Counselling wait lists worsen as sexual violence claims spike

An article from The Manawatu Standard by Georgia Forrester.

Social services are  under strain as more people seek support for incidents of sexual violence.
Abuse and Rape Crisis Support Manawatu (ARCS) manager Ann Kent said the service was at capacity and had extended its hours in Palmerston North and Horowhenua, yet it still hadn't made a dent in its waiting list.
There was a two-to-three-month waiting list at ARCS for its counselling services.
The number of Manawatū people claiming ACC support for sexual violence cases had also spiked in the past year.
Figures released by ACC show there was a 24.2 per cent spike in claims made in the Manawatū District in the past financial year.
People who have experienced sexual abuse or sexual assault can lodge a sensitive claim with ACC and seek cover and entitlements for treatment, rehabilitation and compensation.
The number of sensitive claims made in Palmerston North increased by 16.3 per cent between 2015/16 and 2016/17.
Manawatū District claim costs reached $930,000 in the past year, with $2.5 million in costs paid to claims in Palmerston North.
Palmerston North was just below the national increase, which was up 16.5 per cent.
ACC redesigned its sensitive claim service in 2014 to improve accessibility,  but figures between 2012 and 2017 show a gradual increase in claims in the Manawatū area.
Kent said the ACC system was great,  but the current demand on counselling services was challenging and they were not able to keep up.
"I'm not aware of any agencies that are not experiencing an extra demand."
In an ideal world, counselling services would be offered to people there and then, but it was not realistic, she said.
During the nearly 10 years Kent had been a manager at the service, she had seen staff and client numbers jump.
Client numbers for counselling had remained steady in the past two years, but that was due to services already being at capacity, she said.
The service had expanded over time to keep up with demand, but there was no more funding available for further expansion.
Kent was unable to say whether there had been any increase in incidents of sexual violence.
"We believe that a lot of the increase is due to people being prepared to come forward to get support rather than keep silent about the abuse that they have experienced."
Police figures show reports of sexual assault and related offending tended to fluctuate monthly in the Central District.
There were 553 reports made in 2016 in the Central District, which includes Manawatū, Whanganui and Taranaki.
So far there had been 270 reports in the first six months of 2017.
Although there had not been a national campaign against sexual violence specifically, Kent said the 'It's Not OK' domestic violence campaign likely benefited the cause.
About 40 per cent of cases of violence between partners also involved sexual violence, she said.
Although there was a waiting list, Kent said social work services were still offered to people in the meantime. She encouraged people to come forward and use the services.
"What we don't want is for people to feel alone in this. We don't want them to feel completely isolated."
Green Party spokeswoman Jan Logie understood the pressure services were under, as some organisations had already raised concerns with her about heavy staff case loads.
Research showed only about one in 10 victims of sexual violence were reported.
"What we are seeing at the moment is still the tip of the iceberg."
However Logie said two-to-three-month waiting lists were too long.
A person may have waited 20 years before the trauma became too much and they finally sought help from a service. Those people needed help there and then.
Although preventative work was under way, there was still a lot of work to be done, she said.
A free national sexual violence helpline is scheduled to go live to the public on December 1, rolled out by the Ministry of Social Development.

© 2017 Fairfax New Zealand Ltd

https://www.stuff.co.nz/national/health/97663396/counselling-wait-lists-worsen-as-sexual-violence-claims-spike

