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Dáil Éireann debate -
Tuesday, 24 May 1994

Vol. 443 No. 1

Written Answers. - Western Health Board Psychiatric Institutions.

Enda Kenny

Question:

128 Mr. E. Kenny asked the Minister for Health the number and location of each psychiatric institution in the Western Health Board area; the number of long stay patients presently in each of these institutions; the number of patients who have been released into the community in each of the past three years; the amount of finance and staff allocated in respect of community care of such patients in each of the past three years; the predominant age profile of those currently in long stay institutions; and if he will make a statement in regard to the future proposals, if any, he has in so far as both institutional and community care for psychiatric patients are concerned.

The Western Health Board has been developing its mental health services in line with the recommendations of the report on the psychiatric services Planning for the Future which was published in 1984 and which has been accepted by successive Governments. This report advocated the development of a comprehensive, sectorised, community-based mental health service as an alternative to institutional care which isolates patients from their communities. The report proposed that acute admission units, attached to general hospitals should be established to operate in association with a range of community-based services. In the Western Health Board functional area, acute units are located in University College Hospital, Galway; St. Theresa's Unit, Castlebar, County Mayo and in Roscommon General Hospital. Community-based facilities such as community residences, day hospitals, out-patient clinics, day centres and training workshops have been provided in each catchment area.

There are three long-stay psychiatric institutions located at St. Brigid's, Ballinasloe, County Galway accommodating 450 patients, St. Mary's Hospital, Castlebar, County Mayo accommodating 243 patients and St. Patrick's Hospital, Castlerea, County Roscommon with 75 patients. St. Patrick's, Castlerea will shortly be transferred to the Department of Justice for the development of a prison and the Government is committed to the provision of alternative accommodation for patients resident therein.

The remaining information requested by the Deputy is provided in the following table.

The Western Health Board plans to continue its development of community-based services thereby reducing its traditional reliance on long-stay hospital care. This will be completed with a phased transfer of resources to community care services and few will doubt the improvement in the quality of life of the mentally ill following their transfer from an institutional to a community-based setting.

Western Health Board

Psychiatric Services

1. Discharges to Community Service:

1991

108

1992

122

1993

131

2. Additional Staff associated with 1 above:

1991

17

1992

17

1993

11.5

3. Additional Funds associated with 1 above:

1991 (£)

174,000

1992 (£)

573,000

1993 (£)

970,000

4. Age Profile of all Patients in Long-Stay Institutions at 31/12/93:

Under 44

162

45-64

335

65-74

280

75+

258

Total

1,035

Note: Additional Funds
1992 Costs include full year effect of 1991 new costs;
1993 Costs include full year effect of 1991 and 1992 new costs.
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