Oireachtas Joint and Select Committees

Wednesday, 15 November 2023

Joint Oireachtas Committee on Disability Matters

Rights-Based Care for People with Disabilities: Discussion (Resumed)

Mr. David Walsh:

We will all have to talk about the range of matters the Senator raised. Even within that, there is a huge number of issues. The Cathaoirleach mentioned real life, but what we are putting forward is that real life does not fit into a CAMHS box, a disability box, a primary care box or a Tusla box. It can be a mix of all of them. The take-away I took from the Mental Health Commission report, and the most damning bit within it, was the lack of integration. Dr. Finnerty, who penned the report, was very clear that this is the big failure. Our platform today, both internally in the HSE and with Tusla, is that while we need to build services, those services need to be integrated so that kids do not need to fit into a particular box to get a service. As Dr. Burke said in response to one of the earlier pieces, if someone's primary condition or range of conditions means that he or she is probably best hosted within a disability service, then CAMHS needs to be reaching in to deal with the CAMHS-related things in that regard. Likewise, we need to support kids in care in a better way. There is no one single or boxed solution. We just need to grow and work together, and have interlocking policies and practices that will protect children.

There were also contributions about the Jack recommendations.

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