From October 27 ACC is changing its criteria for covering the cost of counseling for survivors of sexual abuse. Under the new criteria, survivors will only be eligible for ACC covered counseling if they have been diagnosed as having a mental injury, as defined by the Diagnostic and Statistical Manual of Mental Disorders IV.
According to Dr Peter Jansen, ACC clinical director in charge of the proposed changes, “ACC's legislative role is clearly defined. We are only able to assist those who have a diagnosed significant mental injury resulting from the abuse/assault they've suffered,” and the rule change is aimed at bringing ACC practice in line with legislation.
But Dr Kim McGregor, who chairs the tauiwi (Pakeha) section of the National Network Ending Sexual Violence Together, has said that “some counsellors are ethically opposed to using a psychiatric diagnosis for sexual violence.”
Making survivors jump through bureaucratic hoops to get the support they need contributes to the trauma of sexual abuse by further disempowering people who've already been through a traumatic and disempowering experience.