Oireachtas Joint and Select Committees

Wednesday, 6 December 2023

Joint Committee On Children, Equality, Disability, Integration And Youth

Access to CAMHS for Individuals with Dual Diagnosis: Discussion

Dr. Amanda Burke:

It will start next year. One area is fairly well developed in the administrative triage system but we need to put clinical triage at the back of that. That will be the Dublin area first and there will be another pilot site outside of Dublin. I know we are short on time so I will move on to the issue of overmedication. I was listening earlier and I would like to apologise to the service user who had a bad experience. A young person should not have that experience in CAMHS. We apologise. If they want to contact us after, we will talk to them about their experience and I hope we can learn from it. We had a prescribing audit and the results were very positive. We did not find any evidence of overprescribing. Notwithstanding the results from County Kerry, which obviously were unacceptable, we did not find generalised overprescribing, which is good news. What the Deputy spoke about is prescribing in isolation. Some CAMHS teams do not have access to the psychological or talking therapies they need. We would never prescribe medication unless warranted but it should be prescribed in conjunction with talking therapies. We have waiting lists for those. The new youth mental health office is looking at innovative ways to tackle that, one of which may be outsourcing some talking therapies while we build capacity in our teams. We were lucky to get some new development funding this year. We will target that funding towards talking therapies in the multidisciplinary teams.