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Chapter 256there is still a risk of care and support being applied against the will of the client, without this being registered. Systematic identification of involuntary care and training to increase awareness among support staff does not automatically lead to consensus about involuntary care and complete registration (Schippers et al., 2018). Future work should address the extent to which involuntary care is over- or under-registered by support staff under the CCA. To investigate how care is provided under the new Act, detailed quantitative analyses of administrative data may be augmented with qualitative analysis of written text of clients%u2019 care plans and interviews and observations in the field. Overall, we encourage future attempts to investigate further reductions in involuntary care over time. Since this study included all forms of recorded involuntary care as a combined variable, further study might explore how forms of involuntary care may have been differentially impacted by the CCA. Future studies should also look into which restrictive measures under the old Act were, after discussion with clients and their representatives, replaced by voluntary care under the new Act. Furthermore, because the data used in the current study consisted of anonymous weekly counts of recordings, it was not possible to investigate potential effects of personal and environmental characteristics, such as the range in numbers of registrations of involuntary care per individual. Questions about which forms of involuntary care were reduced and for whom could therefore not be answered. This is also an area for future research.To summarise, this study gives a preliminary, encouraging first indication of the efficacy of a new Act to give due respect to self-determination of people with intellectual disabilities, especially under conditions of potential risk. Continued monitoring over the next few years should reveal further insights into increases or decreases in the number of registrations of involuntary care and the effectiveness of the CCA.