Lynn Ruane (Independent)

Is the Minister of State saying that the dual diagnosis staff employed by the HSE in the past few years, one of whose names I have in my head because I have met the staff often, do not understand their job as she does? We meet dual diagnosis staff all the time in relation to the work we do in here or our work on drugs policy, and we note that they all understand the service as involving no wrong door and believe we need to develop dual diagnosis services. That is in the context of addiction and mental health. Is the Minister of State saying the dual diagnosis services that have been introduced are not related to addiction and mental health and that they relate to something else? This is where I am confused. Many of us have been told over the years that work is being done on dual diagnosis. In the case in question, it has only ever been referred to in the context of addiction and mental health issues.

In addition to wanting to understand everything else, I would like to understand what the Minister of State means when she says that the clinical supervisors now in place have nothing to do with addiction and that, instead, according to her understanding, are concerned with dual diagnosis. If I have a child whose mental health issues and intellectual disability exist side by side, and there is no substance use, is that child representative of those whom the Minister of State says the clinical supervisors are working with in respect of dual diagnosis? That is not how it is understood, even by the clinical supervisors I have met in the HSE who were put in place six or seven years ago before the advent of service provision.

The Minister of State used Keltoi as an example. That is actually an addiction service with a specialty in trauma. It is an amazing service. The Minister of State is saying she is going to have a day centre there for people with a dual diagnosis. Is she stating that people will be arriving there not with an addiction but with a mental health issue and an intellectual disability?