Oireachtas Joint and Select Committees

Wednesday, 18 April 2018

Joint Oireachtas Committee on Future of Mental Health Care

Mental Health Services: Discussion (Resumed)

1:30 pm

Dr. Aileen Murtagh:

I do not have a figure for the number of consultants who are not on the specialist register. There is an international deficit of consultant child and adolescent psychiatrists, so it is a difficulty. Sometimes when gaps arise locally I become aware that there are consultants who are on the adult specialist register but not on the child and adolescent register who are working as locums, but I do not have an exact figure to hand.

We are very much aware of the NICE guidelines. I have noticed a big difference in the service I currently work for, given the resourcing. If I need access to particular psychological therapy, such as cognitive behavioural therapy ,CBT, or dialectical behaviour therapy, DBT, I can access them in a timely fashion, which is a huge difference. We are able to offer that evidence-based intervention, including medication - which can be a very valuable part of the overall package - but that was not always the case. When I worked with CAMHS, if I had a young person who needed CBT a therapist was not always available. I am not sure if I can answer Deputy Kenny's second question.