Mr. Jim Ryan:

Dr. Doody might comment on this matter as well. CAMHS is a secondary care mental health service for young people with a moderate to severe mental illness, as distinct from somebody who might have a disability and a mild mental illness. We have to be very clear about how we manage our services. Primary care services deliver for people who have mild mental health issues and may have some disability issues. Our CAMHS teams deliver for people who have moderate to severe mental health difficulties. That is how we try to differentiate between the two cohorts. As Dr. Doody said earlier, approximately 2% of the young population will require CAMHS at any stage. We have to ensure the teams we have are available and able to meet the demand from that 2% - not from those who may have a mental difficulty but do not meet the CAMHS criteria. We have invested in other interventions like primary care psychology and in Jigsaw and many other non-governmental organisations to make sure there is a primary care response and a more universal response to those who may need to be seen in a secondary care situation. Dr. Doody might like to comment on mental health intellectual disabilities.