Dáil debates

Wednesday, 19 December 2012

Topical Issue Debate

Mental Health Services

3:00 pm

Photo of Alex WhiteAlex White (Dublin South, Labour) | Oireachtas source

I thank Deputy Kitt for raising this issue for discussion today which I am taking on behalf the Minister of State, Deputy Kathleen Lynch.

Tuam mental health services cater for the Tuam and Headford catchment areas with a population of approximately 35,000 and a caseload in excess of 800 individuals. Traditionally the service was provided at St. Brigid's Hospital in east Galway, but gradually over the years, community mental health services in Tuam and Headford have been developed, as the Deputy indicated. Among the services provided by Tuam community mental health services are a day hospital which operates five days per week as a community mental health centre; a day centre which provides a seven-day service for approximately 30 patients; one high-support, three medium-support and five low-support residences, accommodating 40 service users; and Toghermore House, an 18-bed residence providing high support to a mixed service-user group, including elderly, those with a learning disability, those in need of continuing care and respite accommodation.

The HSE makes every effort to ensure the quality and safety of all services delivered to patients and staff by keeping such matters under review. As such, an independent fire and safety report on Toghermore House was undertaken in September last and its final report was submitted to the HSE last week. The report shows that the current facility does not meet the minimum fire safety standards for this type of building, which needs to be addressed immediately.

The HSE has formed a local steering group to assess the challenges outlined in the report with a view to closing the facility as a matter of urgency.

The group consists of a cross-section of senior local mental health services personnel, as well as patient representation. The HSE will also be liaising with the residents and their families as part of the process. The measures on how best to address the fire and safety issues are being discussed at a meeting of the steering group scheduled to take place today to progress the matter in a controlled and safe manner. The steering group is also considering the relocation of the current residents to the most appropriate clinical settings according to their individual needs while the safety issues are addressed.

Toghermore House remains operational during this process but has ceased any new admissions since last Monday. It is also important to stress, however, that all other mental health services in the Toghermore complex to which Deputy Kitt referred and which include the day hospital, the day centre, the training centre workshop, primary care and child and adolescent mental health services will continue to operate as normal. The Minister of State with responsibility for disability, equality and mental health asked that she and the Department be kept informed of developments in respect of Toghermore House arising from the steering group's findings. Obviously, the situation is somewhat fluid but I hope this at least provides some clarification on the issue.

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