Acknowledgements. Foreword. Preface. Part One. Setting the Scene. 1. Gaining new understanding about abuse through the lens of lived experience. 2. What is this harm? 3. What does this mean for practice? Part Two. Stories of Lived Experience. 4. Insult and injury. 5. Systemic concerns. Part Three. Making Change and Moving Forward. 6. What do these experiences mean for other people with intellectual disability? 7. What do these experiences mean for practice and policy? 8. New insights into the problem. 9. Implications for making change. 10. Concluding remarks