Dr. Liam Mac Gabhann:

Arguably, they are for the full model, but all of the focus is on the 10%.

All of the focus is on the recruitment of the specialist team. To take CHO 9 as an example, this CHO is building up and bolstering the existing team. That team does a great job but it will be able to do an even better job. It is about a specialist approach rather than a broad approach. This is our worry. If we get this programme right, there is an opportunity to undo the damage done by past programmes. It is interesting to note that evidence-based dual-diagnosis models had already been created in two CHO areas, CHO 3 and CHO 4, in the past ten years. A perfectly adapted model was created in the South Lee area but it was shelved by the three areas of social inclusion, primary care and mental health because those areas were waiting for a model of care. It is ironic that now, five years later, we are going to pilot something in an area that already had an effective model. The problem with the model was that it was too cheap and too simple. It is the same in Limerick, which is in the CHO 3 area. There was an effective service run by Connection and Recovery in Mental Health and Addiction, CARMHA, which came before this committee a few years ago. CARMHA was delivering a community-based and evidence-based dual-diagnosis service that was not funded. We are now going to back to pilot a model again. It is kind of a funny circle.