Cops say the unidentified 54-year-old abused the children in nine different care homes in Switzerland and Germany over a 29-year period.
He was arrested in April last year, but authorities are refusing to reveal the identity of the man who has worked as a therapist since 1982 to prevent the investigation from being impeded by media interest.
The head of Bern police's special investigations unit, Gabriele Berger said that the evidence against the man includes photos and hours of video recording the abuse.
She said: "One of the central questions of this investigation is how such levels of abuse could go undetected for so long."
The man admitted sexually abusing 114 mentally handicapped children, some of whom also were physically impaired.
He also admitted eight further cases of attempted abuse, authorities said.
The news comes as a blow to cops who investigated him on allegations of sex abuse in 2003, but that probe was dropped due to conflicting evidence.
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