Oireachtas Joint and Select Committees
Tuesday, 18 April 2023
Joint Committee On Health
Life Cycle Approach to Mental Health: Discussion
Mr. Se?n Moynihan:
On hoarding, hoarding disorder is classified as a condition by mental health professionals, so it actually is a condition. It is linked to issues like depression, anxiety disorders, obsessive-compulsive disorder, OCD, and attention deficit hyperactivity disorder, ADHD, in that respect. For us, what happens with hoarding is that, obviously, people need the physical support to deal with the problem, but they also need the psychological support because without that, they will feel bereft. There is the idea that one would go into a house and clear it without the resident being involved and supported. It is another area because it is a mental health disorder in respect of which, ultimately, there needs to be planning, funding and understanding. Local authorities at one stage used to help out with the odd skip or this or that. That type of thing has stopped now, yet a lot of this is discovered when people go into hospital because then, in trying to get a discharge plan, it is suddenly discovered that there are no social supports.
The housing conditions can involve environmental health, etc. Building a little on Mr. Taylor's point on that, around 20% of what we deal with are housing issues. People may not know that. Obviously, one conversation happening in this country is about the housing needs of younger people, and we all want everybody to have a home and the safety and security that goes with a home, but the reality is that older people also have huge housing challenges at the moment. These include houses that are no longer fit for purpose for them; the ability to right-size if they want that; alternatives to nursing homes; and safety and security in private-rental or long-term leases. The fact is that the State needs to provide those houses because housing in old age is about safety and security.
On loneliness, the second question, the understanding or definition of loneliness we use, from talking to clinical experts, is an unpleasant feeling we get when dissatisfied with the quantity and quality of our social relationships and everything that spins out of that, which we have previously discussed. Some of that happens for older people from the fractures of life, for example, retirement, bereavement or poor health. All of those are things where support structures disappear and people's mental health and resilience are threatened, yet we do not go in to provide support.
Around cocooning, the-----
No comments