The most common and most likely answer to this crossword clue is the 12 letter word MALTREATMENT
I've seen this crossword clue in The Times
M
A
L
T
R
E
A
T
M
E
N
T
Buddy explains!
The straight part
We know that "Abuse" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case abuse = maltreatment.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
What does MALTREATMENT mean?
MALTREATMENT noun- Cruel or harmful treatment or abuse; mistreatment.