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Dáil Éireann debate -
Wednesday, 29 May 1996

Vol. 466 No. 2

Adjournment Debate. - Patient Transfer.

Since I entered politics this is the saddest case I have had to deal with. The person concerned, Kevin Moloney, was unconscious for 14 weeks in Beaumont Hospital following a road traffic accident on 11 August 1991. In December that year he was transferred to the National Rehabilitation Centre, Dún Laoghaire, County Dublin where he remained until June the following year. His initial response was poor. He was disoriented and had no sense of time, place or of his physical or mental state.

When he returned to County Mayo, family members living away from home came in turn to try to help him. He became content, began to walk and, within a period of about one year, could meet his personal and hygiene needs under supervision.

As his 75 year old father was the only relative living at home and other family members had to return to their places of employment in England, it was necessary to find a place for him. In 1993 he was assessed by a neuro-surgeon who recommended a facility that ran a programme with activities related to his life before the accident. To this end he was placed by the National Rehabilitation Institute in the National Horticultural Centre, Bantry, County Cork where he will remain until July. This means a trip of over 200 miles for his father who cried in my arms when he came to see me in my clinic a few weeks ago. He asked how he could be expected as an old man of 75 years of age to travel up and down from Cork to see his son. He said he would die without seeing him.

I have seen the reply prepared by the civil servants. We would like the person concerned to be transferred to Swinford or, if this is not possible, to Castlebar or some location in County Galway. Glenamoy is almost 70 miles from Ballina and over 200 miles from west Cork. A Bill was presented to enable Irish prisoners in England to be transferred here so that they can be near their families. We are aware of their awful deeds. The young man concerned was involved in a tragic accident in which he sustained head injuries. He has received no compensation.

I ask the Minister of State not to give me the typical Civil Service answer. I intend to raise this matter at every opportunity until the person concerned is transferred to County Mayo or, if this is not possible, to some location in Connacht so that he can be close to his father. This is not too much to ask. I will not accept the excuse that to be placed in Swinford one has to be mentally handicapped from birth. The surgeons, doctors and professional people accept that he needs full-time care and have provided the necessary references. I plead with the Minister of State to give a positive response.

The provision of services to persons with a disability in County Mayo is a matter, in the first instance, for the Western Health Board. The person concerned is placed on a Rehab course in County Cork. I understand he was placed there because it was felt this facility ran a programme with activities related to his life before the road traffic accident in which he was involved.

The Western Health Board has informed me that Aras Attracta provides to persons with a mental handicap derived from birth or during the development period. The board has indicated that, in general, agencies in the area providing services to people with a mental handicap, including Aras Attracta, do not provide services to persons whose disability has arisen as a result of a road traffic accident.

The board has also stated there are no vacancies in Aras Attracta. There is also a waiting list of persons with a mental handicap awaiting placement in residential facilities, such as Aras Attracta, and other mental handicap facilities in County Mayo.

I note the person's placement on the Rehab course is due to end in July. I am aware of the difficulties the family have in visiting the person concerned because of the long journey involved. In view of this, the impending conclusion of his current placement, I have asked the Western Health Board to liaise with Rehab to see what more appropriate services might be available for him closer to his home.

As the Deputy knows, day services are an essential component of an effective community care service for people with disabilities by providing stimulation, activation and therapy for them. I am aware that the special needs of people with head injuries who may experience complex physical, psychological and social problems require the development of services specifically for them which take account of their special needs.

The Review Group on Services for People with a Physical and Sensory Disability is finalising its report on the future service needs of people with disabilities. The group's report is paying particular attention to the service needs of people with head injuries.

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