Page 92 - Demo

Chapter 490AbstractBackground: The multi-disciplinarity of long-term-care for people with intellectual disabilities makes organisations seek stability and predictability, which complicates implementing innovations. Interventions aimed at implementing a method for reducing restrictive measures were analysed through the lens of Normalisation Process Theory to understand the social mechanisms at play.Methods: Process notes, collected during a trial in which a method to reduce restrictive measures was implemented, were analysed guided by implementation interventions defined by Cochrane Effective Practice and Organisation of Care Review Group. These interventions were mapped to social mechanisms of Normalisation Process Theory.Results: Implementation interventions in which clients%u2019 perspectives were expressed (client-related-interventions) and consensus processes were held with care professionals, were widely used. These interventions initiated NPT%u2019s social mechanisms Coherence, Cognitive Participation and Collective Action.Conclusions: The emphasis on consensus and clients%u2019 perspective when methodically reducing restrictive measures reflects some unique challenges of implementation in long-term intellectual disability care.