Ms. Naumann

The applicant was injured in a motor vehicle accident and sought statutory accident benefits, claiming she sustained a catastrophic impairment due to mental and behavioural disorders.

The Licence Appeal Tribunal found that the applicant sustained a marked impairment (Class 4) in Adaptation, qualifying her for catastrophic impairment status.

The Tribunal awarded attendant care benefits, professional organizing services, and vision therapy, but denied aquatherapy sessions.

The Tribunal also denied the applicant's request for a special award under Regulation 664, finding the insurer's denials were not unreasonable.

The applicant, who was 11 years old at the time of the motor vehicle accident, sought various medical and rehabilitation benefits outside the Minor Injury Guideline.

The adjudicator found that the applicant established entitlement to a treatment plan for physiotherapy and chiropractic services, as they were reasonable and necessary as a result of the accident.

However, the remaining benefits for occupational therapy and psychological assessments were denied because they either exceeded the maximum amount payable for an assessment or were not supported by objective medical evidence from qualified practitioners.