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Chapter 492What was implemented?The present study focused on a research-led implementation of the method Multi-Disciplinary Expertise Team (MDET). MDET was developed and tested for effectiveness in a large organisation for people with intellectual disabilities in the Netherlands (Schippers, 2019). MDET is a multicomponent programme focusing on reduction of restrictive measures in care for people with intellectual disabilities. Involuntary care is reduced through multidisciplinary consultation at the level of residential care units and multidisciplinary treatment interventions at the level of residents. The MDET includes experts such as psychologists, occupational therapists, physicians, and video feedback trainers (Schippers, 2019). Involvement of these disciplines is tailored to the demands and challenges around restrictive measures in group homes. The MDET produces a consultation plan based on descriptions of restrictive measures in residents%u2019 care plans and leads up to a written advice on which evidence-based clinical interventions to deploy to reduce the need for restrictive measures. The protocol for MDET follows a straightforward series of six consecutive phases (Table 1). However, the actions in each phase are flexible and have to be tailored to the culture, structure, and circumstances of care organisations and group homes as well as to the factors that have led to putting restrictive measures in place. The complexity of implementation (Clark, 2013) was in the case of MDET linked to the breadth of expertise that the multidisciplinary teams had to wield and the multiple actors (experts, support staff and residents) who had to be involved. Furthermore, implementation had to take place in the complex and adaptive organisational and policy context of long-term care for people with intellectual disability, requiring normative and relational restructuring to mould elements of the environment to allow the method to do its work (May et al., 2016).The implementation of MDET took place during a period in which the Dutch government prepared a new legal Act to regulate the use of involuntary care for people with disabilities (Care and Coercion Act, 2018). This Care and Coercion Act was meant to improve the protection of the rights of people with intellectual disabilities on self-determination, based on the Convention on the Rights of Persons with Disabilities (United_Nations,