Ms Rosemary Smyth:

The provision of services is a matter for the commissioners of child and adolescent beds, which in this case is the HSE. A considerable number of years ago, the commission conducted a review and the result indicated there were enough inpatient beds within our jurisdiction for CAMHS and that the problem lies in community services, whereby care and treatment that could prevent people warranting admission are not available. We have spoken about waiting lists and waiting times. It then comes to the point in time when people do need admission.

The commissioners made the decision on the structures and where to locate the CAMHS units. They are located in Galway, Cork and Dublin, including in St. Vincent's Hospital in Fairview. These were decided by the commissioners. Only three of the units provided by the State take in those aged under 16 years of age. Again, this is a reduction in the number and capacity. The commissioners decided on the age groups that would be admitted to these units. With regard to the lack of provision, the commission has repeatedly requested that the provision of 24-7 out-of-hours services and community services be developed.