Months-long delays for rape victims' ACC support

A news report from Radio New Zealand by Sarah Robson

People who have been raped or sexually assaulted are sometimes having to wait months to access ACC-funded specialist support services.
Some counsellors and therapists in Auckland have lengthy waiting lists for appointments and others are not taking any new patients.
One woman, Jennifer*, was trying to find a new counsellor. She had gone through the process of reporting a historical rape and needed support. She started contacting people on ACC's list in the Auckland area.
"I found that there was roughly a two-month wait list, minimum, to see most counsellors. I mass-emailed many on the ACC list and many said that they were not taking on any new clients," she said.
"I found this quite distressing."
Through sheer luck and persistence, Jennifer has been able to find a new counsellor.
She said she was not impressed that she had been repeatedly told she would have to wait to get the help she needed.
"People who have been sexually assaulted often become suicidal or have other mental health issues. I found that a 60-day wait or longer to get funded counselling was very poor and not all survivors have the means to pay for a private counsellor."
HELP is an organisation that provides specialist support services to victims of sexual abuse and assault in Auckland. Executive director Kathryn McPhillips said, like other providers, it was facing delays for people trying to access its counselling or therapy services.
"That delay can be anywhere from a few weeks, up to six months, maybe even eight months at times," she said.
"Our crisis service provides support during that time, so people can ring in or they can have acute sessions with us if they need to, but yes, it can be months that people are waiting."
Ms McPhillips said victims were often reluctant to seek help until their situation became desperate.
"It's something people do usually when they've hit the wall, so when they feel like they're in crisis or they can't hold on anymore, or they really need this thing solved in their life, or the offender is coming out of prison. There's all sorts of things that trigger people to that point of needing help."
Part of the problem was changes made by ACC in November 2014, which reduced and removed barriers for people to access support after experiencing sexual violence, Ms McPhillips said. That led to an influx of people seeking help - without the necessary workforce there to cope.
"I think that people who were not able to access counselling before because it required some additional payment, once it was free then a whole lot of people were like, 'yes, I need some help, please help me now'.
"To be honest, services haven't been able to keep up with that demand."
Ms McPhillips said they needed more qualified staff, but they lacked the funding to do any specialist training themselves. However, the government had committed more resources to the sector which should help longer-term, she said.
Andrea Black from Rape Crisis said it was important that specialist support services for survivors of sexual assault and violence were adequately resourced.
"If you don't have enough people on the ground to provide that service, or enough resources to do that, it's really distressing.
"It's really upsetting for workers, for volunteers, for our skilled workers, but even more so for families who may have to wait for days or weeks to access a specialist support person," she said.
In a statement, ACC said it was aware of delays for counselling services in areas like Auckland, Dunedin and Rotorua, and was looking into why demand for services was greater than the number of providers. It said it was encouraging providers to employ more staff, and was working with professional organisations and tertiary institutions to boost the workforce.
ACC said its goal was to have no significant waiting period to accessing counselling and therapy services.
* Name has been changed

http://www.radionz.co.nz/news/national/337261/months-long-delays-for-rape-victims-acc-support

© Radio New Zealand 2017

Sex abuse victim speaks out

An article from the Wairarapa Times-Age by Geoff Vause

A victim of convicted sex offender Raymond Buchanan, formerly of Masterton, has spoken out for the first time.
The man, now in his thirties and living in Australia, said he would only talk to the Wairarapa Times Age about the impact child rapist Buchanan had on his life, and his shocking neglect by various government agencies in New Zealand. A jury delivered a guilty verdict on all charges for the brutal abuse of two boys at Masterton from 1980 through to 1991 and in February Buchanan appeared before Judge Kit Toogood in Rotorua High Court and was jailed for 12 years.
The man and his brother, also a victim, were complimented by Judge Toogood for the “restrained and careful way” they gave evidence “without exaggeration”. The judge’s thanks was all they got.
Buchanan was ordered to pay $70,000 in reparation to each victim but has paid nothing so far as trustees control his funds. The victim now speaking out said he has somehow managed to remain relatively on track, “not messed up on drugs, staying out of jail” and overcoming the constant thoughts of taking his own life.
“I don’t have any self-confidence at all, I feel embarrassed and ashamed of what has happened,” he said.
He cannot be named, but said the trust controlling Buchanan’s money had refused to negotiate on coughing up a single dollar despite the judge’s order. He said he had been failed at the time not only by his mother but by school authorities and every government agency which could have helped.
His treatment by ACC and other agencies since the offending came to light had been more of the same.
“If somebody hurts themselves at work they go to ACC and get any assistance they need because they can’t work,” he said.
“Even Buchanan will get rehabilitation. He’ll get everything he needs.
“I pay for my own counselling at $187 each visit and I have not had any help. I haven’t been able to afford the last couple of visits and I feel completely ripped off.
“It feels like the criminal gets rehab and the victim gets life just trying to survive each day”.
The counselling was essential to having some semblance of a life. He said the counsellor was stunned he was still alive. His fear of touch, even a cuddle, made it almost impossible to have a relationship.
His cynical treatment at the hands of government agencies in this country was also disturbing.
“Being the main witness they paid for my flights back to New Zealand and a hotel room, but that was it.
“I was left to fund everything else including supporting myself while not working. I even had to refinance my bike to pay for living expenses in Australia.
“ACC said I had to come back to New Zealand and live for at least eight months before they will even look at giving me any help.
“New Zealand is the last place I want to be. I have no good feelings there. I left there so I didn’t do something that would have ended up with me in jail.
“I struggle every day to find some purpose. I’m a hard worker, but I struggle with the mood swings, so it’s hard to keep jobs.
“I just have to get away on my own. I’ve lived in the desert just with a swag for months at a time. I’ve had no help at all.”
When he tried to contact the agencies in New Zealand that could help, he was passed around from one to the other, or they didn’t get back to him.
“They get me to repeat my story, over and over again. It’s cost me heaps in calls, all for nothing. The system is just totally screwed,” he said.
“It’s not about the money. The whole system is backward.
“I’m the victim, left to fend for myself.”

