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Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: I thank the witnesses for their presentation. It was mentioned there are three health areas with particular problems, namely CHOs 4, 6 and 8. What areas do they cover?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: There are particular problems in those three areas, compared to others.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: Ms Morrison referred to the fact people are going away privately and getting assessments and it is costing a lot of money. Has there been any engagement with the Minister, the Department and the HSE? We are using the treatment purchase fund for hip replacements and all sorts of things. Why can we not use it for something like this? Is it not a way to expedite it? We were talking about...

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: I accept what Ms Deasy says but let us take it a step further. What is the obstacle in CAMHS? Do they not have the staff to deal with it or-----

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: The tender issue would resolve that problem.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: On staffing levels being too low in CAMHS, there is a CAMHS team. Is it the case that, where there is not the full number of people in the team, the team does not function at all or is it-----

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: We have a particular problem in the Cork-Kerry area, for instance, which has been there for quite some time.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: When Ms Ní Ghiolla Mhairtín's group met with CAMHS, did it suggest how it intends progressing this?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: Absolutely, yes.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: One of the problems we have with the HSE historically is that there has been a great reliance on independent agencies to provide services for people with intellectual disability and for people with physical disability and the HSE has not adjusted, as time has moved on, where it now has that role and is not implementing it. We have taken on over 40,000 additional people in the HSE in the past...

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: Can I come back to one of the statements in the presentation this morning regarding GPs and teachers advising not to disclose that the child has autism? What is the concern that once a child is diagnosed with autism they are not able to get access to CAMHS? Why is that used as a barrier for getting access?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: In other words, one is moving them off the CAMHS waiting list onto a disability waiting list.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: On the co-ordination of those two waiting lists, are our guest speakers saying that there is no co-ordination?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: Is it not about co-ordination? Surely we should be able to co-ordinate services where someone is admitted to hospital and to a particular area but it is then found they have a totally different condition. There is the co-ordination then of the transfer over of the patient. The person may have been admitted as the result of a fall but suddenly finds they have a heart condition and there is...

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: The whole historical issue with regard to mental health was that we literally parked the person in a facility and that was it. We have moved on from that but we have not replaced or provided the necessary support. The co-ordination of services is the one key area we are falling down on. Is that lack of co-ordination an easy exercise to resolve?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: Do our guest speakers believe that if the will was there to resolve it, that it could be resolved?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Colm Burke: I thank our witnesses very much.

Written Answers — Department of Communications, Climate Action and Environment: Departmental Schemes (17 Jan 2024)

Colm Burke: 74. To ask the Minister for Communications, Climate Action and Environment if he will consider making properties in the private rented sector eligible for funding equivalent to the better energy warmer homes scheme for low-income tenants and their landlords, based on a tenant receiving the housing assistance payment and having a long term lease; and if he will make a statement on the matter....

Written Answers — Department of Transport, Tourism and Sport: Public Transport (17 Jan 2024)

Colm Burke: 184. To ask the Minister for Transport, Tourism and Sport if he will set aside increased funding in respect of the rural public transport scheme; and if he will make a statement on the matter. [56651/23]

Written Answers — Department of Finance: Tax Code (17 Jan 2024)

Colm Burke: 329. To ask the Minister for Finance if his Department will engage with the Revenue Commissioners in respect of a different approach now being adopted by the Revenue Commissioners regarding the VAT 58 refund claims by non-VAT registered farmers (details supplied); and if he will make a statement on the matter. [56894/23]

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