Oireachtas Joint and Select Committees

Wednesday, 20 June 2018

Joint Oireachtas Committee on Future of Mental Health Care

Deficiencies in Mental Health Services: Discussion

1:30 pm

Mr. John Saunders:

I agree with what Ms Brennan has said earlier on that we do not have enough people employed in the so called non-medical disciplines such as psychology and social work, not just in CAMHS but in all mental health teams across the country. That is part of the issue. The services are not providing what vision for change wants, namely a model based on doctors, nurses and a whole range of disciplines besides. The second issue is one of resources. One of the things we have been identifying is the fact that in CAMHS, for example, the amount of money available throughout the country ranges from a low of €40 to €92 per person per annum. It is a whole range of different figures depending on where one lives. That is evident in how services are being provided by other countries.

I refer to manpower. It is cold comfort to anybody here but A Vision for Change made four or five recommendations on increasing manpower for psychology, social work and other disciplines way back in 2006. It did not happen and now we are reaping the rewards of that if that is an appropriate phrase. We do not have enough people coming out of the training schools as are required in mental health. As has been said, some will emigrate.