http://times-age.co.nz/sex-abuse-victim-speaks/

Copyright 2016 Wairarapa Times Age

Protesters demand changes to way sexual attack survivors dealt with by ACC

An article from the New Zealand Herald

A "small but committed" group of protesters gathered outside ACC's Auckland office this afternoon calling for sexual attack survivors to qualify for ongoing taxpayer-funded counselling without a mental health illness diagnosis. Green Party MP Jan Logie led the demonstration with support from victim advocate, Louise Nicholas.
Up to 14 hours of one-on-one therapy is currently available when someone lodges a sensitive claim with ACC, along with up to 10 hours of social work support. Up to 20 hours of whanau support is also available immediately.
After these are used, ACC decides whether to approve cover for further support, should the person need it. That included victims needing to be diagnosed with a mental health injury relating to the abuse.
"Some survivors feel having to have a diagnosis puts judgment on them," Ms Logie said. "It takes them back to the the feeling that there's something wrong with them; that they're at fault.
"In other cases, survivors who need support are turned down because they don't have a diagnosis, or some don't apply for support because they think they'll be turned down."
She said a small but committed group of about 20 protesters gathered outside ACC's Auckland office at 12pm today.
"What we're asking for is incredibly simple. A counsellor can assess a survivor and whether they need help without them needing a mental health diagnosis."
The Green Party has also begun a petition which will be presented to ACC Minister Nikki Kaye.
Ms Kaye has said she believes the system is supportive of survivors but she will meet with providers to discuss possible changes to the scheme. That would include looking at different ways to assess mental harm to victims.
Ms Kaye said a "mental injury diagnosis" could be provided by any ACC registered and appropriately qualified assessor, which in many cases is the client's counsellor.
Changes were made in 2009 to the way support was accessed through ACC by sexual violence survivors, bringing in the requirement for a mental injury diagnosis in order to access help. After a 2010 review of the scheme and consultation with those working in the sector, further changes were made so survivors could have immediate access to support.

© 2016 NZME Publishing Ltd

http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11647644

ACC Minister must help sexual violence survivors

A press release from the Green Party by Jan Logie

The Green Party is calling on ACC Minister Nikki Kaye to remove the obligation for sexual violence survivors to be diagnosed with a mental illness before being allowed additional ACC-funded counselling.
Green Party MP Jan Logie and survivor advocate Louise Nicholas today launched a new campaign and petition to demand that survivors don’t need a mental illness diagnosis in order to have their sensitive claims proceed.
“Being the victim of sexual violence is not a mental illness,” Ms Logie said.
“Being subjected to sexual violence is trauma enough. Being a victim of sexual violence on its own should qualify survivors for the help they need.
“It’s great to hear the Minister Nikki Kaye say she’s open to a better way of helping the survivors of sexual violence. Removing the obligation for them to be diagnosed with a mental illness is an appropriate start.”
The petition is available here: http://action.greens.org.nz/remove_the_barriers
Under current ACC practice, in order for survivors of sexual violence to have their ACC sensitive claim approved, they must be diagnosed with a psychiatric condition. Up to 16 hours of one-on-one therapy is initially available when someone lodges a sensitive claim with ACC, however accessing help after that requires a diagnosis.
“In many cases this labelling of sexual violence survivors can be re-traumatising and stigmatising, and is a significant deterrent for those who need treatment.
“ACC needs to change its processes so that people are able to access the help that they need,” Ms Logie said.

More information is available here http://www.parliament.nz/en-nz/pb/business/qwa/QWA_03866_2016/3866-2016-jan-logie-to-the-minister-for-acc

© 2016 The Green Party of Aotearoa New Zealand

https://www.greens.org.nz/news/press-release/acc-minister-must-help-sexual-violence-survivors

