Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability

Baukje Schippers; Sien Vandesande; Maroesjka van Nieuwenhuijzen; Brenda Frederiks; Marleen de Moor; Danielle Immers; Carlo Schuengel

doi:10.1177/17446295241299153

Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability

Baukje Schippers, Sien Vandesande, Maroesjka van Nieuwenhuijzen, Brenda Frederiks, Marleen de Moor, Danielle Immers, Carlo Schuengel

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: Minimizing restrictive measures is an important lever to promote self-determination for people with intellectual disabilities. Aims: This study assesses the efficacy of the Multidisciplinary Expertise Team (MDET) program in reducing such measures within Dutch sheltered care homes for people with intellectual disabilities. Methods and Procedures: A clustered randomized trial encompassed 30 residential units, reporting 428 measures on 107 residents through an organization-wide registration system. Units were randomly assigned to the MDET program or care-as-usual. Outcomes and Results: Units assigned to the MDET-program reported a significant stronger reduction in restrictive measures compared to the care-as-usual units (40% versus 20%). Conclusions and Implications: The MDET program shows promise in decreasing restrictive measures by enhancing awareness and sharing expertise across disciplines at staff and resident levels.

Original language	English
Article number	17446295241299153
Number of pages	13
Journal	Journal of Intellectual Disabilities
DOIs	https://doi.org/10.1177/17446295241299153
Publication status	E-pub ahead of print - 8 Nov 2024

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by Stichting Wetenschappelijk Onderzoek \u2019s Heeren Loo.

Funders	Funder number
Stichting Wetenschappelijk Onderzoek

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10.1177/17446295241299153Licence: CC BY

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Schippers, B., Vandesande, S., van Nieuwenhuijzen, M., Frederiks, B., de Moor, M., Immers, D., & Schuengel, C. (2024). Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability. Journal of Intellectual Disabilities, Article 17446295241299153. Advance online publication. https://doi.org/10.1177/17446295241299153

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abstract = " Background: Minimizing restrictive measures is an important lever to promote self-determination for people with intellectual disabilities. Aims: This study assesses the efficacy of the Multidisciplinary Expertise Team (MDET) program in reducing such measures within Dutch sheltered care homes for people with intellectual disabilities. Methods and Procedures: A clustered randomized trial encompassed 30 residential units, reporting 428 measures on 107 residents through an organization-wide registration system. Units were randomly assigned to the MDET program or care-as-usual. Outcomes and Results: Units assigned to the MDET-program reported a significant stronger reduction in restrictive measures compared to the care-as-usual units (40% versus 20%). Conclusions and Implications: The MDET program shows promise in decreasing restrictive measures by enhancing awareness and sharing expertise across disciplines at staff and resident levels. ",

author = "Baukje Schippers and Sien Vandesande and {van Nieuwenhuijzen}, Maroesjka and Brenda Frederiks and {de Moor}, Marleen and Danielle Immers and Carlo Schuengel",

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doi = "10.1177/17446295241299153",

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journal = "Journal of Intellectual Disabilities",

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Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability. / Schippers, Baukje; Vandesande, Sien; van Nieuwenhuijzen, Maroesjka et al.
In: Journal of Intellectual Disabilities, 08.11.2024.

Research output: Contribution to Journal › Article › Academic › peer-review

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T1 - Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability

AU - Schippers, Baukje

AU - Vandesande, Sien

AU - van Nieuwenhuijzen, Maroesjka

AU - Frederiks, Brenda

AU - de Moor, Marleen

AU - Immers, Danielle

AU - Schuengel, Carlo

PY - 2024/11/8

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N2 - Background: Minimizing restrictive measures is an important lever to promote self-determination for people with intellectual disabilities. Aims: This study assesses the efficacy of the Multidisciplinary Expertise Team (MDET) program in reducing such measures within Dutch sheltered care homes for people with intellectual disabilities. Methods and Procedures: A clustered randomized trial encompassed 30 residential units, reporting 428 measures on 107 residents through an organization-wide registration system. Units were randomly assigned to the MDET program or care-as-usual. Outcomes and Results: Units assigned to the MDET-program reported a significant stronger reduction in restrictive measures compared to the care-as-usual units (40% versus 20%). Conclusions and Implications: The MDET program shows promise in decreasing restrictive measures by enhancing awareness and sharing expertise across disciplines at staff and resident levels.

AB - Background: Minimizing restrictive measures is an important lever to promote self-determination for people with intellectual disabilities. Aims: This study assesses the efficacy of the Multidisciplinary Expertise Team (MDET) program in reducing such measures within Dutch sheltered care homes for people with intellectual disabilities. Methods and Procedures: A clustered randomized trial encompassed 30 residential units, reporting 428 measures on 107 residents through an organization-wide registration system. Units were randomly assigned to the MDET program or care-as-usual. Outcomes and Results: Units assigned to the MDET-program reported a significant stronger reduction in restrictive measures compared to the care-as-usual units (40% versus 20%). Conclusions and Implications: The MDET program shows promise in decreasing restrictive measures by enhancing awareness and sharing expertise across disciplines at staff and resident levels.

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DO - 10.1177/17446295241299153

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JO - Journal of Intellectual Disabilities

JF - Journal of Intellectual Disabilities

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Effectiveness of a Multidisciplinary Expertise Team in the reduction of restrictive measures in sheltered care homes for people with an intellectual disability

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