Oireachtas Joint and Select Committees

Tuesday, 21 March 2023

Joint Committee On Health

Dual Diagnosis and Mental Health: Discussion

Ms Em Murphy:

On the last point, talking about parliamentary questions, the health system and the primary care system, the reality for a lot of people who are experiencing these things is that the best case scenario with a GP at the moment is that one gets a referral.

In Dublin, one gets a referral to a waiting list that is years long or one gets sent to the accident and emergency department if the issue is deemed severe enough. One waits there for 12 hours and probably gets sent away. Only a small percentage of people get sent on to inpatient care from there. This is a fundamental issue that needs to be addressed if we are going to have better care provision for people. This is not a criticism of GPs, who are doing their best, but on average, they have five minutes to see a patient. They are under so much pressure that they are trying to get people in and out as quickly as possible. If we are talking about trauma-informed communities and trauma-informed care underpinning everything, how is it possible for GPs or other underfunded services, to deliver trauma-informed care if they do not have the resources?

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