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Written Answers — Department of Health: Mental Health Services (17 Oct 2023)

Mark Ward: 608. To ask the Minister for Health to report on the amount of money allocated to section 38 and section 39 mental health organisations in the years 2018, 2019, 2020, 2021, 2022 and 2023, respectively; including a breakdown of the names of each of these organisations and how much is allocated to each organisation; and if he will make a statement on the matter. [45235/23]

Written Answers — Department of Health: Mental Health Services (12 Oct 2023)

Mark Ward: 179. To ask the Minister for Health what funding options are available to the NCBI through the mental health budget to fund its counselling, well-being and emotional support services; how they can apply for such funding; and if he will make a statement on the matter. [44492/23]

Written Answers — Department of Health: Addiction Treatment Services (12 Oct 2023)

Mark Ward: 180. To ask the Minister for Health the number of Section 39 organisations that work within addiction and drug-related services; the number of staff employed in Section 39 organisations in this area; their rates of pay; and if he will make a statement on the matter. [44495/23]

Financial Resolutions 2023 - Financial Resolution No. 4: General (Resumed) (11 Oct 2023)

Mark Ward: Another budget day and another missed opportunity for mental health services. This is another letdown for the individuals accessing mental health services and their families. Since this Government was formed, waiting lists for primary and acute services have increased. In some cases, they have doubled. We have seen a lack of further investment in eating disorder services, early...

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

Mark Ward: I thank representatives of the Mental Health Commission for attending. I thank the commission for its recent reports, which have shone a spotlight on the darkest parts of our health service when it comes to how we look after our most vulnerable, that is, the young people who engage with the children's mental health services. I will not make a long statement because I want to use my time...

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

Mark Ward: I return to the figure that 92.7% of urgent CAMHS cases were responded to within three working days. How were they responded to?

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

Mark Ward: Was the response a letter to a parent, a phone call to a parent or an appointment for a child, which is the most important thing?

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.

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