Extended Abstract Ralph et al. Proceedings of the 2016 Australasian Road Safety Conference 6 – 8 September, Canberra, Australia Likely sustainability of a child restraint program among Aboriginal and Torres Strait Islander children in 12 communities in NSW Martyn Ralph a,b , Kate Hunter a,b,c , Lisa Keay a,b , Kathleen Clapham d , Julie Brown e , Lynne E Bilston e , Jake Byrne b , Judy M Simpson b , Rebecca Q Ivers a,b a The George Institute for Global Health, Australia; b The University of Sydney, Australia; c The Poche Centre for Indigenous Health, Australia; d Australian Health Services Research Institute, University of Wollongong, Australia; e Neuroscience Research Australia, The University of New South Wales, Australia. Abstract Aboriginal and Torres Strait Islander children are over-represented in road related deaths and serious injury. Buckle-Up Safely was developed to work in partnership with twelve Aboriginal and Torres Strait Islander communities in New South Wales to promote correct use of appropriate restraints. An important element of a community-based program is to ensure that it is tailored to suit the needs of the community and that it is part of a long-term strategy. Buckle-Up Safely adheres to these aspects, ensuring that the program promotes strong community engagement and program ownership. Background In Australia, road related fatality rates for Aboriginal and Torres Strait Islander children aged 0-4 years are 4 times higher than for other Australian children the same age.(Henley G & Harrison JE, 2013) Children are less likely to be severely injured in a car crash if they are restrained in an age-appropriate car restraint, used correctly.(Brown & Bilston, 2006) Injury prevention programs have the ability to be more effective when they are: tailored to the needs of the community, part of a long-term strategy, led effectively, and part of a multi-agency collaboration.(Jamieson et al., 2012; Martiniuk, Ivers, Senserrick, Boufous, & Clapham, 2010) For this reason strong community engagement – Elders, local organisations and members of the community, linking in with existing services and resources has been an emphasis of the Buckle-Up Safely program. Aim The paper describes the program and its potential for sustainability. Method Buckle-Up Safely is a multi-faceted program providing various avenues of access to education and resources through the delivery of information and coordination of current Government funded and non-government services. Program elements include: parent and carer information sessions; preschool or childcare based professional development workshops; access to free restraint checks/fittings and, access to highly subsidised child restraints. Program delivery is guided by the community and coordinated by a locally employed Community Worker recognising their local knowledge to tailor and adapt the program. Based upon the Precaution, Adoption Process Model, program elements target key stages of the behaviour change model.(Neil D. Weinstein, Peter. M. Sandman, & Susan. J. Blalock,