Historically, children and young people with disability are among the most likely in our community to be institutionalised, often through child protection systems. Unlike most other children and young people in out of home care, children and young people with disability are most frequently institutionalised to benefit other people, often with limited, if any, consideration of what might be in their best interests. Children with disability are more than three times more likely to experience abuse than their peers. This is unacceptable and requires urgent intervention.