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Implementation interventions through the lens of Normalisation Process Theory9342006). Implementation of MDET at the level of care teams therefore became intertwined with the larger issue how the care organisation should prepare for implementing the regulations in the Act more generally.Table 1. Phases of MDET (Multi-Disciplinary Expertise Team) (summary)Phase Actions 1.Preparation Informing residents, legal representatives and the care team. Inventory and description of restrictive measures.2. Start Consultation with care team to determine the urgency of reducing restrictive measures and gain consensus. Outcomes are described in the consultation plan. The capacity and motivation of the team is taken into account. 3. Plan Completing the consultation plan by including a treatment plan. Treatment plans are based on evidence based practice, experts experiences, preferences of residents, legal representatives and support staff. The description is submitted to the care team in an iterative process to ensure agreement. 4. Action Reducing restrictive measures as described in the consultation plan. The steps taken are registered in the registration module to follow progress. Treatment plan can be adjusted to new insights. 5. Completion The expert and care team establish that the highest possible reduction of restrictive measures has been achieved. The team may opt for a follow-up appointment in a few months. 6. Follow-up After a few months, the expert and the team discuss the state of affairs regarding restrictive measures, registration, the progress of phasing out and cooperation between disciplines. If there are issues that cannot be answered adequately, MDET can be initiated again. Theoretical backgroundNormalisation Process Theory (NPT) (May et al., 2009; Murray et al., 2010) may help to explore social mechanisms in implementation processes in complex long-term care for people with intellectual disabilities. Normalisation Process Theory (NPT) is a mid-range sociological theory about what people individually and collectively do to make new methods routine in their everyday practice (May & Finch, 2009). NPT is not focused on individual attitudes, opinions, and intentions. It highlights the social organisation of the work (implementation), of making a practice to a normal and taken-for-granted routine (embedding), and of sustaining this practice in the social context (integration). NPT has guided qualitative analyses across a wide range of healthcare settings and informed implementation processes (McEvoy et al., 2014). NPT offers four core constructs (or social mechanisms) for the normalisation processes involved in implementing a new technique, intervention, or method. The social mechanisms of coherence, cognitive participation, collective action, and reflexive monitoring are supposed to be