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

More ACC support to help address sexual violence

A press release from the National Party

ACC Minister Nikki Kaye welcomes ACC’s new support package for people who’ve experienced sexual abuse or assault.
“It’s clear to me ACC has listened to feedback from clients, families, counsellors and others, and their input is reflected in the more flexible, wider range of support now being offered,” says Ms Kaye.
“ACC has come a long way in the last few years and I’m encouraged things are heading in the right direction.
“The new approach is not just about helping individuals but families too, who are also impacted if a loved one is sexually abused or assaulted.”
Improvements under the new service include:

• more holistic support – as well as one-to-one therapy, people can now access new support such as family and whānau sessions, social work support and liaison with other agencies to obtain assistance that can help recovery
• more hours of support for those who need it – up to around 60 hours of total short-term support, and up to around 100 hours of further support over 12 months, if required, for people with longer-term needs
• more flexible support - making it easier to enter, exit and return to assistance at any time
• new purpose-built claim form, which reflects the sensitivities of the situation.

“The new service is also fully funded by ACC. This means service providers cannot charge clients a co-payment, which will help more people access help when they need it.
“I’m pleased to confirm that on top of this, ACC will invest more in preventing sexual violence, from around $1 million to $4 million in the coming year.
“This extra support and injury prevention funding links into the wider government strategy, led by Ministers Adams and Tolley, to address sexual and family violence and encourage cultural change.
“It can be difficult sometimes for people to come forward and get help, so I encourage anyone affected by sexual violence to see what help is available.”
For more information, see the new website findsupport.co.nz.

© 2014 New Zealand National Party

https://www.national.org.nz/news/news/media-releases/detail/2015/03/02/more-acc-support-to-help-address-sexual-violence

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

Changes to ACC sensitive claims and Ministry of Justice funding

An article from Counselling Aotearoa News by Irene E M Paton

There have been significant changes in the services offered by both of these major third party funders. The Government has moved to a model of having a ‘supplier’ who holds the contract and contracts with ‘providers’ to do the work.
With ACC, there are a number of NZAC members who have been granted a supplier contract. These can be found on www.findsupport.co.nz. This explains about the new process and for more detailed information go to: www.acc.co.nz/for-providers/integrated-services-for-sensitive-claims/index.htm.  It offers a lot more services to clients (social work, family/whanau, group work) and more support for providers (cultural advice and active liaison).
I think it will be more respectful of clients as the supplier can choose who will do the assessments and the counsellor is paid to attend the sessions with the client if necessary. There is more of a sense of working together as a team in the best interests of the client’s healing and growth.
Unfortunately the previous funding for couples who needed support to rebuild or repair their relationships (Section 9s and 10s) has been withdrawn.
Now the Ministry of Justice (MOJ) has developed a new system whereby couples who want to make parenting agreements have to go through a process called Family Dispute Resolution (FDR) before they are able to take the matter to Court.
There are exceptions to attending FDR where the parties are unsuitable for the mediation process.  Couples under the threshold can have government funding for the FDR process and there are two main suppliers - Fairway and Family Support. They also need to attend a Parenting Through Separation Programme and are offered three sessions to prepare them for mediation and free legal advice.  More information can be found on www.justice.govt.nz/family-justice.
Other suppliers have been appointed to provide non-funded or partially-funded work. These can be found on www.justice.govt.nz/family-justice/about-children/making-decisions-about-children/new-process/justice-providerslist.
These are challenging times and we are being invited to adapt to a new culture. A colleague, Paul Muir, and I have set up two new companies to supply both of these services (www.cfdr.co.nz and www.optimumsolutions.co.nz). It has been hard work to go through the tendering process, however we are hoping that we will be able to offer quality services to clients.