Sexual violence services – the real story

A blog post by Jan Logie

What has really led to the Government’s changing stance on funding for sexual violence services?
People have been congratulating me on this news yesterday and I have to admit working with the sector through this process has given meaning to my time in Parliament and I am proud of the work we have done on this.  I am a bit embarrassed by the congratulations in the context of the thousands of submissions and years and years of work by incredible advocates which really got the result.
While I’ll need to see the dollars in the budget, and hear that the Government is working closely with the specialist providers, especially Nga Kaitiaki Mauri, to design the new model before I relax, I do want to reflect on the journey to this point.
The 70s and 80s saw women coming together to voluntarily support women who had experienced sexual violence. The Government provided some funding from the mid 80s. There was a period of new general services, the Pacific Island Women’s Project, and kaupapa Maori services being set up to respond to the growing need. These groups were advocating for the prevention of sexual violence – law reform and social change as well as supporting victim/survivors. It wasn’t until the mid 90s that we had the first ethnic women’s organisation, Shakti and in the late 90s the Male Survivors of Sexual Abuse Trust set up. There are still obvious gaps.
ACC alongside MSD were the major funders for sexual violence support services. The services were always under-valued and certainly not recognised for the amazing life-saving and at times world leading responses to sexual violence that they were and are. Sexual violence has been one of those very difficult topics to talk about in any context so that always made the services a bit of an easy target for funding cuts.
Despite Maori women being more likely to experience sexual violence in New Zealand and kaupapa Maori approaches being far more successful we have lost almost all of our specialist kaupapa Maori sexual violence services. There was a time when there were over twenty services but now there are fewer than five.
The Taskforce for Action was initiated by Labour in the wake of public horror about Louise Nicholas’s experiences. Louise did not have access to the right help, from our justice system or social services, when she needed it and that is one of the reasons she has been so actively advocating for increased funding for years.
The Taskforce for Action came out in 2009 calling for a national prevention plan and proper resourcing of the sexual violence sectors, basically all the same things that the select committee has recommended again 6 years later.
Maori and non-Maori specialists gave hundreds of hours of their time, voluntarily, in the Taskforce for Action on Sexual Violence. They spent hours and hours strategizing and organising and lobbying to try and ensure that victim/survivors had access to the services they needed. If this had been implemented there would have been no need for the select committee inquiry.
But even while the National party Minister for Justice called the Taskforce for Action the best road map the country had ever had for addressing sexual violence, the Government was in the process of gutting ACC support for victim/survivors. The Government told ACC that they had to make savings. In 2009 they saved $3.2billion dollars by going after, amongst other things, the “low hanging fruit” of sensitive claims. These changes resulted in a 36% decline the number of claims being lodged and even more shockingly the number of accepted claims going from 60% to 3.6% in just two years. Specialist agencies stopped using ACC because they thought it was unsafe for survivors and the number of ACC counsellors halved. During the inquiry into sexual violence funding we heard from a man whose partner had killed herself because she couldn’t get the support she needed over this time.
Many therapists and counsellors and volunteers just kept going, under increasing strain themselves, because they knew that people were depending on them. This was a truly awful time in New Zealand’s history.
Public concern over these changes forced Minister Nick Smith to initiate a review in 2010.The Disley report in 2010 made fourteen recommendations to fix the mess. Considerable effort has been made since then by ACC, the community and others to try and restore ACC. In the select committee report much has been made of the improvements to ACC. A new model is in place and it is much better but we are still not there yet.
Ahead of the budget and future work, I just want to celebrate the bloody minded tenacity of survivors and advocates who have kept going through this very dismal time. I genuinely and wholeheartedly hope the Government doesn’t let us all down again.

© 1996-2015 The Green Party of Aotearoa New Zealand

https://blog.greens.org.nz/2016/04/01/sexual-violence-services-the-real-story/

ACC help for sexual violence victims

An article from the Manawatu Standard by Thomas Heaton

Client-focused changes to ACC's services around sexual violence have been a long time coming, Palmerston North counsellors say.
ACC officially launched the new Integrated Services for Sensitive Claims scheme on Monday. The new service puts greater focus on maintaining wellbeing and increasing the provision of support, including increased hours for support.
Palmerston North counsellor Paulette Berryman, who is also on the Sensitive Claims Advisory Group for ACC, said the new system was very different from what was brought in in 2009. A part of the advisory group for about 15 years, she had seen a lot of changes.
Berryman said the system enlisted in 2009 was really awful for clients, as many were unable to get counselling services.
"When survivors have already been rendered powerless, they don't want to engage in a more powerless system."
It was found ACC was turning about 90 per cent of claims away. In 2009 there were 282 claims while in the 2013/2014 financial year there were 369 in the Manawatu-Whanganui area.
"The biggest change I see is that there is a client-centred approach," Berryman said.
Clients will also no longer have to pay surcharges for the services of counsellors.
ACC expected an increase in the number of cases coming in, because of the change to the client-focused system.
Manawatu Women's Refuge manager Dr Ang Jury said it was a long time coming. A more sensitive approach to the realities of what victims went through was needed. Flexibility in treatment, allowing victims to enter, leave and return to assistance was important.
Jury said the change made sense, as some people may not want to deal with issues immediately, or they may feel they had already dealt with their problems.
"A little bit down the track, they might realise they need support," Jury said.
"People are individuals ... They need to be treated on a one-on-one, individualised basis, taken seriously for what's happening to them."
Ann Kent, manager of Abuse and Rape Crisis Support Manawatu, said the new system was promising.
"It's a new system to us and everybody is still learning ... They [ACC] seem to have looked at what hasn't been working.
"[They] have put in a concerted effort to put in place a system that will be positive," she said.

