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Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

Cormac Devlin: ...any particular cohort seeking mental health services? Mr. Rogan mentioned young people, for example. One of the common issues we all come across is the dual diagnosis case of those who may have a drug addiction as well as mental health issues. What is the panel's overall view on how we go forward in treating that? Is the lack of funding going into mental health services a barrier to that?

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

.... When family members came together, they suddenly discovered that their partner, son or daughter was masking a significant mental health need, be that anxiety, depression, an eating disorder, drug or alcohol use or gambling. These difficulties have then come forward quite pointedly and urgently. In the last week, the HSE has published its 2019 service update on all population areas and...

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

Róisín Shortall: Okay. My next question is for Mr. Rogan. What has he come across in terms of substance misuse arising from mental health issues associated with Covid, particularly relating to prescription drugs, alcohol and other drugs?

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

...closed, consumption of alcohol in the home, often at dangerous levels, has been a feature. It is something we need to be very mindful of. We are also seeing people moving towards prescription drugs. We spoke earlier about the importance of primary care, but it is important it has a whole range of tools and not just a prescription pad. We know, for example, that 10% of the Irish...

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

...of this over recent months, of being overwhelmed and having to take time or space out to try to reset our normal levels of equilibrium. Unfortunately, many people are inclined to use prescription drugs, street drugs or alcohol to excess to achieve that. We do not yet have a full measure on that but the CSO data on alcohol, which is probably best tracked, and some of the recent drug...

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

Ruairi Ó Murchú: ...much worse experiences when cut off from school, work or other means of escape. In the long term they will require more services. My first question is on dual diagnosis, addictions particularly drugs and alcohol and the crossover with mental health. Very often these people fall between services. That happens at the best of times and it is obviously possibly worse at the moment. They...

Special Committee on Covid-19 Response: Non-Covid Healthcare Disruption: Mental Health Services (14 Jul 2020)

...in terms of who is funding this programme. It is about how we respond to the person in the complexity of their lives at that moment. People often resort to alcohol, and prescribed and street drugs to respond to the great stress they are feeling, sometimes, as the Deputy mentioned, related to adverse childhood events, ACEs, as they are known. There is the whole trauma-informed piece....

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