Oireachtas Joint and Select Committees
Tuesday, 22 March 2022
Joint Committee On Health
General Scheme of the Mental Health (Amendment) Bill 2021: Discussion (Resumed)
Mr. Vivian Geiran:
My colleague will probably want to come in on this as well. As recent investigations in various areas have shown, the current models of governance and management do not always work. Sometimes they do not work for reasons other than the type of structure or model in place. Part of the issue is that the different professions, rightly in my opinion, need to have their own chains or lines of accountability but at the same time, within a multidisciplinary team there needs to be somebody who has clear responsibility in terms of leadership or governance in certain areas. My own professional background includes several decades in the criminal justice system and even there, where multidisciplinary teamwork approaches operate, it is essential that the different members of the team identify who is responsible for what area of work and that they are supported to do that. The overall point I am making is that within a team, there must be a clear co-ordinator, leader or manager and that the different disciplines within that team need their own respective lines of accountability and governance, which should add to the overall effective functioning of the team. Specifically, from the-----
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