© 2015 Fairfax New Zealand Limited

http://www.stuff.co.nz/manawatu-standard/news/66972110/ACC-help-for-sexual-violence-victims

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

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

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

ACC privacy ruling welcomed for sensitive claimants

A press release from the New Zealand Association of Psychotherapists

Yesterday’s District Court ruling, that the standard ACC release of information form the “ACC 167” is illegal, has been welcomed by psychotherapists and clinicians working with sexual abuse survivors.
“The Disley Independent Clincial review of the ACC’s treatment of sensitive claimants, undertaken in 2010, outlined serious concerns about this form and the ACC’s approach to the gathering of health information. This decision is welcomed, but long overdue” says Kyle MacDonald, New Zealand Association of Psychotherapists Public Issues spokesperson.
The Disley review included a legal opinion, which noted concerns about the ACC 167, and explained the limitations that apply to the collection of health information. Those working with all ACC claimants, and specifically in the sexual violence sector, have long expressed these concerns.
“We’ve known for a long time that this form, and its implementation, has caused specific problems for sensitive claimants” says Kyle MacDonald, “it has been common practice for the ACC to request ALL of a claimants GP or Mental health notes, and not accept a health professional acting in accordance with the Privacy act by providing only those parts of the record relevant to the claim. Furthermore the ACC have quite explicitly declined to advance a claim if individuals refuse to sign the waiver due to quite legitimate privacy concerns.”
This has set up a perception that ACC have gone on “fishing expeditions” for reasons to decline claims, rather than sticking to the limits of the Privacy Act, like all other health professionals are required to do.
“Hopefully this decision allows people who have had their claim declined due
to the illegal acquisition of health information to have their claim revisited. It should also allow those who have had their claim declined due to their refusal to sign this form to also re-apply for cover and treatment.”

http://www.scoop.co.nz/stories/PO1404/S00230/acc-privacy-ruling-welcomed-for-sensitive-claimants.htm

Question to Minister

Question 3: Katrina Shanks (National) to the Minister of Justice: What steps is the Government taking to support victims of sexual violence?



Hon JUDITH COLLINS (Minister of Justice): The Government is committed to providing better support for victims of crime, including all victims of sexual violence. As a result of the Law Commission’s recent review of the Evidence Act, I will shortly be introducing proposals to improve the way some evidence is dealt with in these cases. If the defence wants to raise issues about a complainant’s previous sexual history, they will need to give notice before trial. In addition, child witnesses under the age of 18 will be able to give evidence by video recording, which can be challenged in trial. They will be able to have a support person sitting nearby when they give evidence. There is a range of support services for sexual violence victims across the Government. They include specialist victim support, no real limitation period on the making of a complaint, automatic name suppression in criminal proceedings, and the court is closed when victims give evidence. Victims can give evidence behind a screen, and they are allowed a support person with them in court while giving evidence, and there is a range of counselling and financial support through the Ministry of Justice, ACC support, or the Ministry of Social Development, including funding of agencies such as Doctors for Sexual Abuse Care, Auckland Sexual Abuse Helpline, and Wellington Rape Crisis. The Victims of Crime Reform Bill, which is awaiting its second reading, will also introduce a new victims’ code.
Katrina Shanks: What criminal processes exist to deal with sexual violence offences?
Hon JUDITH COLLINS: In New Zealand we have a common law justice system based on democratic principles of fairness. Some European and former communist countries have a different system, the inquisitorial method of criminal justice, which effectively means that any accused person has to prove their innocence. Accused persons are examined directly by judges trained in the inquisitorial method of examination. There is limited ability to challenge evidence presented to the judge. In the common law method, prosecution and defence each present their evidence and arguments to the court, and have the right to challenge each other’s evidence. In 2012 the Law Commission published an issues paper and invited submissions on a range of pre-trial and trial processes, particularly to consider whether inquisitorial processes could be incorporated into our justice system for sexual offences. Some of the issues considered have been advanced, such as child protection orders, greater use of restorative justice to deal with sexual violence offences, protection for child witnesses, and requiring notice to be given if the defence intends to raise evidence of the complainant’s prior sexual history.
Katrina Shanks: What else is the Government doing to help prevent sexual violence victimisation?
Hon JUDITH COLLINS: Prevention is obviously the key for progress in this matter. Sexual violence is obviously abhorrent but it is also linked with alcohol and other drugs. The Government’s alcohol reform legislation comes into force on 18 December. From 18 December this year it will be an offence to supply alcohol to a minor without parental consent. In addition, the Government has passed the Psychoactive Substances Act to stop the sale of harmful party pills. The Ministry of Health funds a rape prevention programme in schools called BodySafe, which is currently run in many schools and teaches young people how to keep themselves safe from sexual violence and how to deal with a sexual attachment if it does happen. Earlier this year, Minister Bennett announced a major funding boost for victims of sexual violence through agencies such as the Auckland Sexual Abuse Help Foundation. In addition, ACC is redesigning its support, assessment, and treatment services for sensitive claims to provide more responsive services to victims of sexual violence. Sadly, many victims of sexual violence are repeat victims, and part of the approach is to help victims keep safe to prevent re-victimisation. There is a good deal currently being done to deal with sexual violence in this community, and it is a real problem that affects old and young. We need to continue to bring offenders to justice and to acknowledge that sexual violence is a crime and needs to be dealt with accordingly.

