Influx expected with funding for ACC sexual abuse service set to double

An article from NZ Doctor by Ruth Brown

ACC is braced for an influx of new sex abuse claimants following the launch of its more generous service for sensitive claims. The budget for this financial year is $14.6 million, to cover support assessment and treatment. This is set to almost double to $29.5 million for the 2015/16 year. In the 2013/14 year ACC spent $12.5 million on sensitive claims.
A year-on-year 10 per cent increase is conservatively estimated, says Emma Powell, strategy manager, sexual violence at ACC. Since the service began rolling out last November, an extra 1000 claims have been lodged for the service which, at any one time, is dealing with 5500–6000 claims. The main difference is the service is now fully funded so clients won’t be asked to make a copayment which previously was sometimes as high as $90 for counselling sessions, Ms Powell told New Zealand Doctor.
The Integrated Services for Sensitive Claims (ISSC) was officially launched in Wellington last night.

‘Less daunting’ assessment
Ms Powell says the assessment process for claimants has changed significantly after feedback from clients that it was “pretty daunting”. Instead of assessments being conducted by an independent party over one or two sessions, ACC now offers supported assessments which have been allocated up to 26 hours. This is allocated for support sessions interwoven with assessment sessions and a de-brief with the claimant at the end. Also, counsellors who may have conducted the original sessions are likely to be involved with the supported assessments, she says.

Not enough counsellors
Ms Powell acknowledges a lack of trained counsellors in some parts of the country.
In a previous New Zealand Doctor story, Wellington GP and deputy chair of Doctors for Sexual Abuse Care GP Cathy Stephenson said sexual abuse survivors were still facing barriers because of too few counsellors.
Ms Powell says areas such as South Canterbury, the West Coast and remote rural areas were most affected by a lack of counsellors specialising in sexual abuse. But ACC will pay for providers to travel to these areas.
“We will be working through some of those gaps fairly smartly,” she says.
ACC currently has 175 suppliers with 770 providers on its books and it’s currently assessing and processing another 110 potential providers, she says.

© 2015 MIMS (NZ) Ltd

http://www.nzdoctor.co.nz/news/2015/march-2015/03/influx-expected-with-funding-for-acc-sexual-abuse-service-set-to-double.aspx

ACC overhauls sexual abuse care service

A news report from Radio New Zealand News by Michael Cropp

The Accident Compensation Corporation has overhauled its sensitive claims service, with its minister saying it made big mistakes in the way it dealt with victims of sexual assaults.
Before 2009, ACC accepted thousands of sensitive claims, but after changes to the system that number plummeted, and in 2011 just 135 claims were accepted.
Survivors' advocate Louise Nicholas said the impact when ACC clamped down on the numbers of claims it accepted was devastating and in some cases victims committed suicide. Support workers no longer wanted to be part of the system, she said.
"We lost hundreds upon hundreds of counsellors who refused to work in such an inhumane system," she said.
"We lost survivors, and I mean literally, lost survivors. So people just backed right off and said 'we don't want a part of this'."
Ms Nicholas had been a member of a panel that worked to overhaul what she said was a highly bureaucratic process which re-traumatised sexual assault survivors and denied them the help they needed. Many struggled with ACC forms asking them what kind of accident they had had - while constant assessments to qualify for assistance wore people down.

More support
Under the new service, that is set to change. There will be a support package for people who have suffered sexual abuse or assault, access to therapy is free and people are covered for longer. People are also able to enter and exit the system for support at any time. As well as the person who was sexually assaulted or abused, family and whānau are also able to seek help free of charge. The form, too, has changed to reflect the sensitivities of the situation.
ACC strategy manager for sexual violence, Emma Powell, said the changes required a big re-think of how ACC dealt with clients.
"It's a tailored response and a tailored approach, trying to put as much control back into the hands of our clients."
The client is able to choose who they see and if things were not working out the Sensitive Claims team would arrange an alternative.
"We talk about the fact that the counsellor-and-client relationship is critical to success, so if it's not working we need to offer ways that people can seek other supports," she said.
The public issues Chair for the NZ Association of Psychotherapists, Kyle MacDonald, worked with sensitive claims clients and helped advise ACC on the changes. He said the new system was much more sympathetic to a survivor's needs.
"I think that ACC have engaged really willingly in the process of recognising that actually the system wasn't working and that they needed to fix it," he said. "they have essentially redesigned a services which looks to address a lot of the concerns raised [in 2012]."
ACC Minister Nikki Kaye, said the old system was not working, and she wanted people to know it had changed.
"There's a lot of work to do, both around how do we prevent these things from happening, but then how do we make sure people are cared for right throughout government," she said.
The Minister said the changes were just the start of a much bigger process, which she hoped would provide better care for survivors and help prevent the violence from happening.

