


In case it isn't possible to read the scanned copy of letter:
"31 August 2010
Danielle Martin
**********
**********
**********
****
Dear Ms Martin
We're sorry, we can't fund any further treatment
Ms Danielle Martin DOB:**/**/****
Your treatment provider ***** ***** has applied to ACC on your behalf for help with the cost of your treatment. Decisions regarding treatment requests are made on an individual basis and after careful consideration of the information we hold, we're sorry to say your application has not been approved.
Why we can't approve your application
We're unable to approve your application because the available information suggests that while treatment may be recommended for your current condition, that condition is not related to the injury you sustained on 05/10/2000.
ACC believes you currently require treatment that would be best met at Segar House. The programme at Segar House will provide you with a safe and therapeutic environment that is targeted to your current presentation. The level of treatment required would not be ment in one on one counselling sessions and therefore treatment through Segar House is more appropriate at this time. This has been discussed extensively with your treating psychiatrist Dr ***** and counsellor ***** *****. A referral was to be made by Dr ***** through the DHB to Segar House for more intensive therapeutic treatment, which ACC understands you have declined.
ACC is mandated to provide and fund treatment that is appropriate and necessary and at the quality required for the purposes of restoring your health to the maximum extent practicable. Until treatment at Segar House is successfully completed, ACC is not able to provide any further treatment for your covered mental injuries of Depressive Disorder and PTSD.
What happens now
We've written to your ***** ***** with our decision and we suggest that you discuss your treatment needs with them. If you have further written medical information in support of this application we may be able to reconsider our decision.
We're happy to answer your questions
Please call us on 0800 101 996 if you would like to talk about this decision. We'll be happy to answer any questions, if you have any concerns, work with you to resolve these.
If you're still not happy, the enclosed information sheet, Working Together, tells you about the different options we offer, including independent reviews. For reviews, you need to apply in writing within 3 months of our decision. Later applications may be accepted if factors ourside your control stopped you from applying in time.
Yours sincerely
Michelle Wogan
Case Manager
Telephone: 0800 735566"
A REPORT FROM MY PSYCHATRIST, THE 'DR' REFERRED TO IN THE LETTER FROM ONE OF MY LAST ACC SUBSIDISED SESSIONS:
"02 Dec 2009
Ms Selena Dominguez
Case Manager, ACC
via email
cc:
Dr * ******
Dear Selena
Re: Ms Danielle Martin
**********
**********
**********
Danielle was seen today for review. Please find following, details of the consultation, and please note myt recommendations re ongoing therapy, and request for approval of a small number of follow-up sychiatric reviews over the coming 6-9 months.
Date of session: 2 December 2009
Session type: Psychiatric
Goals for session: Review progress and plan
Updated History
Danielle has come through the stress of the need to terminate with her therapist, in terms of no suicidal thinking for the past week and no further self-harming behaviour. However she cannot contemplate having to engage with another therapist, and having prior to this felt she was making significant progress finally and could start to have hope for the future, is now feeling that the "rug has been pulled from under her yet again...", and is struggling to retain hope that she will recover over time.
Danielle remains needing large doses of hypnosedatives to get at least a minimal nights sleep (3-4 hrs), and with nightly re-experiencing of past rape via very distressing nightmares. She is aware that when she is ready/able to cope with it, that EMDR treatment does at least offer the chance of relief of these more acute PTSD symptoms.
A long session was spent today processing a range of issues related to the recent events incl the ACC/funding issues, reviewing current treatment, and also me giving my recommendations re "where to from here" in terms of what is ideal separate from any funding constraints. My recommendations, based on consideration of Danielle's issues and my understanding of her developed over the months I have known her, and developed with condieration of her own wishes but certainly not based on what she wants, are:
i) That 4-8 weekly psychiatric overview continue for at least the next 6-9 mths, and that we look to progress a trial of stopping **********(medication) and commencing **********(medication).
ii) That Danielle has made progress in therapy since her psychiatric conditions were better treated, and that disrupting this therapy in her case is not in my opinion in her best interests currently - that the present therapy arrangements should continue.
iii) That I will communicate my opinion as above to Danielle's ACC case manager.
iv) That we review her readiness to engage in a period of EMDR over time with a view to successfully undetaking this treatment at some point within the next 6-9 mths.
v) That supporting Danielle towards greater independance is key to her ongoing recovery; she has made steady progress in this regard over the past 12 months.
Medications
02-Dec-2009 ********** 37.5Mg Modified Release Cap
SIGS : use to reduce and stop ********** QTY: 30
02-Dec-2009 ********** 75Mg Modified Release Cap
SIGS : 1 nocte QTY: 30
02-Dec-2009 ********** 5Mg Tab
SIGS : 1-2 nocte QTY: 45
02-Dec-2009 ********** 7.5Mg Tab
SIGS : 1-2 nocte QTY: 45
Yours sincerely
Dr ***** *****"
Just a girl, drowning ♥