http://www.parliament.nz/en-nz/pb/business/qoa/50HansQ_20131112_00000003/3-crime-victims-sexual-offences%E2%80%94support

Woman leads Roast Busters police case

An article from the New Zealand Herald by Anna Leask

Police up ante as detective with significant experience appointed to head multi-agency probe into scandal.
Police have upped the ante on the Roast Busters investigation, appointing a woman detective with significant experience in child sexual abuse cases to head the newly named Operation Clover and drawing on a number of government agencies.
And ACC is welcoming victims and offering support - regardless of whether they wanted to speak to police or make formal complaints.
Detective Inspector Karyn Malthus, who usually oversees all serious crime in the Auckland city district, will join the Waitemata Child Protection team, who have been investigating the Roast Busters members since a 13-year-old girl made a formal complaint against them in late 2011. Her appointment to the operation comes just days after Commissioner Peter Marshall conceded police should have handled the publicity around the underage sex scandal earlier and had repeatedly given wrong information to media about the number of victims involved.
Roast Busters is a group of predominantly West Auckland youths whose members bragged online about having sex with drunk and underage girls. Members Joseph Parker and Beraiah Hales are said to be living undercover since their names and faces were made public. It was confirmed last Friday that Tristan Burrow, the son of police Constable Craig Burrow, was associated with the group in 2011. He was interviewed by police and co-operated with the investigation, but has had no involvement since.
Police refused to answer specific questions about the investigation yesterday, including whether any new victims had come forward and whether they had spoken to any of the suspects since last week. But in a statement they said Ms Malthus would lead a multi-agency team on Operation Clover.
Detective Superintendent Andy Lovelock, called in last week to "cast a fresh set of eyes" on the case, will retain overall oversight of the investigation.
Meanwhile, ACC is urging victims to come forward to access sexual assault support including counselling to help them make a decision about whether they wish to involve police. If you would like to speak to ACC about what support is available, contact its Sensitive Claims Unit in confidence on 0800 735 566.

© 2013 APN Holdings NZ Ltd

http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11155361

Help for rape victims under threat

An article from Stuff by Kirsty Johnston

Rape and sexual assault victims in Auckland may lose access to the city's only 24-hour helpline due to a funding shortfall.
The HELP Foundation will be forced to lay off specialist staff and cut services after the Government refused it $200,000 to keep the line going, spokeswoman Aimee Stockenstroom said. News of the shortfall came despite a commitment from the Government to work closely with HELP to establish a sustainable telephone service for the future in December 2011.
"For victims of sexual assault and rape, the potential to suffer devastating mental health consequences is high and early intervention must be seen as a survivor's right," Stockenstroom said.
HELP takes about 12,000 calls a year from victims of sexual assault and rape, or around 250 calls a week. Stockenstroom said one in five women were sexually assaulted or raped in their lifetime.
"It is not ethical, and shocking for us to think in the middle of the night when the terror can be the most overwhelming, there will no longer be someone there at the end of the phone."
Green MP Jan Logie said it was appalling it had only taken the Government a year to renege on its commitment to the helpline. Logie said while sexual violence reporting rates were increasing, the Government was not reflecting that in its funding, despite widespread acknowledgement that the services were vital.
"In 2009, the Taskforce for Action for Sexual Abuse identified the urgent need to increase funding to support services," she said.
"This has not happened and now even the current meagre resources are being reduced."
Previously, the help line was funded by ACC, however that was axed in May 2009. Interim funding was provided until last year, when a cross-agency group comprising the Ministries of Justice, Social Development, Health and ACC was set up to discuss a long-term solution.
Stockenstroom said HELP wanted to continue to work with the Government but simply could not continue without enough money.
More information can be found on www.helpauckland.org.nz.
The foundation is also taking donations at any branch of ASB bank. A donations account will run from 12 October 2012 through to 26 October 2012. The account number is ASB: 12 3205 0175 043 00.

