Oireachtas Joint and Select Committees

Thursday, 18 January 2018

Joint Oireachtas Committee on Future of Mental Health Care

Community Health Care Organisations: Discussion

10:00 am

Dr. John O'Mahoney:

It is very simple. Most people who go into these professions are interested in caring for people and in doing a proper job. They may be working in a team where they know what has to be done but they do not have the resources. While I am on this point, I will respond to a question the Chairman raised. We have a range of staff who offer talk therapy, such as nurses, occupational therapists, psychologists and doctors trained in CBT and other talk therapies. The problem is that if there are only four people in a team, one has got to cut one's cloth to suit the measure and see the people who are most unwell or most deserving of care.

It becomes frustrating for people to not be able to do their job. The best example is that a consultant psychiatrist in Britain will typically have half the catchment area size in terms of population compared with a consultant here. That consultant would have a fully populated team. I am not trying to beat the drum to death but these are the facts. The members can speak to my colleagues about it. At this stage we are almost net exporters of health care professionals. When I worked abroad, I always had colleagues-----

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