Results 401-420 of 3,231 for speaker:Mark Ward
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: In Professor Lucey's opinion, would an urgent CAMHS case include young people who are self-harming, have suicidal intent or ideation or have eating disorders, for example?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: I agree. I will return to the 92.7% of urgent CAMHS cases that were responded to within three working days. Subsequently, the report states that a child will get an appointment for deliberate self-harm in 190 days; for suicidal intent, it is 60 days; it is over 200 days for suicidal ideation; and it is over 100 days for eating disorders. To return to the types of responses covered in that...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Okay. The first recommendation in the report is to give the commission the power to oversee changes in CAMHS. If the commission had the power to oversee these recommendations and all the things in the report, would this report read differently? Going back to what I said earlier, 92.7% of urgent cases were responded to within three working days. If the commission had oversight of that and...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Current legislation was mentioned. We are waiting for the review of the Mental Health Act. It has been kicked down the road time after time. We had hoped for priority publication this term. It is in priority drafting now, which means we will be lucky to see it completed in the lifetime of this Government. That is my understanding of it, and it is very disappointing to see that. Can...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Absolutely. That is really needed. Professor Lucey mentioned that the current legislation would allow this to happen now - or would it? Does it have to be amended, or what way would that work?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: So it is a ministerial decision.
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: So it would be a ministerial decision. That is what I am asking. The HSE will be in later. It has said that at the moment, as regards this report, no children are lost to follow-up. I have read the report and gone into its details, especially about the monitoring of antipsychotic medication or ADHD medication. I know there was a reluctance earlier to refer to any specific CHO. I have...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: At the moment we are using the British National Institute for Health and Care Excellence, NICE system, as far as a I know. Do we have to have our own standards here or-----
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: I thank the HSE for attending today. I wish Dr. Burke and Mr. Kelly the best in their new roles. I spent the recess meeting some youth mental health services, including CAMHS. I met Lucena CAMHS. The staff who are working there are doing their best. They are being let down by systemic and historical failures and sometimes by a lack of governance, which are outside their control. I...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Okay, Mr. Kelly stands over it. How are these urgent cases responded to?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Is that a physical appointment or a notification of an appointment to a parent?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Someone will get an appointment within three days.
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Are attempted suicide, suicidal ideation, eating disorders or deliberate self-harm deemed to be urgent?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: We talk about universal standards across all the CHOs. Is an urgent case in CHO 1 the same as in CHO 7 or is it down to how local teams look at things? Is a standard set for that?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: I am my party's spokesperson on mental health. I deal with parents all the time who tell me that their GP, or whoever refers to them to CAMHS, deems theirs to be an urgent case, especially cases of suicidal intent. Young people who have attempted suicide have still waited 60 days. There seems to be an anomaly between the figure of 94% being presented here and what parents say to me. They...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Okay, I accept that for now. Integrated IT systems were also mentioned, which are important in 2023. They should have been implemented a long time ago. I met Lucena CAMHS in CHO 6, which also has an impact in CHO 7 and it has an integrated IT system. The front end does not look great but the back end does its job. That is the way it was described to me. It seems to be working. It...
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: Are there any timelines, even indicative ones?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: That is welcome. It was mentioned that, since their appointments, Dr. Burke and Mr. Kelly have been working on a report and finalising a detailed plan for the delivery of improvements. Where is the plan? When will it be published and when will we see it?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: My last question concerns the number one recommendation from the report on CAMHS regarding the regulation of the service under the Mental Health Commission. Is this something the HSE would welcome in respect of independent oversight? What is the opinion of the witnesses in this regard?
- Joint Oireachtas Committee on Health: Review of Child and Adolescent Mental Health Services: Discussion (11 Oct 2023)
Mark Ward: I thank the witnesses.