ACC8531 Early Supports Plan - child and young person

**ACC8531** **Early Supports Plan - child and young person** This report - is for a kiritaki (client) who was aged 17 years and under when this period of service began. - should be completed during the Early Supports sessions by the Lead Service Provider in collaboration with the kiritaki, and a guardian, safe contact or whānau where appropriate. Please refer to the Sensitive Claims Service operational guidelines and report guidelines on our website: www.acc.co.nz/resources. Return the completed report together with a signed *ACC8532 Consent for cover timeframe extension – client* (if applicable) to sensitiveclaimsreports@acc.co.nz. **Part A: Kiritaki information** **1. Kiritaki details** Kiritaki name: Maia Ruka Date of birth: 09/11/2011 Claim number: 10094612 Address: 42 Awatea Crescent, Rotorua 3015 Contact details/safe contact where appropriate: Safe contact is the kiritaki's mother, Whaea Tania Ruka, mobile 027 314 8290, weekdays after 15:30. No contact at school address. [x] Female [ ] Male [ ] Another gender [ ] Prefer not to say Ethnicity: Māori (Ngāti Whakaue, Te Arawa) Is the kiritaki in the care of Oranga Tamariki? [ ] Yes [x] No Are there any formal guardianship/custody orders in place? [ ] Yes [x] No [ ] Don't know Name of guardian/whānau: Tania Ruka Is the guardian/whānau listed above a legal guardian? [x] Yes [ ] No [ ] Don't know Relationship to kiritaki: Mother Phone numbers: 027 314 8290 (mobile), 07 348 1294 (home) Address (if known): 42 Awatea Crescent, Rotorua 3015 Are there any reasons why ACC should not contact the legal guardian? [ ] Yes [x] No **2. Consent to access the service** **Kiritaki aged 0–15 years** Gillick competence has been confirmed: [x] Yes [ ] No Child/young person assent obtained: [x] Yes [ ] No Safe contact consent obtained: [x] Yes [ ] No **Kiritaki aged 16 years to 17 years, or where Gillick competence has been confirmed** Kiritaki consent obtained: [x] Yes [ ] No Authority to act (if applicable) consent obtained or informed: [x] Yes [ ] No Any additional points to note: Maia met Gillick competence criteria during assessment, demonstrating understanding of the nature and purpose of the service, the limits of confidentiality, and her right to withdraw consent. Her mother was present for the consent conversation at Maia's request and is the named safe contact. Maia chose to provide both her own consent and to have her mother informed and involved. **Part B: Event details** **3. Event details** For each event, clearly and concisely outline: - the Schedule 3 events. Avoid using broad terms that are open to interpretation such as 'sexual abuse' and 'inappropriate touch' - the date or date range of the events - the frequency of the events - the perpetrators relationship to the kiritaki, if known. For privacy reasons, refer to third parties by their relationship to the client, rather than their names. 1. The kiritaki has disclosed events involving non-consensual sexual contact (specifically described to the clinician but recorded here in summary form per ACC privacy guidance). The events occurred between January 2023 and March 2024, with approximately monthly frequency over that period. The perpetrator is a former neighbour of the kiritaki's whānau, an adult male. 2. The kiritaki has disclosed a separate single event of non-consensual sexual contact by an older peer at a community event in November 2024. In your opinion, is it likely that one or more of the events is listed under Schedule 3? If unsure, please contact us to clarify. [x] Yes [ ] No Did any of the events happen in Aotearoa New Zealand? [x] Yes [ ] No Does the kiritaki have any other active ACC claims? [ ] Yes [x] No **4. Kiritaki current situation** a. What presenting concerns is the kiritaki or guardian/safe contact requesting assistance with? Maia and her mother are requesting support for nightmares, daytime intrusive memories, increased irritability and emotional reactivity, avoidance of certain people and places, and a recent decline in school attendance. Maia's mother is also requesting whānau support to understand how best to respond to Maia's distress at home. b. Describe the current presentation of the kiritaki: Maia presents as a 14-year-old wahine living with her mother, two younger brothers (aged 9 and 7), and her maternal grandmother in Rotorua. Psychosocial stressors impacting her include the disclosure of the Schedule 3 events to her