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
Mr. Bernard Gloster:
I will let Dr. Burke deal with the specific of the CHO 4 in Cork piece. Not to add to the problem but I want to start with the acknowledgement of the problem first.
The Deputy's point has been very well made. He has been a long-time advocate of an issue that I would have a huge concern about, which goes beyond CAMHS. The children who require specialist services in Cork and Kerry need a better response from us. Our assessment of need waiting list, which the Deputy has rehearsed many times, far outstrips what other parts of the country were doing. The approach to responsiveness to children with complex needs, be they disability or mental health, seems to have come from a different place and has not always got the type of attention it needs, despite many very good people.
CHO 4 for CAMHS is divided into three areas. There is south Kerry, which clearly has had very specific challenges because of Maskey. We will live with the clout of that for some time. I spent a few hours with the team there and had a pretty sobering conversation. I spent time in north Kerry where there is an audit and I met a young man who was one of those over-medicated people for many years. He ended up requiring surgery because of the impact the over-medication had on his body and he is a person with autism. On the Cork piece, I do not know when exactly a psychologist will arrive. For us the post is not so much a question of money but getting psychologists and keeping them. My colleague will talk to the Cork piece.