Oireachtas Joint and Select Committees

Wednesday, 25 September 2019

Joint Oireachtas Committee on Children and Youth Affairs

Youth Mental Health: Discussion

Dr. Brendan Doody:

I will speak about the teams and the staffing. A Vision for Change recommended that areas with a population of 50,000 should be supported by 11 clinicians and by two support administrative staff. As an average of 25% of people are under the age of 18, there are 12,500 young people in each of these areas. As Mr. Ryan has said, the number of teams has increased to 71. Although not all of the teams would have the full 11 staff members, all of the disciplines would be recommended on them. It was recommended in A Vision for Change that there should be two psychology posts, two nursing posts and two social work posts within each team. I think there is an average of between six and eight people on each team. I do not have the exact figure. However, most teams have close to the full multidisciplinary complement, if not necessarily to the level recommended in A Vision for Change. The priority has been to fill the multidisciplinary complement. Not all teams have the full multidisciplinary complement. There are two issues at stake here: first, whether a team has the full multidisciplinary complement, and approximately 70% of them are at the level recommended in A Vision for Change; and second, whether a team has two psychologists, two nurses and two social workers. That is what was recommended. We have approximately 80% of the number of teams recommended in A Vision for Change, which was 90. Approximately 70% of the teams which are in place have the staffing levels recommended in A Vision for Change. That brings the figure down to under 60%, if that makes sense.