* If you, or someone you know, is affected by sexual violence you can find out more about these services at ACC Find Support site or call the ACC sensitive claims team on 0800 735 566.

© 2015 Radio New Zealand

http://www.radionz.co.nz/news/national/267591/acc-overhauls-sexual-abuse-care-service

ACC launches new recovery service for clients

A press release from ACC

ACC is formally launching its new Integrated Services for Sensitive Claims or ISSC. The service has been underway since November 2014 and provides people who have experienced sexual violence with safe and flexible access to a range of support, assessment and treatment services.
The launch is being held at Te Wharewaka, 15 Jervois Quay, Wellington and will commence at 5pm.
“The service has been significantly improved and re-designed to ensure it’s more client-centric,” says Emma Powell, Strategy Manager Sexual Violence at ACC.
“We listened, acknowledged the issues, engaged with providers, key agencies and made considerable changes based on sector and, most importantly, our clients’ advice,” Ms Powell says.
The launch is intended to raise awareness of the service and the changes that have been made.
Some of the significant differences for clients are:

• ACC is fully funding the service so clients will not be asked to provide a co-payment as in the past
• A greater focus on holistic support and treatment and tailored plans to help clients achieve their individual outcomes
• A new tailor made claim form
• Clients can access the findsupport.co.nz website for information about ISSC, sensitive claims and to find a service provider in their area
• Flexibility in treatment planning – plans can be agreed for up to 12 months.

“There is immediate support available and clients have a range of services they may access depending on their needs. For example, one-to-one counselling, family and whanau sessions, cultural support and group therapy,” Ms Powell says.
The new service has a greater focus on maintaining wellbeing. Following treatment, clients can have up to four sessions per year for up to three years pre-approved and access these directly as needed.
“ACC is committed long-term to this service and will continue to work with the sector and further grow the relationships that have been built up. ACC is committed to understanding the experience of our clients and to ensure we continue to develop the service, improve the service and get it right,” says Ms Powell.

© 2015 ACC

http://www.acc.co.nz/news/WPC137493

Therapy out of reach for many survivors of sexual abuse

An article from NZ Doctor by Reynald Castaneda

A Wellington GP is calling on ACC to recruit more sensitive claims counsellors, saying abuse survivors encounter long delays before their first therapy session.

ACC’s sensitive claims process has improved over the years, but survivors still face barriers because of a lack of counsellors, Doctors for Sexual Abuse Care deputy chair and GP Cathy Stephenson says.
Ease of access is important for people with a physical and/or mental injury suffered as a result of sexual abuse or sexual assault. Even the smallest inconvenience can discourage them from seeking help, Dr Stephenson says.
For example, when assisting one of her clients to find a counsellor in a different city, she called nine counsellors from a list of 10, and all were fully booked. Left to make these calls on their own, the client wouldn’t persist after being told “no” several times, she says.
Another problem is counsellors who can take new clients will not accept victims of sexual abuse, Dr Stephenson says. This is “fair enough” as they shouldn’t be overwhelmed by too many such cases.
ACC sexual violence strategy manager Emma Powell says the system is still evolving after multiple makeovers in the past several years.
 “We couldn’t have changes overnight … relationships had to be repaired within the sector to a point where we could all be working collaboratively,” Ms Powell told New Zealand Doctor.
“We want people to come forward and we want people to access services … this is not one of those [services] where we try to reduce people [coming] forward”, she says.
Changes to ACC’s sensitive claims pathway began five years ago after an independent review. ACC has been tinkering with this pathway since then, with recent changes going live at the end of last year.
More than 118 individuals and organisations offer sensitive claims services under the new contract, with approximately 800 providers including counsellors, Ms Powell says.
Survivors no longer have to get approval from ACC to see a counsellor, she says. But if more therapy sessions are needed, an individual assessment needs to be completed. If approved, the client can receive other types of treatment, including psychiatric and psychological help as well as financial compensation if they were earning at the time of the abuse. If a client is declined, in that the client’s mental issues are not caused by the sexual abuse incident, the client is redirected to other pathways which can help them.
“ACC doesn’t just say sorry, that’s it … it’s a very different system these days.”
Survivors who do not reach the assessment stage because they volunteered not to continue with any more counsellor sessions are also marked as “declined” in ACC’s books.
In the financial year 2013/14, 5118 sensitive claims were lodged and 3595 (70 per cent) marked as “declined”.This is a jump from 4828 claims lodged in 2012/13 (65 per cent were “declined”) and 4430 claims lodged in 2011/12 (63 per cent were “declined”).
Asked whether this conflated use of “declined” hides the real number of claims turned down by ACC, Ms Powell says survivors receive a personalised service even with this “accept or decline” system. Real numbers are revealed after audits are completed.