© 2015 NZAC

http://www.nzac.org.nz/counselling_aotearoa_news.cfm?articleID=942&page_obj_id=53

Health insurer, physio group among suppliers of ACC sexual abuse counselling

An article from the New Zealand Family Violence Clearinghouse

Australian health insurer Medibank, Active Physiotherapy (now called Active+) and Auckland doctors' network Procare are among 173 successful applicants to become "suppliers" of ACC-funded sexual abuse counselling.
"Suppliers" are a new management layer created as part of ACC's sensitive claims system redesign. "Suppliers" will contract with counsellors and psychologists who will remain the service "providers."
Counsellor and co-chair of TOAH-NNEST Tania Blomfield expressed concern about whether non-specialist suppliers would understand privacy issues and other sensitivities associated with sexual abuse, and whether they were seeing sexual abuse counselling as a "potential money-spinner."
As part of the system redesign, ACC will raise the level of funding it provides from the current $83 per hour to new rates dependent on the qualifications of the counselling provider. Providers will no longer be able to charge clients a "top-up" fee. This is intended to reduce the barriers to victim/survivors to access counselling. However, Ms Blomfield expressed concern that some providers could end up worse off if the suppliers charged large administration fees.
ACC recently announced that under the redesign, it would:

• Fund access to 48 therapy sessions over 12 months
• Provide the full cost of counselling sessions
• Allow claimants to 'shop around' for a therapist of their choice
• Provide therapists with travel funding to allow them to travel to people in isolated regions
• Support the inclusion of family members and support people during the recovery process where appropriate.

© 2014 New Zealand Family Violence Clearinghouse

https://nzfvc.org.nz/?q=node/1888

Abuse claim oversight switch stuns providers

An article from the New Zealand Herald by Simon Collins

Australian health insurer Medibank has won a bid to manage sexual abuse claims for the Accident Compensation Corporation (ACC).
The company, which is being sold by the Abbott Government in a share float expected to fetch up to A$5.5 billion ($6.1 billion), is one of 173 successful bidders to become "suppliers" of sexual abuse counselling - a new management layer that will contract with counsellors and psychologists who will remain the service "providers". Other successful bidders include Active Physiotherapy, now called Active+, and Auckland's biggest doctors' network, Procare.
Counselling leaders are alarmed. Manukau counsellor Tania Blomfield, who co-chairs the national network of sex abuse counselling agencies, said she was concerned that "private sensitive information is going into databases outside of the sector".
"It scares me that they may be seeing this as a potential money-spinner," she said.
ACC has lifted funding from a standard $83 an hour at present to new rates which will stay about the same for counsellors with diplomas but will increase to about $100 an hour for those with master's degrees or $130 an hour for physiotherapists, or more for clinical psychologists. But counsellors who go into the new integrated contracts will no longer be able to charge clients "top-up" fees of up to $90, and some could end up worse off if the supplier companies managing the contracts take a big cut for administration.
"From the client's perspective, which is what it's all about, this is going to be a lot better than the existing system, but the question is going to be how badly do the providers get screwed along the way," Ms Blomfield said.
Medibank NZ general manager Andrea Pettett said the company approached about 700 of the 900 ACC-registered counsellors and received indications of interest from more than 100 of them. The company also operates the Healthline phone service for the Ministry of Health and is believed to be on a shortlist of three, along with Lifeline and a company owned by Procare and Christchurch doctors' network Pegasus, in another tender to integrate Healthline with other helpline services.

Sex abuse tender

Why are sex-abuse counselling contracts being re-tendered?
ACC's new "integrated contracts" include assessing clients' needs as well as providing counselling. Until now most counsellors have not had contracts but simply billed ACC for hours worked.

Why can insurance companies and physiotherapists bid?
ACC has opened up the criteria for assessments to allow clients to choose their assessors and counsellors. Until now ACC decided who did the assessments.

What will change for sexual abuse survivors?
They should get a more integrated service, fully funded by ACC. Counsellors in integrated contracts can no longer charge clients extra fees above the ACC subsidy.

Why are counsellors worried?
Some counsellors worry that insurance and physiotherapy companies won't understand privacy issues and other sensitivities in sexual abuse cases.

© 2014 APN New Zealand Ltd

http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11346777