Oireachtas Joint and Select Committees

Tuesday, 21 March 2023

Joint Committee On Health

Dual Diagnosis and Mental Health: Discussion

Dr. Liam Mac Gabhann:

It must have been my hearing but I heard four questions and that was before mention of EMDR so I will respond to what I heard. I cannot believe I am going to say this but the question I heard was whether politics is working. I think the Deputy's way of questioning was politics has not worked for this. For once, maybe, or certainly in this case, politics is beginning to work. I will set out my reasons for thinking this. We now have joined-up policy, a mandate and a clinical programme, so as a result of some political activity, at least in this case politics is beginning to work.

Politics is beginning to affect funding so people are able to look for funding for dual diagnosis and organisations at local political levels are having to respond. There are three examples. I will come to Louth in a second. Finglas and Cabra were able to get charitable funding because dual diagnosis is now on the political agenda. We have provided dual diagnosis capacity building around the trauma-informed community in Finglas and Cabra. All of these organisations are part of that. For the very same reason, namely, politics, we were able to get funding for a community capacity-building project in north-east inner-city Dublin around creating a trauma-informed community regarding dual diagnosis. That was politically driven. Because of the political agenda, it is likely that the Finglas-Cabra project will be repeated in Louth in the summer. If the Deputy has any help or influence regarding that, it would be great. It is going through the Department of Health at the moment. Politics is doing that so the north-east inner-city project and the Finglas-Cabra Mental Health Ireland-funded project were politically driven. I am going to get tackled and go home saying politics is working. In this case, politics is playing a really good role.

Regarding the second question, we do not have the services. We have all said here that we do have the services but we do not have the appropriate resourcing for those services. The key answer to that is to resource the services we have and then we will have the dual diagnosis response.

The third question concerned Louth. It is possibly happening. EMDR has a limited role in trauma. It is particularly good-----

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