Oireachtas Joint and Select Committees

Thursday, 19 October 2017

Joint Oireachtas Committee on Future of Mental Health Care

Update on the Next Stages of the Review of A Vision for Change: Department of Health

9:00 am

Mr. Hugh Kane:

That is why I thought we should give a balanced review. We must say that some things have really been good and there are great people doing super jobs every single day but there are things that we need to sort out as well. We must re-affirm to people that this is difficult work in difficult circumstances but it is really important. Any one of us could need the support of these professionals some day. It is important that we strike a balance.

I have dealt with the query about doctors. I will now respond to Senator McFadden. When we considered the composition of the group, we opted for competency rather than have every single representative group involved at the oversight level. We made that decision and we have tried to apply it to how we do our work and drive that on.

Emergency admission is a thorny issue. People would say that if one has an emergency, no matter what it was, one should go through an emergency department. The initiative was introduced as part of trying to remove the stigma. The initiative has, to a lesser or greater extent, been successful. However, we must consider a 24-7 service.

A number of members have mentioned money and the budget piece but I think we will just flag that. Perhaps people with more expertise than us can address those queries for the members.

We are not resetting the policy for A Vision for Change. We want to build on it and see where we can go from there.

I agree that stigma still impacts on the ability of people to speak about mental health issues. Therefore, if one has a mental health difficulty, other people think it says something about the sufferer rather than something experienced by one out of four of us over a lifetime. I agree with Deputy Neville that attitudes to mental health were very low and the terms "lunatic" and "lunatic asylum" were bandied about. A huge piece of work is necessary to dispel the stigma.

In terms of creative arts and sport to combat mental illnesses, I saw such projects when I worked with the Genio organisation and around the place. I also chair a sports for all group across the major sporting organisations that are considering using sport to assist people to stay well, have a better quality of life and improve people's understanding of mental health and mental health difficulties, and working at a different level around the issues.

I am all for easy wins and things that we can do to make improvements in the area. If we come across something helpful, as we write the report, we will feed it straight back into the system as we go along.

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