© 2012 Fairfax NZ News

http://www.stuff.co.nz/national/7819530/Help-for-rape-victims-under-threat

SOSA response to ACC review

A press release from SOSA

The independent review panel proposed 14 recommendations to ACC’s clinical pathway. Whilst ACC are yet to agree on all recommendations, SOSA welcomed the immediate commencement of 16 counselling sessions granted to "new and/or existing claimants".
Ken Clearwater, SOSA board member who also spent two years as a member of TOAH-NNEST on the ACC Service Improvement Project in conjunction with Government for the Taskforce on Sexual Violence, is pleased “the Government has accepted that the clinical pathway was damaging and wants to make changes”.
SOSA President Gudrun Frerichs remains skeptical. “Although the report represents very well the concerns of survivors and mental health professionals, the recommendations formulated are quite vague and give ACC a lot of room to dodge the items.” Gudrun is concerned that whilst the recommendations are a step in the right direction, any improvement for survivors hinges on the independent supervisory panel [yet to be established] to interpret those recommendations. “It appears that ACC has actually not had a change of heart but is rather bowing down (reluctantly) to the pressure of the review panel.”
There is no disputing that the recommendations made by the panel are a positive step forward but concerns are being raised about just how or if ACC will implement any of the proposed changes. Given the report by the Otago Daily Times from Monday, 20 September, ACC plans to cut a further 1150 long term claimants from their list.
“We will continue to monitor the situation and maintain public pressure for all those recommendations to be implemented,” said Gudrun Frerichs.

http://www.scoop.co.nz/stories/GE1009/S00125/sosa-response-to-acc-review.htm

ACC backdown welcomed

An article from the Manawatu Standard by Janine Rankin

Sexual abuse survivors denied help under tough new rules introduced last October can look forward to better services in future now that ACC has backed down on the changes. Palmerston North counsellor Paulette Berryman says she is battle-weary but elated that ACC has accepted a caning from an independent panel condemning its approach and forcing a back-down.
The New Zealand Christian Counsellors' Association representative on the sensitive claims group told the Manawatu Standard that the quality of help available for survivors could become better than ever once all of the panel's recommendations were put into place. She said her hard work in protesting against the changes, including taking two of her clients to Wellington to provide evidence about the harm the changes were causing, had paid off. "For almost a year we have been fighting, but it's been worthwhile, with positive changes for sexual abuse survivors," she said.
The review found that the changes, which required clients to gain a diagnosis of mental injury before they could get treatment, were introduced "prematurely and precipitously". The ACC changes had discouraged survivors from seeking help and caused a halving in the number of claims submitted in the first three months of the cuts. Delays were unacceptable and ACC's communications with sexual abuse survivors and providers had often been "inappropriate and inadequate". The panel recommended fast-tracking of the introduction of 16 sessions of support for new clients ahead of the full report's release last week.
Mrs Berryman said the 16-session scheme was a "welcome measure, in the right direction", but the response from potential clients had been low key. She remained concerned that people who could benefit still had not realised how easy it was to contact an ACC treatment provider directly to begin the healing process. Mrs Berryman is continuing her fight to ensure survivors of sexual abuse get the help they need, and is involved in consultation in how other recommendations can be implemented. These include recognising alternative ways for diagnosing mental injury, dealing with the particular needs of children, providing support for Maori and helping people with complex health needs.

http://www.stuff.co.nz/manawatu-standard/news/4142528/ACC-backdown-welcomed

Counselling is back on cards for sex abuse victims

An article from the Whakatane Beacon

A Whakatane counsellor says changes to ACC that allow 16 hours of counselling for sexual abuse victims is a desperately-needed improvement – but there is much more to be done.
From Monday this week, people with a new ACC sensitive claim, or with a new claim already in the system awaiting a decision, will be able to access up to 16 hours of counselling to ensure their safety and wellbeing.
Debbie Magee from Insight Counselling Services in Whakatane said there was still some details that needed to be finalised, such as what would happen to people who had been declined for assistance or who had relapsed since leaving counselling. “It’s a lot better than it was but it still needs to go further,” she said. “At least it gives survivors something in the meantime.”
The Government introduced a new sensitive claims “pathway” in October last year, which required people to be diagnosed with a mental illness as a result of sexual abuse in order to receive funding for counselling. The pathway required a doctor’s opinion and assessments from a psychologist or psychiatrist to determine whether a person has suffered a mental injury.
A group of Whakatane counsellors expressed their concerns to Labour MPs in March this year that the new legislation would result in at-risk patients not receiving the help they needed. They were also concerned they would end up providing their services for free, because they couldn’t refuse to help people in need.
The 16 hours of counselling is intended to provide support to survivors of sexual abuse and information gained by counsellors during these sessions would be used within the assessment process.
ACC general manager claims manager Denise Cosgrove said ACC had listened to concerns expressed by several groups that more support was needed but they would still be continuing to develop the sensitive claims process. “We still believe these are reasonable goals but acknowledge that the introduction of the pathway exposed gaps in the services available to people who have suffered sexual abuse,” she said.
Mrs Magee said ultimately she would like to see these people get a minimum 30 hours of counselling sessions, but 16 hours was better than nothing. “It gives us time to work with the person to help them cope better,” she said. “Hopefully it will give some survivors more confidence in coming forward again.” At the very least, it would likely include counsellors in the assessment process again, which was heartening, she said.
Victims rights spokesperson for the Labour party, Lynne Pillay, said this action did not go far enough and the cost cutting exercise should be stopped immediately. “Since National introduced this scheme thousands of sexual abuse survivors have been denied counselling,” Ms Pillay said. “Up to 90 per cent of claims for sexual abuse counselling has either been declined or put into a holding pattern since October last year.”
A Whakatane woman known as Rachel, who has been fighting ACC for compensation and funding for counselling for sexual abuse and whose case is being followed by the Beacon, will be entitled to receive counselling sessions under these changes. However, she said the process was still lengthy and, because ACC would likely be inundated with new claims, the system would be further bogged down.
Her advocate David Wadsworth said providing the preliminary counselling sessions was really just putting a band-aid on a more serious problem, which was ACC processes and the lengthy wait that claimants constantly endured. He said it was taking ACC an extraordinary amount of time to process claims and make decisions on whether or not they would be accepted since this new sensitive pathways legislation was imposed. Rachel, for example, had been in the system for nine months so far, awaiting a decision on her claim, despite her GP recommending she receive prompt and brief intervention to enable her return to work.

