ACC8541 Wellbeing Plan

**ACC8541** **Wellbeing Plan** This report should be completed by the Lead Service Provider in collaboration with the kiritaki (client) when planning their recovery from a covered mental injury and either: - the kiritaki has not previously had a Wellbeing Plan for their injuries, eg because their claim for the injuries was recently approved; or - the kiritaki is returning for treatment of injuries on an existing covered claim but requires a new Wellbeing Plan. Please refer to the Sensitive Claims Service operational guidelines and report guidelines available on our website: www.acc.co.nz/resources. Return the completed report to sensitiveclaimsreports@acc.co.nz 1. Kiritaki details Kiritaki name: David Park Date of birth: 22/02/1988 Claim number: 10052934 Contact details/safe contact where appropriate: Kiritaki contact directly on mobile 027 519 4286, email david.park.welly@protonmail.com; voice call after 18:00 weekdays preferred. **2. Current situation and impacts** a. Changes to the presentation of the kiritaki: Since the last Wellbeing Plan was completed in mid-2022, the kiritaki had been functioning well with no active treatment for approximately three years. Over the past four months, the kiritaki has reported a clear recurrence of trauma-related symptoms, including intrusive memories of the Schedule 3 events occurring three to four times weekly, nightmares two to three nights per week, increased irritability, exaggerated startle, and reduced concentration. New since the previous report, the kiritaki reports depressed mood that has emerged over the past three months with anhedonia, fatigue, early morning waking, and reduced appetite with a 4 kg unintentional weight loss. Socially, the kiritaki has withdrawn from his previously active circle of friends in Wellington and has reduced contact with his sister, who has been an important support. He continues to work full-time but reports increasing difficulty meeting deadlines and a pattern of working long evening hours to compensate for daytime concentration difficulties. The kiritaki has resumed sertraline 50 mg daily under his GP's care, which he ceased in 2022, and is reporting mild gastrointestinal side effects in the initial four weeks since restarting. b. Changes to the life situation of the kiritaki: Two significant life changes have occurred since the previous report. First, the kiritaki separated from his long-term partner of nine years in February 2026, and his partner moved out of the shared home. The separation has been amicable but is described by the kiritaki as a significant loss and an ongoing adjustment. Second, the kiritaki has taken on a senior technical lead role at his employer in January 2026, with significantly increased responsibility, a high-profile project, and demanding hours. Together, these stressors have precipitated the recurrence of symptoms described above. Developing strengths and protective factors include recent re-engagement with the small Korean community group in Wellington that the kiritaki had stepped away from in 2023, and renewed contact with his maternal aunt in Auckland, who has provided supportive phone contact over the past two months. Have there been any developments of risk to the kiritaki from themselves or others, or from the kiritaki to others since the previous report? [x] Yes [ ] No If risk is identified, please describe the risk, any duty of care actions taken and how the risk will be managed: The kiritaki reports passive thoughts of not wanting to be alive, occurring approximately weekly over the past six weeks, without active intent, plan, or means. No risk to others identified. No risk of harm from others identified. Duty of care actions taken: collaborative safety plan completed jointly with the kiritaki, including identification of trusted contacts (his sister in Wellington and his GP), agreement to contact 1737 or attend Wellington Hospital ED if ideation escalates, and a planned review of ideation at each session. The kiritaki's GP has been notified with consent and is reviewing him fortnightly for medication titration and risk monitoring. The kiritaki has declined a referral to specialist community mental health at this time but agreed to a re-referral pathway if symptoms escalate. c. Changes impacting access to services since the previous report: The kiritaki's new senior technical lead role has reduced his daytime availability for appointments. He has requested that sessions be scheduled either before 09:00 or after 17:00 where possible. He has also requested the option of secure video sessions for at least every second appointment to reduce travel time. No financial or transport barriers identified at this time. No language or interpreter needs. Changes to non-ACC supports involved in the recovery and care of the kiritaki: | Name | Role/function | Community organisation | |---|---|---| | Dr Hannah Liu | GP, medication titration and risk monitoring | Te Aro Medical Centre | | Reverend Min Kim | Spiritual and cultural support through Korean community group | Wellington Korean Presbyterian Church | | Ji-eun Park | Identified support person (sister) | Personal support, Wellington | **3. Treatment** a. Tailored treatment needs The symptoms impacting David's functioning and quality of life include intrusive memories, nightmares, hyperarousal, depressed mood, anhedonia, fatigue, sleep disturbance, reduced concentration affecting work performance, social withdrawal, and intermittent passive suicidal ideation. The supports needed include resumption of trauma-informed psychological therapy with a focus on relapse processing and consolidation rather than initial trauma exposure (most of which was completed in the 2020 to 