mother in February 2026, the involvement of police in the subsequent investigation, and a recent change of bus route to avoid passing the perpetrator's former home. She also reports significant peer-related stress, including a sense that her closest friends do not know about her experience and that she feels increasingly disconnected from them. Areas of function: at home, Maia is withdrawn but engaged in whānau activities including kapa haka with her grandmother. At school she is attending intermittently (approximately 3 days per week, down from full attendance), her grades have dropped in mathematics and English, and she has stopped attending kapa haka practice at school. Sleep is disrupted by nightmares two to four nights per week. Strengths and protective factors include a close and supportive relationship with her mother and grandmother, strong cultural identity and engagement with kapa haka, a small circle of trusted friends, a willingness to engage with the assessment process, and capacity to articulate her experience and needs. c. Since the events, has the capacity of the kiritaki to engage in school or other usual activities been impacted? [x] Yes [ ] No School attendance has decreased from five days per week to approximately three days per week over the past three months. Maia has withdrawn from school kapa haka and has stopped attending the school's lunchtime social group. Her academic performance has declined in mathematics and English. She continues to attend her grandmother's whānau-based kapa haka roopu on Saturdays, which remains an important source of connection and regulation. d. Have the events impacted the ability of the kiritaki to function in the workplace? [ ] Yes [ ] No [x] N/A e. Describe any cultural or spiritual needs relevant to the kiritaki. Maia and her whānau have identified that engagement with te ao Māori is central to her recovery. They have requested that, where possible, support be delivered by a clinician with experience in kaupapa Māori practice. Whaea Tania has also asked that karakia be available at the start and end of sessions, and that Maia's grandmother, Kuia Hineana, be invited to one session as kaitiaki and to support the integration of cultural elements into the recovery plan. Whānau-led decision-making and the principle of whanaungatanga are important to the family. f. Are there any areas of risk? [x] Yes [ ] No Maia has reported passive thoughts of not wanting to be here, occurring approximately twice per week, without active intent, plan, or means. No risk to others identified. Risk of harm from others is considered low at present given that the perpetrator of the primary events is no longer in the local area and the police investigation is active. Duty of care actions taken: safety planning completed jointly with Maia and her mother, including identification of trusted contacts (her mother, grandmother, and her GP), a written safety plan for use during periods of acute distress, agreement to contact Whakatāne hospital ED or Youthline if ideation escalates, and notification of her GP with consent. Maia's mother has been informed of warning signs and supported with information about how to respond. g. Are any other agencies currently involved in supporting the kiritaki? [x] Yes [ ] No Rotorua Police (Adult Sexual Assault Team): active investigation regarding the events disclosed. HELP Rotorua (sexual harm support): crisis support and advocacy. Te Whare Hauora GP: ongoing primary care and physical health monitoring. h. Has the kiritaki previously accessed assistance for their mental health or behavioural difficulties? [ ] Yes [x] No i. Does the kiritaki need support from an interpreter? [ ] Yes [x] No **Part C: Planning and service requirements** **5. Planning and service requirements** [ ] **Support for Next Steps** [ ] **Short-term Support to Wellbeing** [x] **Cover determined using this Early Supports Plan** [ ] **Cover and Wellbeing Plan** [ ] **Specialist Cover Assessment** [ ] A Function Assessment is to be completed as part of the Specialist Cover Assessment. [ ] **Tailored Support to Wellbeing Package** Indicate other ACC supports (not available under the Sensitive Claims Service) that may address challenges for the kiritaki: [x] Social rehabilitation: Teacher aide and school-based pastoral support being explored with Maia's school in liaison with the school counsellor; possible kaupapa Māori cultural support through whānau-based services in Rotorua. [ ] Treatment: [x] Other: Transport assistance for travel between Maia's home and the clinic in central Rotorua has been requested; Maia's mother works full-time and after-school appointments require taxi support. [ ] Vocational rehabilitation: **6. Planned services and the providers who will deliver these services** | Service | Provider name/ACC ID | Provider discipline | Supplier/Supplier ID | Hours | |---|---|---|---|---| | Individual trauma-focused psychological therapy (CBT-T) | Te Awhi Whakatupu / NZP4912 | Clinical Psychologist | Te Aroha Mai Whānau Services / S19284 | 24 | | Whānau and cultural support sessions | Whaea Hineana Tamatea / K12047 | Kaitiaki, kaupapa Māori support | Te Aroha Mai Whānau Services / S19284 | 6 | | Family liaison and parent coaching | Te Awhi Whakatupu / NZP4912 | Clinical Psychologist | Te Aroha Mai Whānau Services / S19284 | 4 | **7. Short-term Support to Wellbeing recovery goals** **Part D: Cover determination** **Only complete Part D if you are providing information for cover determination.** **8. Psychometrics** **Measure 1: HoNOSCA / HoNOSI** HoNOSCA / HoNOSI total score Name of measure: Health of the Nation Outcome Scales for Children and Adolescents Date administered: 14/05/2026 Section A total score: 18 Section A+B total score: 22 Comments on the HoNOSCA / HoNOSI results: The kiritaki's HoNOSCA Section A total score of 18 falls within the moderately severe range and is consistent with significant clinical impact across emotional, behavioural, and functional domains. The highest item scores are in emotional and related symptoms (rated 3, moderately severe), with additional moderately severe ratings on peer relationships, family life and relationships, somatic symptoms, scholastic skills, overactivity and concentration, and non-accidental self-injury. The combined Section A+B score of 22 reflects an additional information gap around understanding of the nature of difficulties and available services, which will be addressed early in the treatment plan with both kiritaki and whānau. **Measure 2: Results of additional measures used** | Name of measure | Date administered | Respondents | Total Score | |---|---|---|---| | Children's Revised Impact of Event Scale (CRIES-8) | 14/05/2026 | Kiritaki self-report | 28 | | Strengths and Difficulties Questionnaire (SDQ-Parent) | 14/05/2026 | Parent report (Tania Ruka) | 21 | Comments on results: The kiritaki's CRIES-8 total score of 28 falls well above the clinical cutoff of 17 and is consistent with clinically significant trauma-related symptoms, with elevated scores on both intrusion and avoidance items. The SDQ Parent report total difficulties score of 21 is in the high range, with elevated emotional symptoms and peer problems subscales. Both measures are consistent with the clinical interview and the HoNOSCA findings, and together they support the presence of clinically significant trauma-related symptoms. **9. Link to Schedule 3 events** The kiritaki's presenting symptoms include intrusive memories of the events that the kiritaki has identified specifically with the disclosed Schedule 3 events, nightmares with content matching the events, avoidance of locations and individuals associated with the events, hyperarousal symptoms including sleep disturbance and increased irritability, emotional numbing and withdrawal from previously enjoyed activities, and a marked decline in school attendance and engagement. Onset of clinically significant symptoms is dated by the kiritaki and her mother to early February 2026, when the first disclosure to her mother occurred, with intensification following police involvement in March 2026. Symptoms worsen following any exposure to reminders, including driving past the perpetrator's former neighbourhood and seeing older men of a similar appearance in public spaces; symptoms ease during whānau-based kapa haka practice and time spent with her grandmother. Themes and content of her symptoms map directly onto the Schedule 3 events disclosed, including in the content of nightmares and intrusive imagery. Psychometric scores (HoNOSCA Section A 18, CRIES-8 28, SDQ Parent 21) are consistent with this clinical presentation and support the causal link. Non-Schedule 3 factors contributing to symptoms: Maia experienced the death of her maternal grandfather in late 2024, approximately two months before her disclosure. This was a significant loss for the whānau and contributed to her overall distress. In the clinician's opinion, this loss is a contributing factor to her current presentation but is not the primary cause of her trauma-specific symptoms; the content, themes, and triggers of her intrusion, avoidance, and hyperarousal symptoms map specifically onto the Schedule 3 events rather than the bereavement. The bereavement has reduced her usual coping resources but is not an independent cause of the presenting symptoms. **Part E: Other information and declarations** **10. Other information** Please provide the date of the last face-to-face meeting with the kiritaki/guardian/whānau that informed this report: Date: 21/05/2026 Date of disengagement by the kiritaki/guardian/whānau (if applicable): Date: Please provide any other information you consider relevant to assist in determining cover or to assist in the recovery of the kiritaki: Maia has expressed a clear preference for a wahine Māori clinician, which has been accommodated through allocation to Te Awhi Whakatupu. Police investigation is ongoing and a Victim Impact Statement may be requested; any therapy-related considerations around forensic interviews will be coordinated with Rotorua Police and HELP Rotorua. Maia's mother has consented to ACC corresponding directly with her on Maia's behalf for plan implementation. [x] I have attached a completed copy of the HoNOSCA / HoNOSI questionnaire (only if completing Part D) [x] I have attached other documents, eg clinical reports, other psychometric results. List these: CRIES-8 score sheet dated 14/05/2026; SDQ Parent score sheet dated 14/05/2026; GP letter from Te Whare Hauora dated 08/05/2026. [x] I have attached an ACC8532 Consent for cover timeframe extension – client (if applicable) [ ] I have attached an ACC6300 Authority to collect medical and other records (if applicable) **11. 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: Te Awhi Whakatupu Provider ID: NZP4912 Supplier name: Te Aroha Mai Whānau Services Supplier ID: S19284 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. --- **HoNOSCA score sheet** Report the ratings and result of the HoNOSCA in the score sheet below and in section 9 of the Early Supports Plan template above. HoNOSCA is for ages 4-17 years. Guides on the use of HoNOS measures can be found on the Te Pou website. **Date administered:** 14/05/2026 For each question, answer on a scale of 0 to 4. No problem = 0, minor problem requiring no action = 1, mild problem but definitely present = 2, moderately severe problem = 3, severe to very severe problem = 4. Rate 9 if not known (this is not included in any total scores). **HoNOSCA section A** 1. Disruptive, antisocial or aggressive behaviour: 1 2. Overactivity attention and concentration: 2 3. Non-accidental self-injury: 2 4. Alcohol, substance/solvent misuse: 0 5. Scholastic or language skills: 2 6. Physical illness or disability problems: 0 7. Hallucinations and delusions: 0 8. Non-organic somatic symptoms: 2 9. Emotional and related symptoms: 3 10. Peer relationships: 2 11. Self-care and independence: 1 12. Family life and relationships: 2 13. Poor school attendance: 1 Section A total score: 18 **HoNOSCA section B** 14. Lack of knowledge – nature of difficulties: 2 15. Lack of information – services/management: 2 Section A + B total score: 22 **Items for Clinician Review** [ ] Section 1, Kiritaki details: confirm address spelling (42 Awatea Crescent, Rotorua 3015); transcribed from verbal report and not verified against ID. [ ] Section 1, Contact details: confirm whether SMS to the mother's mobile is an acceptable safe contact channel, or whether voice only is preferred. [ ] Section 3, Event details: police investigation is active; confirm with HELP Rotorua advocate whether any aspects of the disclosure should be redacted before ACC submission to protect the forensic interview process. [ ] Section 6, Planned services: kaitiaki ACC ID K12047 for Whaea Hineana Tamatea recorded; verify against the ACC kaitiaki register before submission. [ ] Section 9, Schedule 3 link: bereavement is identified as a contributing non-Schedule 3 factor; confirm that the dates of the grandfather's passing have been recorded accurately as "late 2024". [ ] Section 10, Attachments: ACC8532 Consent for cover timeframe extension is marked as attached; verify signed copy is on file before submission. [ ] HoNOSCA: item-level scores transcribed from the clinician's hand-completed score sheet; cross-check the original before scanning and attaching.