Types of abuse

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More about systemic abuse 

Source: The information in this section is summarised from theRoyal Commission of Inquiry into Abuse in Care, 2024.

Systemic abuse is sometimes called ‘systems-based abuse’. 

It’s about harm being experienced when disability, health, social, legal, or welfare systems operate in ways that: 

  • remove people’s personal choice 

  • undermine their autonomy 

  • create barriers to safety or  

  • enable ongoing abuse or neglect. 

Not all harm is caused by individuals
- systems can be abusive



Source: Royal Commission of Inquiry into Abuse in Care, 2024 

Systems abuse occurs when structures, policies, and institutional responses - even unintentionally - harm or disadvantage disabled people. 

  • Systems abuse operates across and above services — through funding models, policy settings, inter-agency failures, and governance decisions. 

  • Policies, procedures, or decisions taken, or failures to act can cause, enable, or compound harm to disabled people.  

Recognising systems abuse is essential
because the harm is often hidden or normalised

Power imbalances are embedded in systems.
Disabled people often rely on systems for income support, housing, personal care, equipment and aids, and decision-making support. Source: Disability Support Services (no date). 

  • Systems abuse occurs when this reliance is used - deliberately or inadvertently - to control, limit, or silence disabled people. 
    Source: Royal Commission of Inquiry into Abuse in Care, 2024 

  • Institutional or policy practices disproportionately affect disabled Māori, Pasifika, or other marginalised communities. Source: Te Puni Kōkiri, 2019. 

Sometimes the policies or procedures of government departments and other systems cause harm to people. 

Sometimes harm is caused by decisions made by organisations, or by their failure to act.  

This can result in a loss of autonomy, safety, dignity, or wellbeing