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Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Kyne: Okay. I thank the witnesses.

Seanad: An tOrd Gnó - Order of Business (11 Oct 2023)

Seán Kyne: I acknowledge the very emotional testimony of Senator Black. If we are to have a minute's silence we need to have a minute's silence for all who have died and been killed in conflict in recent days. We have to acknowledge this. I know it is not traditional for Ministers to come to the House to speak about their departmental budgets but if they are agreeable it is something that would be...

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Good morning to Dr. Hillery, Professor Lucey and Mr. Farrelly. They are welcome. I congratulate Professor Lucey on taking up his new appointment. The concern that many parents have on behalf of their children relates to the delay in getting appointments and assessments. Dr. Hillery talked in his opening statement about the postcode lottery. How many child and adolescent mental health...

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Getting back to the point, are the geographical too large, as a starting point?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: They are.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: The report talks about the governance issues and the position of a national director for mental health. Each community healthcare organisation, CHO, must have a clinical director for CAMHS and a team clinical co-ordinator. The issues of leadership and governance were at stake in the south Kerry CAMHS report.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Professor Lucey made the point that the Mental Health Commission does not have relevant powers and wants them. It would be right for it to have those powers as the result of any reforms made to the Mental Health Act. Does the professor believe that since the publication of the Maskey report, other CAMHS areas have upped their governance and oversight?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: I asked about the Maskey report in respect of south Kerry CAMHS. Have other CAMHS areas upped their game since then?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: At the centre of this is obviously the child. Dr. Hillery mentioned that many adults with mental health difficulties would have had those difficulties as children but they were missed and fell through the cracks or were misdiagnosed. It is a serious issue for children and adults.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: It goes through to adulthood which has consequences for society.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Absolutely. Lack of governance is one issue. The ability to recruit the various modalities within the teams is another issue that has been highlighted. We see difficulties with recruitment across the health services. That is not a funding issue but is caused by an inability to attract people and the fact that these individuals are not available. What can be done to enhance availability...

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: It is a leadership issue.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: I welcome Mr. Walsh, Dr. Burke and Mr. Kelly to the meeting and thank them for their opening statements. First, they said 94% of urgent cases were responded to within three working days. What percentage of cases were described as urgent?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Since 2013, they say there has been an additional 20 teams out of the 75. Is it their view that iis sufficient or with a growing population, are there plans or is there a desire to increase that?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: I am familiar with the Jigsaw service in Galway. Is that being rolled out across the country or what level of roll-out has taken place?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Is the struggle based on the cost of living and accommodation in certain areas or are there other factors?

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: Professor Lucey from the Mental Health Commission was before the committee earlier and he spoke about the importance of the teams or the collective and when staff from key disciplines are missing, how well the team works.

Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)

Seán Kyne: So the team would have a geographic area but would co-operate with the adjoining team.

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