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Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

Neasa Hourigan: That did not answer the question.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

Neasa Hourigan: That is really helpful.

Written Answers — Department of Communications, Climate Action and Environment: Waste Management (14 Jun 2023)

Neasa Hourigan: 47. To ask the Minister for Communications, Climate Action and Environment if he will provide an update on his work to ensure that all households with a waste collection service are provided with an organic waste bin by their waste collection company by the end of 2023; and if he will make a statement on the matter. [28667/23]

Ceisteanna (Atógáil) - Questions (Resumed): Cross-Border Co-operation (13 Jun 2023)

Neasa Hourigan: 22. To ask the Taoiseach if he will report on the work of the shared island dialogue all-island women's forum civic initiative. [25952/23]

Ceisteanna - Questions: Departmental Strategies (13 Jun 2023)

Neasa Hourigan: 13. To ask the Taoiseach if he will report on the national reform programme for the European semester. [25951/23]

Ceisteanna - Questions: Council of Europe (13 Jun 2023)

Neasa Hourigan: 6. To ask the Taoiseach if he will report on his recent attendance at the Council of Europe. [25679/23]

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: I thank everyone for being here this morning. I thank Ms Riordan for that last piece. For any parent who has kids with different needs, that was a very moving statement. I suspect that everybody in Ireland probably has somebody with ADHD in their lives - I know I do. I will start at the beginning. One of the most striking things that Mr. Kilbride mentioned in his statement is that there...

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: In the statement there is some reference to mild ADHD as opposed to co-morbidity or people who might have much more complex issues. What would a standard protocol look like? What would the witnesses like to see? What would be useful to clinicians in terms of assessment? I am trying to get a sense of whether it is a case of the Department of Health or the HSE issuing a protocol. What...

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: I was talking to a parent yesterday who is looking for a particular assessment. They will be waiting for two years for that and the child is five. I want to lead on to where that interacts with things like private assessment. If we had a strong protocol that was applied within the public sector, setting out the standard and the requirements, I presume that would have a knock-on effect in...

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Do we have a sense of the size of the cohort? I know a number between 200 and 300 was mentioned. How many people in this country are on medication for ADHD?

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Do we know the number?

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: I am aware there is a global discussion around access to some of those medications. There are shortages in some countries. We could be having a different conversation if we were to have more accurate numbers in front of us, which is a shame.

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: I was just about to move on to the Changing Lives Initiative and how a diagnosis is not required to access services. That is really interesting.

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Does anybody else want to make a comment on that?

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Does that mean not waiting for some kind of clean diagnosis but looking at people's behaviours and seeing if they can be helped?

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: That brings me to the broader question about the current placement of ADHD in CAMHS. The Changing Lives Initiative appears to be approaching the condition from the ground up. It appears to be identifying the reality and then deciding to work with people. On the other side, as Dr. McDonnell has said, it is really important that people have access to diagnosis and medication. On one hand,...

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Okay.

Joint Committee On Health: Services and Supports for People with Attention Deficit Hyperactivity Disorder: Discussion (13 Jun 2023)

Neasa Hourigan: Obviously, the community health organisations, CHOs, will have to step up. Maybe we should explore whether clinicians are attached to CAMHS exclusively and if something a little more broad should be available, such as the neurodivergent teams. What role do institutions such as schools have to play in moving people towards the representatives' service or services in general?

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