I propose to take Questions Nos. 21, 35, 37, 75, 87 and 94 together.
The decision as to whether a prisoner is in need of treatment for a psychiatric disorder is a matter for the medical personnel in our penal institutions. Such a decision can only be taken following medical assessment and diagnosis.
In the year April 1997 to April 1998, 705 prisoners were referred to visiting psychiatrists by prison medical officers. Without an examination of each individual case it is not possible to say what treatment, if any, was subsequently recommended or provided. