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Among the protesters' demands is that ACC reforms eligibility for coverage for abuse survivors, immediate redress and an end to government's boot camps.
The about two dozen survivors of abuse in care and their supporters marched from the Bridge of Remembrance to ACC to deliver a letter calling for change.
Advocate Ken Clearwater said survivors seeking ACC-funded care for trauma faced a six to eight month wait and some had been denied coverage.
"One psychiatrist's report for a survivor of abuse by a Catholic priest at St Joseph's school here in Christchurch said cover declined - sexual abuse not connected to the mental injury," Clearwater told the crowd.
"This is a seven-year-old boy in the care of the church... who was sexually abused over three days by a priest but the psychiatrist said the sexual abuse was minor."
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Survivors were also still being ignored and kept in the dark, despite the promises from government ministers, agencies and politicians, Clearwater said.
"Survivors have been silenced for years. We've finally got the most amazing document from the Royal Commission, which is being ignored."
Survivors needed immediate redress and the government's boot camps experiment needed to end, he said.
Piwi Beard was also concerned about the use of boot camps.
"It's never worked and never will and the worry for me is they've gone silent on the outcomes," the survivor of abuse in girls homes said.
"We're not helping whānau find solutions. I'm a great believer in whānau for whānau, whānau-led. Whānau have the solutions, we just need to resource them and what's happening is they're not doing that - they're uplifting and putting up barriers for whānau to fail."
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"You spend 30 years talking about this stuff, but you don't know who's listening."