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Chapter 246people acquiring infection: schools and day care activities centres were closed, clinical services and counselling were suspended, and in-person visits were restricted (Vereniging Gehandicaptenzorg Nederland, 2020). The pandemic measures may have been difficult to understand and even frustrating for people with intellectual disabilities. As described by Honingh and colleagues (2021), clients of a long-term care facility felt being %u2018locked up%u2019 and did not know what to expect during the first phase of the pandemic. Hughes and Anderson (2020) reported that the COVID-19 measures provided peace of mind for some clients, while others became restless. This is in line with the signals that the Dutch Health Care Inspectorate (Inspectie Gezondheidszorg en Jeugd, 2020) received during the first months of the pandemic. Fewer forms of involuntary care were applied for some clients while others who showed resistance to pandemic-related measures faced more forms of involuntary care.Earlier findings by Schuengel et al. (2020) showed the impact of COVID-19 on aggression related incident reports among people with intellectual disabilities receiving 24-hour care. Initially, a decrease was found in the number of incident reports, which may indicate a decrease in aggressionrelated incidents. However, soon the number of aggression-related incident reports rose towards the end of the first lockdown-period to levels far above those observed previously. Because aggression is one of the risks that underlies the use of involuntary care, the COVID-19 lockdown provided a general challenge to the goal of the CCA to reduce involuntary care.The aim of this study was to investigate the impact of the CCA on the number of recordings of involuntary care for people with intellectual disabilities and challenging behaviour in a large long-term care organisation in the Netherlands, taking into account the COVID-19 measures. The following research questions were addressed:1. How did the introduction of the CCA on 1 January 2020 impact the weekly counts of recordings of involuntary care over the course of 2020? 2. How were weekly counts of recordings of involuntary care affected by the COVID-19 lockdown measures starting on 16 March 2020?