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Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I thank Dr. Niazi.

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I know that. I will ask some of my colleagues to answer some of the questions because some of them are of a clinical nature. Over the past 18 months child and adolescent mental health services, CAMHS, have been in a spotlight. As the committee will know, we have both a review and an audit under way looking at all 74 CAMHS teams the length and breadth of the country. Between 2021 and...

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I thank Senator Flynn. I do not accept there is discrimination against children with autism from any CAMHS team. We have to remember that we have 1 million children in Ireland under the age of 18 and only 2% of children will need the support of CAMHS. CAMHS is specifically for young children and adolescents who have a moderate to severe diagnosis of mental health challenges. Mental health...

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I will hand over to my colleague, Dr. Niazi, the HSE national clinical adviser and group lead for mental health. Before I do, though, I wish to revert to one point. It is the multidisciplinary team that will determine whether a child reaches the threshold to be accepted for CAMHS support. Some parents approach me to say that they believe their children should be in the care of CAMHS but...

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: CAMHS is not suitable for children who need interventions due to learning difficulties, social issues, behavioural challenges or mild-to-moderate mental health problems. CAMHS is more for children with severe mental health difficulties. The Senator is right, in that they can also have diagnoses of autism. There are children accepted into CAMHS who have severe mental health difficulties as...

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: -----to see what we can do better. At our last meeting, primary care services, disability services, the National Educational Psychological Service, NEPS, and CAMHS were all in the same room to discuss how to break down barriers. Parents in my constituency tell me that, although their children are in primary care, they feel they should be in CAMHS or getting other primary care psychology...

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: It can be sent through me.

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I thank Deputy Ó Murchú, who I acknowledge to be passionate about this area. In respect of primary care psychology, we have run a waiting list initiative for the past three years to get anyone waiting longer than 52 weeks off that list and seen. However, the referrals into primary care psychology from 2020 to 2022 saw an increase of 48%.

Joint Oireachtas Committee on Autism: Autism Policy: Discussion (Resumed) (23 May 2023)

Mary Butler: I welcome the engagement that Mr. Higgins and his team will have tomorrow on retention per se. We will soon need to have an unpopular conversation about whether we should retain graduates for "X" number of years.

Written Answers — Department of Health: Emergency Accommodation (23 May 2023)

Mary Butler: The Department of Health takes the closures of nursing homes very seriously. The closure of nursing homes can put pressure on other local health and social care facilities. It is vital that the welfare of residents is ensured. There a number of reasons for nursing home closures each year including retirement, non-compliance with HIQA regulations, financial viability and, in some cases,...

Written Answers — Department of Health: Hospital Services (23 May 2023)

Mary Butler: I propose to take Questions Nos. 717, 718 and 719 together. As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: I propose to take Questions Nos. 747 and 748 together. As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: As this is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: As this is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: I propose to take Questions Nos. 751 and 752 together. As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: I propose to take Questions Nos. 753 and 754 together. As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Home Care Packages (23 May 2023)

Mary Butler: As these are operational matters, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Written Answers — Department of Health: Undefined (23 May 2023)

Mary Butler: As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

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