As OCA staff review reports of abuse and neglect in out-of-home settings, we learn of injuries to children and youth from restraints that are employed not as a means to protect children or staff, but as contingent behavior man agement. We also hear concerns of family members and advocates related to restraints through our Helpline. Every restraint is a nonconsensual traumatic incident to the child and is potentially physically and emotionally harmful to the child, other children and staff. The OCA is an active partner in the Interagency Restraint and Seclusion Prevention Initiative and participates as a member of the data analysis and reporting subcommittee. This initiative presents opportunities to advocate for trauma-informed care and workforce development, issues that are priorities within the OCA.