Page 57 - Demo

Impact of the CCA on recorded involuntary care552evaluated on their effects on involuntary care. Besides these treatment models, several interventions have been developed to actively reduce involuntary care (Bekkema et al., 2021; Embregts et al., 2019; Schippers, 2019) in line with the CCA. In order to use these treatment models and interventions effectively in organisations, systematic and well thought-out implementation is a prerequisite (Bisschops et al., 2022).Limitations and directions for future studiesOne limitation of this study is the generalisability of the findings to other care organisations, because the data were collected within one organisation. Although the new CCA came into force on 1 January 2020 for all longterm care organisations, individual organisations may have implemented their own internal policy changes in response to the Act, such as %u2018s Heeren Loo%u2019s policy change in mid-July regarding the registration of COVID-related restrictions as involuntary care.Another limitation was that this study only examined the total number of recordings of involuntary care, without distinguishing between different forms of involuntary care. Therefore, conclusions cannot be drawn about which forms of involuntary care were reduced. We assume that the initial decrease in recordings of involuntary care after the start of the new Act was caused by clients%u2019 consent to the use of restrictive measures, without changes in actual care and support provided to clients. In other words, the same restrictive measures as before may have been used, but with clients%u2019 consent, making these measures voluntary instead of involuntary. However, another possibility is that forms of involuntary care were actually reduced, and that professionals and clients found voluntary alternatives, as required under the CCA. The continued decrease in 2021 also suggests that this may have been an effect of the Act. Within %u2018s Heeren Loo, initiatives have been made to reduce restrictive measures and involuntary care since 2011 (see Schippers, 2019), resulting in various interventions currently being implemented (e.g., Bekkema et al., 2021) and studied (Bisschops et al., 2022). It is important to note that our findings do not give insight into the effects of the new Act on over- or underregistration of involuntary care. Despite the effort %u2018s Heeren Loo puts into increasing awareness about involuntary care and reducing these practices,