Programma Perspectief is a proven evidence based intervention for persons with profound intellectual an multiple disabilities. We know what the active elements of the intervention are, but we see deviations from the way it works in practice. How is programma perspectief used in practice? And why is the intervention not used as intended? We study this in the ZonMw funded research project ‘After a while; a study into the sustainable implementation of Programma Perspectief within the support of people with PIMD’