Oireachtas Joint and Select Committees

Wednesday, 1 December 2021

Joint Oireachtas Committee on Health

Substance Misuse and its Impact on Communities: Discussion

Ms Grace Hill:

Absolutely. One positive thing that came out of the mid-term review of the national drugs strategy was the call for an area-based approach. That is a recommendation in our research as well and is a key piece that the local authority would play a part of. I am an employee of South Dublin County Partnership and a lot of that work is already happening. We liaise regularly and have great relationships with gardaí. A key recommendation in the research is for more community gardaí on the street. However, that inter-agency piece is happening.

As the Senator said, there is definitely a need for balance between treatment and prevention. Certainly, one of our recommendations is strengthening the front line. It is about finding a different way to work with young people, for instance. We want to have a pilot around detached street work. We have to constantly be looking at new ways to do that. There is definitely a balance to be struck there. The re-emphasis on an area-based approach is a positive thing that came out of the mid-term review. It is great in theory. However, there is an awful lot of work to be done in practice around that because, as I said in my previous point, the current structures do not afford that.

As I said, the Minister of State will tell us to do things in a regional way and one goes to the national office of the HSE. However, that does not happen. It does not respond; it just refers people to their community health organisation, CHO, 7 addiction services. As I said, that section is not empowered to meet our needs as well. We work with them closely on the ground, but in terms of resources - and I am sorry to be constantly bringing it back there - there is a lot of work to be done. The area-based approach can definitely be improved on. There is always room for improvement. However, the issue for us at the moment is resources needed in order to address those key areas and all the pillars of the national drugs strategy. Would Mr. Hamilton like to add anything?

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