What institutions require is oversight. Self awareness. A lot of institutions run across the globe have stellar care. I can put up my own “Spastic Society” work as an example of care within disability (where a lot of the emphasis is inter disabled care and promotion of ability in a society where there are few options for abled people let alone the disabled). So running businesses and workshops and even training people for call centres (You don’t need to be physically able to operate a phone). Donate if you like! They take Paypal!
We may fear the institute, but here is the thing. All the good institutes? Never make the news. For the same reason we think that “Catholic Priest” = “Paedophile” when the incidence is the same among Catholic Priests and Teachers. The issue is the protection and hypocrisy afforded to the priests rather than the prevalence. The reason teachers don’t “get away with it” as often is we have no qualms about arresting one and schools are vested in their interests to owning up while the Church covers up. We only hear the bad things.
However? Remember the role religion plays in society as moral leaders? That’s the big problem. The fact that while claiming to be moral, the church’s unassailable position (in their own minds) allowed them to perpetrate atrocity while thinking what they were doing was good.