Oireachtas Joint and Select Committees

Tuesday, 21 March 2023

Joint Committee On Health

Dual Diagnosis and Mental Health: Discussion

Mr. Mick Williams:

Deputy Ward spoke about trauma and the link with addiction. Given the types of trauma that we work with and the people we work with, it makes sense for them to take drugs or whatever substance or to drink. The closure of Keltoi was quite sudden. Cuan Dara was one of the main referral institutes to Keltoi. Keltoi had a model of emotional regulation. It developed a system and model that worked for it. It trained other institutions on the model. It was trauma informed. It closed during Covid when things were very different. Many services were not fully operational. We were seconded to other areas to tackle Covid. Addiction services were very different during that time. We started to develop a service on Zoom, and we did what we could.

There have been replacements for the Keltoi services but not in a residential setting. There are certain things with which other of the committee's guests are involved, and the alcohol service in Barrymore House and things like that, but Ireland is lacking in residential services. The Deputy asked at what stage people need residential services and what they do when they come out of them. That is what we do. The closure of Keltoi had a big impact but it has been replaced. There has not been a replacement residential service but other services have developed because of the closure of Keltoi.

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