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Impact of the CCA on recorded involuntary care532have not consented to the care they receive. Forms of care that are agreed to by the client or a legal representative are registered as voluntary care. For example, audio surveillance, the most common restrictive measure under the old Act (Schippers et al., 2018), is for most clients no longer recorded as involuntary care because clients do not object to the surveillance. Thus, the initial decrease in recorded involuntary care may be ascribed to a change in the definition in what constitutes restrictive measures and involuntary care, based on the principle of consent (Frederiks et al., 2017). However, the resumption of decrease in 2021 is unlikely to be explained by a change in definition, and might reflect the requirement in the new Act for multidisciplinary consultation when involuntary care is considered, seeking the perspective of clients and their representatives, and following a five-step-plan (Vilans, 2020) for removing the need for involuntary care or seeking alternatives. It should be noted that this hypothesis could not be tested using the data available for this study.The introduction of the COVID-19 lockdown measures on 16 March 2020 did not significantly impact the number of weekly recordings of involuntary care, which is against our expectations. This finding might be explained by a change in the organisation%u2019s policy regarding the registration of COVID-19 related measures as involuntary care (e.g., not allowing clients to go outside). At the start of the pandemic, these measures were not recorded as involuntary care, but given the resistance of some clients to these measures, the organisation decided to record these measures as involuntary care as of mid-July. Although we did not test for the impact of this change in policy, the raw data suggest an increase in recordings of involuntary care around mid-2020, which may reflect the organisation%u2019s policy change to record the pandemic measures as involuntary care.ImplicationsOrganisations in care for people with intellectual disabilities were faced with organisational barriers, time constraints, and questions about the feasibility of implementing the CCA (Bij de Weg et al., 2021). The current findings suggest that even under the difficult circumstances of the COVID-19 pandemic, the new Act could be implemented in a way that suggests that the Act%u2019s goals are being achieved. Monitoring recordings of involuntary care over time contributes to insight into the success of the new Act and the