Victims are still not front and centre of the Catholic Church's response to widespread child sexual abuse, a victims' advocate says.
The leaders of the Catholic Church in Australia have to be held to account when they front the child sex abuse royal commission next week, In Good Faith Foundation chief executive Helen Last says.
Victims have had enough of apologies, she said.
"The church must be pastoral and moral and it must place survivors at the centre - and families and children - and restructure themselves accordingly."
Victims want to be involved in the church building better responses to them, Ms Last said.
"They are sick and tired of being the last people in the row to be acknowledged in these processes," she told AAP.
"That's what they want from the archbishops, a role in the reform."
The commission has heard victims are bypassing the church's Towards Healing national protocol for handling abuse complaints in favour of dealing directly with dioceses.
Ms Last estimated three-quarters of the 460 survivors being supported by In Good Faith had serious problems with the internal church systems, particularly the Melbourne Archdiocese's Melbourne Response.
She noted the Parramatta and Maitland-Newcastle dioceses had made structural changes to recognise the needs of complainants and to put them at the forefront.
The Parramatta diocese's Office for Safeguarding and Professional Standards manager Claire Pirola said the first response to victims was a compassionate one, before the complaint and redress options were examined.
"What we have tried to do is make it more focused on the person who comes forward and then dealing with the complaint as a secondary thing," Ms Pirola told the commission this week.
"And it's ongoing. In terms of counselling and companionship, that has no end to it."
Ms Last said that contrasted with the approach under the Melbourne Response, which the royal commission has said is overly legalistic.
The church's Truth Justice and Healing Council chief executive Francis Sullivan said the response was not uniform across Catholic authorities but it was improving.
"I think what is happening is that increasingly across the church better processes of engaging with survivors is occurring," Mr Sullivan said.
"It is not a uniform picture. There are certainly some dioceses and religious orders that need to catch up."
All seven Australian Catholic archbishops will give evidence to the royal commission in Sydney next week, along with the leaders of religious orders and a number of regional bishops.