In essence
Wellington GP Cathy Stephenson says ACC needs to enlist more sensitive claims counsellors because survivors encounter long delays before their first therapy appointment.
ACC says the system has been improving in the past five years and dramatic changes cannot happen overnight.
Survivors don’t need approval from ACC to have an appointment with a counsellor, but must go through an assessment if more sessions or treatment are required.

© 2015 MIMS (NZ) Ltd

http://www.nzdoctor.co.nz/in-print/2015/february-2015/18-february-2015/therapy-out-of-reach-for-many-survivors-of-sexual-abuse.aspx

ACC to cover rape therapy costs in full

An article from the New Zealand Herald by Isaac Davison

ACC will pay for every cent of rape victims' counselling as part of a major overhaul of its sensitive claims system later this year.
The corporation is bracing for a significant increase in the number of sensitive claims in the next six years as the stigma around sexual violence is increasingly broken down in New Zealand.
In response, it was planning an expanded, more flexible service which took into account the sensitivity, length of time, and cost of treating rape-related trauma. These changes were based on the recommendations of a highly critical independent review in 2010.
Sexual violence services are under scrutiny in New Zealand following the "Roast Busters" scandal and temporary closure of some frontline clinics because of funding shortfalls. ACC received 5055 new sensitive claims last year, and is expecting a 10 per cent increase in claims each year until 2020.
ACC strategy manager for sexual violence Emma Powell said the overhaul would give victims more time, funding and choice.
"We are no longer going to be approving 10 counselling sessions here, or 10 there, we are actually saying 'Here's 12 months, you and your therapists ... build a programme around the person's needs ... and that's about providing a much more holistic approach'.
"We're throwing away the calendar and throwing away the clock and just letting people focus on getting better."
The cost of the upgrade cannot yet be revealed, but it was expected to require a doubling of funding. ACC spent around $45 million on sensitive claims in 2012/13.
At present, ACC funded counselling for rape victims but only up to $80 for a one-hour session. Counsellors often charged a "top-up", or additional fee of up to $90.
Ms Powell said the corporation was concerned that this cost was putting people off a crucial service. Claimants were taking an average of 7.8 sessions despite being entitled to 16 sessions, or more depending on their circumstances.
Under the new service, ACC would cover the full cost of the sessions. The overhaul would also allow victims to shop around for a therapist who they felt comfortable with.
Therapists, psychologists or psychotherapists would be given travel funding to allow them to reach people in isolated regions.
ACC and its partner agencies planned to increasingly include family members or support people during the recovery process, though it was not yet planning to extend its services to perpetrators.
At present, adult sexual abusers can get funded treatment only if they are in the criminal justice system. This meant there was a gap in the system because many victims knew their abusers and did not want to place charges, but wanted them to get treatment.
This problem was raised at a wide-ranging Parliamentary inquiry into specialist sexual violence services. The inquiry has been told of long waits for specialist services, uncertainty about continued funding, and the struggle to help Maori, rural, transgender or intersex clients.

Funding changes
*All counselling sessions for sensitive claims will be fully funded.
*Claimants can get access to 48 therapy sessions over 12 months, as well as other treatment.
*Victims can shop around for a counsellor they can trust.
*Family members or support people will be included in treatment where appropriate.
*Therapists will be funded for travel to allow them to visit isolated regions.

© 2014 APN New Zealand Ltd

http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11245848

Free counselling offered in light of 'Roast Busters' allegations

A report from Newstalk ZB by Jade Cooper

ACC's offering free counselling services for victims of sexual abuse.

In light of the recent 'Roast Busters' allegations, ACC wants people to know they can get help even if they don't want to go to the police.

ACC Strategy Manager for Sexual Violence Emma Powell says ACC can provide 16 sessions of counselling for anyone who lodges a sensitive claim.

ACC's sensitive claims unit can be contacted directly, and in complete confidence on 0800 735 566.

© 2013 The Radio Network

http://www.newstalkzb.co.nz/auckland/news/nbnat/179032981-free-counselling-offered-in-light-of--roast-busters--allegations