDET) methodThe MDET method (Schippers, 2019) was designed by researchers and behavioural scientists of Vrije Universiteit Amsterdam and %u2018s Heeren Loo in response to the developments within the intellectual disability sector concerning restrictive measures as reported by the Dutch Health Care Inspectorate (IGZ, 2008, 2009, 2010, 2011). Care organisations felt the urge to phase out involuntary care. However, the distressing situations with clients being severely restricted also shed light on the complexity of reducing restrictive measures. Care professionals often struggled to find a delicate balance between minimising risks associated with challenging behaviour and fostering clients%u2019 self-determination and autonomy. Reducing involuntary care involved not only client-focused interventions, but also team-focused interventions to educate and support care professionals in how to change care and support provided to clients. Therefore, the MDET method aimed for intervening at multiple levels, including changing policy and management in care organisations, training care staff, and intervening in care for clients. The method consists of three core components: (1) inventory and recording of all forms of involuntary care in a care home, (2) a consultation plan with advice on phasing out involuntary care on clients%u2019 level and care home level, and (3) advices for supporting the care team in recognizing involuntary care and reaching consensus about reducing these practices. In a randomised trial design, MDET was proven effective with a 20% extra reduction of involuntary care compared to care as usual (Schippers, 2019). The method With Other EyesThe method With Other Eyes was developed by researchers of Vrije Universiteit Amsterdam and VU Medical Centre Amsterdam for a Participative Action Research project conducted in intellectual disability care and psychogeriatric care organisations. The study was performed by a joint research team of nursing staff and academic staff (Bekkema et al., 2021). This project aimed to enhance awareness of involuntary care practices among care professionals and nurses, by observation in care homes and reflection on these observations and on their own care practices. The method With Other Eyes aimed to create a learning culture among nursing staff in psychogeriatric care and care staff intellectual disability care.