In Cornwall, adults with learning disabilities at the centre of a care abuse case will receive about £8m in compensation.
After 165 former residents of Falmouth's Budock Hospital claimed compensation for failings including physical abuse, the High Court made the decision.
The claim was brought against the former Cornwall Partnership NHS Trust.
The money would help towards "putting things right", said the current Cornwall Partnership NHS Foundation Trust.
The allegations included physical assault, emotional and verbal abuse and a failure to provide adequate programmes of care and assessment.
The case dated back to 2006 when a highly critical report forced the resignation of three senior officials, said the solicitors who represented many of the involved families.
The total includes the £1.5m settlement of financial claims agreed earlier this year.
The financial settlement related to historic allegations that residents' money was misappropriated to pay for services that Cornwall Partnership NHS Trust should have funded.
The claim was brought against the former Cornwall Partnership NHS Trust, but the current Cornwall Partnership NHS Foundation Trust said the payout would not affect the service it provided.