© 2010 Whakatane Beacon
http://www.whakatanebeacon.co.nz/cms/news/2010/08/art10007697.php

ACC rape counselling backdown

A blog entry from Tumeke! by Bomber Bradbury

Congratulations to all the amazing women impacted by this unnecessarily cruel policy who were brave enough to stand up against this despicable decision that denied sexual assault victims any counselling because the Government offensively redefined rape as an 'acute event' as opposed to a mental illness and as such didn't require counselling. This new definition was used to turn down 90% of claims, it was a disgustingly cruel piece of policy and the Government have done the right thing by backing down and offering 16 hours counselling, this is still a weak amount of time to give sexual assault victims, but it is many times better than the system National implemented.

Click here to read more.

Reversal of ACC funding cuts for abuse victims

A press release from the Mental Health Foundation

The Mental Health Foundation welcomes Accident Compensation Corporation’s (ACC) decision to provide extra support to survivors of sexual abuse.
Since last October – when ACC cut counselling for victims of rape and other sexual abuse ‘sensitive’ claims, and funding was restricted to those with a diagnosed mental injury resulting from sexual abuse or assault – the Foundation has received many enquiries expressing concern about the negative impact on people’s mental health of this decision.
From Monday, people with a new ACC sensitive claim, or with a new claim already in the system but awaiting a decision, will be able to access up to 16 hours with a counsellor.
“For many people who have survived sexual abuse, counselling is a lifeline and taking it away left many vulnerable people with nowhere else to turn,” says Judi Clements, Mental Health Foundation Chief Executive. “Some people will need more than 16 hours counselling, but it’s great news that ACC has listened to the concerns from various groups including survivors of sexual abuse, mental health organisations, sexual abuse counsellors and the general public.”
“We applaud their decision,” says Ms Clements.

http://www.scoop.co.nz/stories/PO1008/S00147/reversal-of-acc-funding-cuts-for-abuse-victims.htm

NCWNZ welcomes ACC announcement but still cautious

A press release from the National Council of Women

The announcement by ACC, that it will provide immediate relief to new and yet unapproved sexual abuse survivors, has come as a relief to the National Council of Women of New Zealand (NCWNZ).
“We cannot state enough just how critical it is that new policy approaches are tested before being rolled out,” says Elizabeth Bang, NCWNZ National President. “A pilot for the ACC clinical pathway should have been undertaken, and the opportunity for culturally appropriate consultation promoted and supported by ACC.”
NCWNZ is aware that ACC is actively taking steps to begin addressing the other issues associated with the clinical pathway and some providers have been contacted regarding their participation.
“In the long-run, the savings that have been made during this nine-month experiment, will undoubtedly be expended as ACC injects funding through to assist, what we envisage will be an influx in claimants,” says Elizabeth Bang. “Again, ACC will need to ensure they have sufficient staff on deck to manage the opening of the flood-gates.”
The most important test of how effective consumers and providers were in their consultations with the ACC Independent Review Panel will be determined by what has been captured in the final report to the Minister of ACC.
“Once the report is made public and the Minister of ACC, and ACC itself, have responded to the report’s recommendations, then we will know what work is left to do to ensure the current discrimination has been dealt with,” concludes Elizabeth Bang.

http://www.scoop.co.nz/stories/PO1008/S00146/ncwnz-welcomes-acc-announcement-but-still-cautious.htm