Dr. Philip Dodd:

In 2017 and 2018, the HSE engaged with a service improvement process called the choice and partnership approach, CAPA, which is largely what the Deputy described. CAPA has been used in many CAMHS services in the UK. It sets at its centre the booking visit, which uses a much less detailed referral form and to which there is rapid access.

The issues that are significant for the young person are discussed quickly and a waiting list to access various types of therapy from the team may well develop. We are trying to establish three demonstration sites for the process in various parts of the country in order that we can demonstrate the effectiveness of the model within an Irish setting. Unfortunately, for the demonstration sites that were selected in 2018, there were recruitment difficulties with backfilling staff to take on the work. Nevertheless, we remain committed to improving the whole experience of the referral and the CAMHS intake.