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Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: We are talking about it but we have not launched it. Has the HSE gone to recruitment of staff?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: There has been no recruitment of staff. Can the HSE provide us with the list of the 25 services for improvement projects listed in the presentation earlier?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: That is perfect. I need to ask some more questions on dual diagnosis. Can Mr. Dodd explain dual diagnosis? Let us suppose a patient presents to a general practitioner primarily with addiction problems but there are underlying mental health issues. What does the GP do with such a patient?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: I am referring to an addiction presentation with underlying mental health issues.

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: Let us suppose a GP wants to make a referral to the hospital in Galway. I am from Galway, so it is primarily a matter of Galway for me. Unfortunately, we do not have an admissions policy at the moment where there is dual diagnosis in University Hospital Galway. The HSE representatives have referred to Dublin and so on. How can that be addressed? What is the policy in this regard?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: I said it was an addiction with an underlying mental health issue. The person would already have been to mental health services.

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: It is not only about admission. I have in mind referral for assessment.

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: Yes.

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: Do we have one in Galway?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: Can the HSE provide us with a list of where referral bases are in place at the moment and where addiction counsellors are in place throughout the country?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: I suppose the reason for my line of questioning is that it is an issue in the west. Initially, some people present with an addiction and an underlying or established mental health problem. In 2014, St. Brigid's Hospital in Galway was closed. Since then, we are operating out of a 45-bed unit in an out-dated excess-capacity hospital in Galway that is not fit for purpose. Is there a...

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: How many beds are in it?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: We are matching 50 beds with 50 beds. At the moment we have a 45-bed unit. We are gaining five beds. That is still not meeting the needs for the rest of the county or surrounding areas. Are there further steps to address a mental health capital infrastructure plan in the west?

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: I second what Senator Feighan said. I live on the other side of the constituency wall in Portumna. I was in contact with some psychiatric nurses who felt very aggrieved by what happened with management staff on the Roscommon side.

Joint Oireachtas Committee on Future of Mental Health Care: A Vision for Change: Update from Health Service Executive (30 Nov 2017)

Anne Rabbitte: Certain dynamics might have changed from this morning's meeting. It will be a question of assessing the responses we get back in order to determine our baseline.

Written Answers — Department of Children and Youth Affairs: Departmental Expenditure (30 Nov 2017)

Anne Rabbitte: 206. To ask the Minister for Children and Youth Affairs her Department's capital expenditure in each year since 2011. [51365/17]

Written Answers — Department of Children and Youth Affairs: Child Care Services Expenditure (30 Nov 2017)

Anne Rabbitte: 207. To ask the Minister for Children and Youth Affairs the amount her Department has spent on non-contact hours, by service type in each of the years 2014 to 2016 and to date in 2017. [51366/17]

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Termination in Cases of Foetal Abnormality: Mr. Peter Thompson, Birmingham Women's and Children's Hospital (29 Nov 2017)

Anne Rabbitte: I thank the witness for his presentation. Most of the questions I intended to put have already been asked. On page 6 of his statement, Mr. Thompson mentioned that he would expect the number of requests for termination of pregnancies in cases of diagnosis of Down's syndrome to be high and that that would not be representative of the population. What does he mean by that?

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Termination in Cases of Foetal Abnormality: Mr. Peter Thompson, Birmingham Women's and Children's Hospital (29 Nov 2017)

Anne Rabbitte: No. I am afraid Mr. Thompson lost me there.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Termination in Cases of Foetal Abnormality: Mr. Peter Thompson, Birmingham Women's and Children's Hospital (29 Nov 2017)

Anne Rabbitte: Therefore page 6 shows the people who have come in and looked for the testing.

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