Oireachtas Joint and Select Committees

Tuesday, 30 November 2021

Joint Committee On Health

General Scheme of the Mental Health (Amendment) Bill 2021: Discussion (Resumed)

Photo of Neasa HouriganNeasa Hourigan (Dublin Central, Green Party)
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I want to stay in the realm of supported decision-making. I have a few questions with regard to individual care plans. I totally understand that there has to be a huge amount of discretion and that care plans should be tailored to the best medical advice of the team that is dealing with an individual. One of the recommendations of Mental Health Reform is that there should be a requirement in care plans to develop a decision-making strategy and that there would be certain constraints around care plans. I take that point around supported decision-making, but I want to widen it out. What should be the framework for care plans for the individual, but also for the care team such that they know what the constituent parts of it are? What would be the oversight of those care plans and how would they relate to the advanced healthcare directives, AHDs? I do not quite understand the relationship between the two. If somebody could explain it to me, I would be very grateful.