2022 package), concurrent psychiatric medication review with his GP, integration of Korean cultural identity into recovery through engagement with the Wellington Korean community, and proactive coordination with David's workplace to manage the current work-related stressors. Cultural needs: David has identified that his renewed engagement with the Wellington Korean community group is a meaningful protective factor, and he has requested that the treatment plan respect and accommodate the cultural framing of recovery, including the option of bringing a member of his community group to one session if he chooses. The plan includes the option of co-therapy or cultural consultation with a Korean cultural support practitioner at agreed points. b. Broad treatment outcomes: David would like to be able to maintain his current senior work role without symptoms interfering with his performance or wellbeing, sleep restfully through most nights without nightmares, re-engage socially with his existing circle of friends, navigate the separation adjustment without persistent low mood, and feel that the gains made in his 2020 to 2022 treatment have been consolidated and are sustainable. He will know this has been achieved when he is sleeping through five or more nights per week, attending two or more social events per month, completing work tasks without overrun into evenings, and reporting a stable mood with no further passive suicidal ideation for at least three consecutive months. c. What other non-ACC supports in the community will be involved in the treatment pathway for the kiritaki? | Name | Role/function | Community organisation | |---|---|---| | Dr Hannah Liu | GP, medication management and fortnightly review during titration phase | Te Aro Medical Centre | | Reverend Min Kim | Cultural and spiritual support, available for consultation at agreed touchpoints | Wellington Korean Presbyterian Church | | Ji-eun Park | Identified support person (sister), available for collateral sessions if David requests | Personal support, Wellington | **4. Treatment barriers** | Treatment barriers | Plans to address treatment barriers | |---|---| | Passive suicidal ideation requires monitoring before commencing deeper relapse processing work | Risk reviewed at every session; safety plan in place. Phase one of therapy will focus on stabilisation, sleep, and mood lifting before deeper processing. | | Demanding work schedule limiting appointment availability | Flexible appointment times (before 09:00 or after 17:00) and option of secure video sessions every second appointment. | | Initial GI side effects from restarting sertraline limiting medication adherence | Coordinated with GP regarding dose timing and adjunctive symptom management; review at fortnightly GP appointments. | | Marital separation as concurrent psychosocial stressor | Integrated grief and adjustment work alongside trauma-focused relapse processing; consideration of brief individual sessions focused on the separation in phase one. | | Reduced social engagement during current episode | Behavioural activation early in the package, with structured re-engagement with the Korean community group and existing friend circle. | **5. Recovery Goals** Recovery goal: Reduce the frequency of intrusive memories from three to four times per week to once or fewer per week, by the end of Package A (approximately week 20). How will the outcomes of this goal improve kiritaki functioning? Reduced intrusion frequency will allow David to remain focused at work, sustain his evening recovery time, and reduce the secondary fatigue and irritability that the intrusions currently drive. He will be more able to engage in social and cultural activities without anticipatory dread. How will this goal be achieved? Specify the services needed and how they will be used to achieve the goal. Phase one of therapy will revisit and refresh the grounding, present-moment anchoring, and intrusion management techniques developed in the 2020 to 2022 treatment package, and adapt them to the current life context. Targeted EMDR or trauma-focused CBT sessions in phase two will address any newly emerged trauma-related content or unprocessed material. Weekly individual sessions for the first 12 weeks, with a step-down to fortnightly sessions for weeks 13 to 20. How will progress towards this goal be measured? Weekly intrusion diary completed by David and reviewed in each session. Re-administration of the PCL-5 at weeks 6, 12, and 20. Who will deliver the services to support this goal and what is the expected timeframe to achieve this goal? Dr Marcus Tan (Registered Clinical Psychologist, Lead Service Provider) over weeks 1 to 20. Recovery goal: Achieve sustained workplace functioning of five days per week at the kiritaki's full role responsibilities, without unplanned evening overtime, for at least four consecutive weeks, by the end of Package A. How will the outcomes of this goal improve kiritaki functioning? Sustainable working hours will restore David's evening recovery time, allowing for sleep, social re-engagement, and self-care. It will reduce the secondary stress of overrunning deadlines and improve his sense of competence in his new role. How will this goal be achieved? Specify the services needed and how they will be used to achieve the goal. Skills-based therapy focused on workplace concentration, task pacing, and emotional regulation under work stress. Liaison with David's manager (with David's consent) to clarify expectations and to ensure the senior technical lead role has reasonable scope in the recovery period. Workplace mentor identified for in-day check-ins on high-pressure days. How will progress towards this goal be measured? Weekly hours-worked