Written answers

Wednesday, 17 January 2024

Department of Health

Mental Health Services

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1514. To ask the Minister for Health if he will increase investment in mental health, including children’s mental health, to ensure that the overall annual allocation for mental health is in line with recommendations made by the WHO and under Sláintecare; and if he will make a statement on the matter. [56623/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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The total allocation for mental health services in 2024 is approximately €1.3 billion, which is the fourth year in a row in which the mental health budget has been increased. This increase in funding for mental health services represents a significant investment which will enable continued policy implementation and service improvement in line with our national mental health policy, Sharing the Vision. This year’s budget allocation builds on the investment this Government has made over the last number of years to deliver the policy priorities of Sharing the Vision through the provision of mental health supports across a broad continuum from mental health promotion, prevention and early intervention, to acute and specialist mental health service delivery, and enabling us to continue to deliver our vital services to as many people as possible, as we move into 2024.

As part of the funding allocated to mental health services, new development funding has been secured to advance initiatives on youth mental health, and around priority groups identified within our national suicide prevention strategy Connecting for Life. This new development funding will be focused on increased CAMHS staffing, a new Youth Mental Health app, a referral pilot for children's community services including CAMHS (piloting an approach to service referrals known as ‘No Wrong Door’), the expansion of Suicide Bereavement Liaison Services, and expanding the Traveller Counselling Service to achieve national coverage for the first time.

As occurs each year following the Budget, discussions will now take place with the HSE on details relating to specific service initiatives in the context of preparing the HSE Service Plan 2024, including that for Mental Health.

It should be noted that funding for mental health supports is dispersed across many areas of Government, and there is no single headline funding figure which captures this important figure. For example, the figure of approximately €1.3bn above does not include funding for other parts of the health service that provide mental health services and supports, such as psychotropic medicines funded by the Primary Care Reimbursement Service, liaison mental health services in acute hospitals, some dual diagnosis (addiction and mental health) services, and mental health and well-being promotion.

It also does not include spending by other departments on services that incorporate psychological or mental health supports, such as the Prison and Probation Services, Social Protection, Defence Forces, or the Department of Education.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1515. To ask the Minister for Health if he will create a ring-fenced budget for children’s mental health; and if he will make a statement on the matter. [56624/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1516. To ask the Minister for Health if he will take the necessary steps to ensure that expenditure on children’s mental health is made more visible and transparent, including in the annual health budget and via the HSE’s National Service Plan; and if he will make a statement on the matter. [56625/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1517. To ask the Minister for Health to provide specific data to identify and track how funds allocated to children’s mental health are spent and what the associated outcomes are for children; and if he will make a statement on the matter. [56626/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1518. To ask the Minister for Health if he will put in place a standard operating procedure across all CAMHS teams, without exception, ensuring that all children in all areas receive the same high-quality service and that all staff members are following the same referral criteria in order to guarantee the same quality of care; and if he will make a statement on the matter. [56627/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As the Deputy will be aware, this Government is committed to improving all aspects of Mental Health care, including that for CAMHS and wider youth mental services. This is reflected by the significant new service developments for CAMHS arising from Budget 2024, along with various other initiatives being progressed by the HSE. This includes, for example, the recently established Child and Youth Mental Health Office within the Health Service Executive (HSE), implementation of relevant parts of the national policies Sharing the Vision and Connecting for Life, and the HSE progressing lessons arising from recent report and audits on CAMHS.

I have asked the HSE to respond directly to the Deputy as soon as possible, in relation to the more detailed operational aspects of the matter raised by him.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1519. To ask the Minister for Health if he will review the operation of CAMHS in line with Mental Health Commission recommendations, noting that the current model of care places the onus on a single professional; if he will consider a more multi-disciplinary approach in line with other European countries; and if he will make a statement on the matter. [56628/23]

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1520. To ask the Minister for Health if he will investigate professional misconduct within CAMHS in a timely manner in order that the trust of parents and children may be restored; and if he will make a statement on the matter. [56629/23]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

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