Survivor hub › Understanding abuse › Abuse in institutions

Abuse in care, faith settings and other institutions

If you were abused by people who were meant to look after you, in care, at school, in a religious setting or in a club or team, support is there for you, however long ago it happened.

Before you read. This page talks about abuse in general terms, without describing any abuse in detail. You can stop at any time.

Every fact on this page comes from GOV.UK and the helplines’ own websites. We last checked it on 6 October 2026. Each helpline shows the date we last checked it. This is general information, not legal advice.

What institutional abuse means

Institutional abuse is abuse by people in a position of trust within an organisation: a children’s home, foster care, a boarding school, a church or other religious setting, a youth group, a sports club, a hospital or a care home. Sometimes the organisation failed to stop it, or covered it up.

In adult social care in England, official guidance calls this organisational abuse. It includes neglect and poor care in a hospital or care home, or in care given in someone’s own home, from one-off incidents to ill-treatment that goes on over time.

It was not your fault

Abuse by someone in authority can be especially hard to talk about, because it often came with secrecy, threats or the feeling that no one would believe you. None of that was your fault.

Helplines you can call

NAPAC support line

For: adults in the UK who were abused in childhood, and people supporting them

0808 801 0331

free; Monday to Thursday 10am to 9pm, Friday 10am to 6pm, closed at weekends; the best time to get through is 5pm to 9pm; calls do not show on your phone bill; email support too

Call the NAPAC support lineWebsite: NAPAC

Checked 7 Oct 2026

MACSAS helpline

For: women and men sexually abused, as children or adults, by ministers, clergy or others under the guise of the Church, and their relatives

0808 801 0340

free; currently Saturdays 9am to 11.30am and Wednesdays 7pm to 9.30pm; email too

Call the MACSAS helplineWebsite: MACSAS

Checked 7 Oct 2026

In Scotland and Northern Ireland

Future Pathways

For: adults who were abused or neglected in a care setting in Scotland when they were under 18, including if they no longer live in Scotland

0808 164 2005

free, 10am to 4pm, Monday to Friday; closed on some dates, such as holidays (dates on its website); or email to ask for a call back

Call Future PathwaysWebsite: Future Pathways

Checked 7 Oct 2026

WAVE Trauma Centre, historical institutional abuse service

For: survivors of historical institutional abuse in Northern Ireland

028 9077 9922

Belfast centre; also centres in Ballymoney, Armagh, Derry Londonderry and Omagh (numbers on its website); phone hours are not published

Call WAVE Trauma CentreWebsite: WAVE Trauma Centre

Checked 7 Oct 2026

If you are older, or in care now

Care Rights UK Adviceline

For: older people in care (generally aged 60 or over), and the people close to them

020 7359 8136

Monday to Friday 9.30am to 1pm, and Thursday evenings 6pm to 8pm; closed on public holidays; free advice service; email too

Call the Care Rights UK AdvicelineWebsite: Care Rights UK

Checked 7 Oct 2026

Hourglass

For: abuse of older people

0808 808 8141

free from landlines and mobiles, 24 hours a day, every day; free text 07860 052906; email and live chat too

Call HourglassWebsite: Hourglass

Checked 7 Oct 2026

More specialist support

Our Support Directory lists organisations for people who grew up in care, abuse in faith settings and older people.

Your options

Some survivors of institutional abuse can apply to a redress scheme, depending on where and when the abuse happened. Read about redress schemes, civil claims and reporting to the police.

This page gives information, not legal or medical advice.

Where this information comes from

Checked on 6 October 2026. Helpline hours can change, so check the organisation’s own website too.

When you’re ready, the organisations in our Support Directory are there to talk to.

Find support