diary, including any evening overtime. Self-report of workload sustainability reviewed monthly. Who will deliver the services to support this goal and what is the expected timeframe to achieve this goal? Dr Marcus Tan over weeks 4 to 20, in collaboration with David's workplace manager. Recovery goal: Re-engage with the Wellington Korean community group at a frequency of at least one cultural or community activity per fortnight, by the end of Package A. How will the outcomes of this goal improve kiritaki functioning? Regular engagement with the Korean community group will support David's cultural identity, his social connectedness, and his identified protective factor. It will reduce isolation and provide ongoing access to spiritual and cultural framing of his recovery beyond the duration of the ACC package. How will this goal be achieved? Specify the services needed and how they will be used to achieve the goal. Structured behavioural activation introduced from week 2, with a graded re-engagement plan beginning with low-stakes activities (Sunday gatherings, online study group) and progressing to in-person events. Optional cultural consultation session with Reverend Min Kim at week 6 to support the integration. How will progress towards this goal be measured? Activity diary completed by David and reviewed in each session. Who will deliver the services to support this goal and what is the expected timeframe to achieve this goal? Dr Marcus Tan over weeks 2 to 20, with input from Reverend Min Kim at agreed touchpoints. **6. Planned services and the providers who will deliver these** **Tailored Support to Wellbeing** | Service | Provider name/ACC ID | Provider discipline | Supplier/Supplier ID | Hours | |---|---|---|---|---| | Individual trauma-informed psychological therapy | Dr Marcus Tan / NZP4319 | Clinical Psychologist | Te Aroha Mind Wellington / S18204 | 22 | | Workplace liaison and skills-based work coaching | Dr Marcus Tan / NZP4319 | Clinical Psychologist | Te Aroha Mind Wellington / S18204 | 4 | | Cultural consultation sessions | Reverend Min Kim / K20419 | Cultural and spiritual support practitioner | Wellington Korean Community Pastoral Network / S22018 | 4 | Total hours of Tailored Support to Wellbeing: 30 **Group-based Therapy** **Other ACC services** Total expected package duration of all services listed above: 20 weeks **7. Other information** Please provide the date of the last face-to-face meeting with the kiritaki that informed this report: Date: 22/05/2026 Please provide the proposed Progress Report submission date: Date: 04/08/2026 Date of disengagement by the kiritaki (if applicable): Date: Please provide any other information that you consider relevant to assist in the recovery of the kiritaki: David's previous treatment in 2020 to 2022 produced substantial gains, including resolution of nightmares for an extended period and successful return to full work. The current presentation is best understood as a relapse precipitated by major life transitions rather than a primary new episode. The shorter Package A allocation reflects this context and the kiritaki's well-established familiarity with trauma-focused work. Routine review at week 12 will inform whether transition to Package B is required, or whether step-down to consolidation and discharge planning is appropriate. [x] I have attached other documents, eg clinical reports. List these: GP letter from Dr Hannah Liu dated 12/05/2026; PCL-5 score sheet dated 18/05/2026 (baseline 42); safety plan dated 18/05/2026; summary of 2020 to 2022 treatment package outcomes (Te Aroha Mind discharge letter dated 14/06/2022). **8. Provider declaration** [x] I have informed the kiritaki/guardian/safe contact/whānau that the information collected for this report will be sent to ACC to support decisions on treatment and rehabilitation needs. I have kiritaki/guardian/whānau authority for this. [x] I confirm that the information contained in this report is accurate and that I have followed the standards set out in the Sensitive Claims Service operational guidelines. Lead Service Provider name: Dr Marcus Tan Provider ID: NZP4319 Supplier name: Te Aroha Mind Wellington Supplier ID: S18204 Date: 28/05/2026 In the collection, use, disclosure, and storage of information, ACC will at all times comply with the obligations of the Privacy Act 2020, the Health Information Privacy Code 2020 and the Official Information Act 1982. **Items for Clinician Review** [ ] Section 1, Contact details: confirm whether email contact via david.park.welly@protonmail.com is acceptable for ACC correspondence; voice contact after 18:00 was stated as preferred but secondary channels were not explicitly confirmed. [ ] Section 2a, Sertraline restart: dose recorded as 50 mg daily; confirm with Dr Liu whether titration to a target dose is planned. [ ] Section 2c, Access barriers: secure video sessions every second appointment requested by the kiritaki; confirm Te Aroha Mind's video platform meets the kiritaki's accessibility and security expectations. [ ] Section 6, Cultural consultation: ACC ID K20419 for Reverend Min Kim recorded; verify against the ACC cultural support practitioner register before submission. [ ] Section 6, Tailored Support to Wellbeing hours: 22 individual + 4 work coaching + 4 cultural consultation = 30 total hours recorded; confirm this aligns with the Package A allocation for a returning kiritaki. [ ] Section 7, Baseline PCL-5: score of 42 recorded; cross-check the score sheet attachment date and that the kiritaki's responses were complete. [ ] Section 7, Progress Report submission date: 04/08/2026 recorded; confirm this provides sufficient runway to capture early treatment response before the case conference.