Oireachtas Joint and Select Committees

Thursday, 8 December 2022

Joint Oireachtas Committee on Disability Matters

Decongregation of Mental Health Settings: Mental Health Commission

Mr. John Farrelly:

In terms of involuntary admission, depriving someone of his or her liberty is very serious and it must be done in accordance with the law. Let us make the law as good as it can be. The 21-day period is potentially too long so we are looking for a reduction in that. We recognise that people need treatment but at the same time, we must balance that with the deprivation of liberty. That was quite important. Regarding consideration of different types of renewal orders, this is aimed at ensuring people are not deprived of their liberty more than they need to be. Nobody has done anything wrong here. This is somebody with a mental illness, so we must layer that on. We need to get out of the habit of confinement and accidentally medicalising it. Confinement or forcing people to do things are not medical things. It is what society thinks is the only way a person can get treatment and it should be at the absolute minimum amount.

Deputy Ellis mentioned primary care. In fairness, primary care centres are being rolled out around the country. Some of them are lovely. The problem is ensuring there is an equality of roll-out. Even if you prioritised for communities with the most need, mental health should be given parity and included so that it is not some side door or side alley. Mental illness is a real illness like any other illness. Were there any other points?

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