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

Seán Crowe: Senator Conway has one question and I want to ask a question.

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

Seán Crowe: The Mental Health Commission report states that staff retention was a key factor and a major challenge in recruiting new staff. It was identified in human resources practices. Could the witnesses elaborate or enlighten us on that section?

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

Seán Crowe: I suppose the pattern we are getting all the time is that there are key personnel missing from the teams. Those are the inadequacies. I am not talking about a postcode lottery but if we do not have the teams in place, those children are being failed in those areas.

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

Seán Crowe: The longer the list, the harder it is to get someone to go in. If someone is going to go in and is told they have a caseload of 300 kids before they even start-----

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

Seán Crowe: The committee will now resume its consideration of the recent report of the Mental Health Commission on the vision of child and adolescent mental health services, CAMHS, in the State. I am pleased to welcome from the HSE Mr. David Walsh, national director community operations, Mr. Donan Kelly, assistant national director for child and youth mental health, and Dr. Amanda Burke, national...

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

Seán Crowe: We will move on to members’ questions.

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

Seán Crowe: Please do not. I do not have the time. I will change things up by allowing in Deputy Lahart, who has not come in yet. I will come in after that before I go back to the normal order.

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

Seán Crowe: I have just a couple of questions. The last group of witnesses we had in, from the Mental Health Commission, spoke about the commission's 49 recommendations. Does the HSE accept those 49 recommendations? How long will it take to implement them?

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

Seán Crowe: That is really good news. The lack of service uniformity was touched on in respect of where key personnel may be missing and where there is a lack of clinical leadership. Do the representatives accept there is genuine concern about the services in this regard? The commission's report shows that some aspects are working really well while others are not. It also refers to the overall...

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

Seán Crowe: There is an air of desperation among many families. Some go through the courts looking for supports and services. This option is not available to everyone because not everyone has the finances. Let me refer to another issue. It is local but not necessarily so. Regarding CHO 7, the Mental Health Commission's report states up to 30% of children on antipsychotic medication have not had...

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

Seán Crowe: I am just giving the example of CHO 7 but the issue arises in other areas as well.

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

Seán Crowe: I would have imagined that measuring height and weight would have been one of the simpler steps. It is done regularly if you go into a hospital for serious treatment, and not much work is involved. A specialised group is not needed to weigh someone. How much of a challenge is having appropriate facilities to provide services? In many of our areas, there are many vacant buildings that...

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

Seán Crowe: Previously, one of the challenges was that if a team did not have a psychologist, for instance, it could not move on as regards supports and so on. The idea of colocation or of sharing that psychologist with two or three areas is so that there is movement in the cases of children in that particular area. Is that it?

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

Seán Crowe: We have reached the end of the meeting. On behalf of the committee, I extend thanks to the witnesses for their attendance, assistance and many responses to our questions today. Although it was mentioned near the end, we did not really touch on moving towards the age of 25 and the big gap there is between child, youth, and adult services. We would like to see a seamless transfer of services...

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

Seán Crowe: Deputy Ward is substituting for Deputy Cullinane. He is very welcome. Apologies have been received from Senator Hoey. Before we get to the main item on today's agenda, minutes of the committee meetings of 3 and 4 October have been circulated to members for consideration. Are they agreed? Agreed. The purpose of the meeting today is for the joint committee to consider the final report...

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

Seán Crowe: Hopefully, the roll-out of the RHA programme will improve the services. Mr. Walsh's opening statement referred to the 3,891 children waiting to be seen and the 10% increase in appointments offered. The latter is positive but I am thinking of the people listening at home with a child affected. Deputy Lahart referred to CHO 7 and the 364 children affected there. Can any positive news be...

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

Seán Crowe: I must stop there as we have gone over time. It sets us up well for the next meeting with the HSE. I really appreciate the witnesses coming in and answering the questions.

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Seán Crowe: Apologies have been received from Senators Frances Black and Annie Hoey. Minutes of the committee meetings of September 26, 27 and 28 have been circulated to members for consideration. Are they agreed? Agreed. The purpose of the meeting today is for the joint committee to consider the 2022 annual report published by HIQA as well as other reports published by the body. To assist the...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Seán Crowe: Thank you, Ms Fitzgerald. You might indicate who you think would be best placed to answer the questions as part of the process. That would be really helpful. I will start with Senator Conway.

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Seán Crowe: Sorry, Senator Conway. Will you-----

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