Written answers

Tuesday, 11 October 2016

Department of Justice and Equality

Prison Medical Service

Photo of Michael Healy-RaeMichael Healy-Rae (Kerry, Independent)
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45. To ask the Minister for Justice and Equality the services which are provided to persons with a mental illness while in prison; the personnel who provide the services and their qualifications; and if she will make a statement on the matter. [29827/16]

Photo of Frances FitzgeraldFrances Fitzgerald (Dublin Mid West, Fine Gael)
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I am advised by the Irish Prison Service that in-reach mental health services are available in the Dublin and Portlaoise prisons, and Castlerea prison, through collaboration with the Health Service Executive (HSE), and the National Forensic Mental Health Service (NFMHS) to provide forensic mental health sessions weekly in these prisons.

The Irish Prison Service, in partnership and collaboration with the HSE, provides Specialist In-reach, Consultant led Psychiatric services to those in custody in Limerick and Cork prisons. The HSE has confirmed that approval has been granted for the appointment of a consultant led team to both Limerick and Cork prisons. The HSE has also advised that arrangements are being finalised for the assignment of a consultant led mental health in-reach team to Castlerea Prison. The NFMHS also provides an assessment and liaison service for all other prisons where a prisoner requires a forensic assessment, or access to an admission bed in the Central Mental Hospital (CMH). Consultant Forensic Psychiatrists are leading these services and, in many settings, are supported by Non-Consultant Hospital Doctors, Community Psychiatric Nurses, and Social Workers.

The Irish Prison Service has access to a limited number of places in the CMH for prisoners who require residential mental health treatment. There is currently an average of 20 prisoners each week awaiting transfer to the CMH.

The Irish Prison Service, in collaboration with the NFMHS, has established two dedicated areas where high support is provided to vulnerable prisoners with mental illness; D2 wing in Cloverhill Prison (for remand prisoners), and the High Support Unit in Mountjoy (for sentenced prisoners). Both units provide a dedicated area within the prison where mentally ill and vulnerable prisoners, who present with a risk of harm to self or to others, can be separated from the general prison population and are closely monitored in a safer environment.

A Psychiatric In-reach and Court Liaison Service (PICLS) is delivered by the HSE/CMH at Cloverhill Prison. The diversion system ensures as far as possible that those people presenting before the courts, or indeed at an earlier stage of the criminal justice system, where the infraction is a reflection of an underlying mental illness, are referred and treated appropriately. This approach has reduced the number of mentally ill people committed to prison.

Photo of Michael Healy-RaeMichael Healy-Rae (Kerry, Independent)
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46. To ask the Minister for Justice and Equality the name of the body which inspects the hospital areas within the prison system; if she is satisfied that the standards meet with those expected, such as HIQA standards; and if she will make a statement on the matter. [29828/16]

Photo of Frances FitzgeraldFrances Fitzgerald (Dublin Mid West, Fine Gael)
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I am advised by the Irish Prison Service that audits of prison healthcare were conducted by external consultants up to August 2014. On foot of the recommendations of the Committee for the Prevention of Torture following its visit of September 2014, the Irish Prison Service has been engaged with the Department of Health in relation to a fundamental review of healthcare in prisons and the provision of healthcare services in prisons generally. Discussions have taken place with the Health Information and Quality Authority (HIQA) regarding the possibility of it conducting a review of Healthcare service delivery in prisons. HIQA has indicated that it is not currently in a position to conduct such a review.

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