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Chapter 244Table 1: continuedSpecial Admission Act (in Dutch: BOPZ)%u00a0 Care and Coercion Act (in Dutch: Wzd)Organisations were obliged to maintain a record of coercive measures. Each coercive measure was separately reported to the Dutch inspectorate and suspicious cases were further investigated. Other restrictive measures should be recorded by the organisation but not reported to the inspectorate.No direct client and/or legal representatives participation.Organisations are obliged to maintain a record of all forms of involuntary care and report these to the Dutch inspectorate semi-annually, together with analysis signed by the Board revealing plans to improve care. Suspicious cases are investigated. Voluntary care is written down in clients%u2019 care plans.Direct client and/or legal representatives participation in drafting the care plan is part of the law.Quarterly evaluation of coercive measures and yearly evaluation of other restrictive measures.A step-by-step plan with multidisciplinary evaluation to prevent the use of involuntary care and seek voluntary care alternatives.Note. Information based on Frederiks and Visser (2022) and Gemsa et al. (2021).%u2018No compulsion, unless%u2026%u2019, is a core principle of the new Act (Bij de Weg et al., 2021). The main aim of the Act is to minimise involuntary care. Involuntary care is a measure of last resort against serious risk of harm to self or others, and this should be reflected in the policies of care organisations (Bussemaker, 2009). Under the new Act, restrictive measures are no longer used as a term. Instead, the terms %u2018voluntary%u2019 and %u2018involuntary%u2019 care are being used. Care is considered voluntary when clients consent to provided care or do not resist, and involuntary when clients object to or resist to provided care. If clients are not able to make their own decisions about the care they receive, relatives or legal representatives take over. However, if a client%u2019s representative consents, but the client resists, care is considered involuntary. The CCA applies to all people with intellectual disabilities and psychogeriatric disorders who need long-term care provided by caregivers in organisations or at home. Only parental care is not a part of the law. In this paper, we focus on a specific group of clients whose complex care needs are addressed in specialised 24-hour care homes.Care organisations were given one year from 1 January 2020 to implement the CCA (Van der Ham, 2019). In practice, this meant that care professionals, such as physicians, behavioural consultants, direct care staff, and clients or their legal representatives engaged in discussions about the safety of the clients and the risks caused by their behaviour. The use of restrictive measures (before 2020) and involuntary care (since 2020) for each client needs to be recorded in the registration systems of care organisations. To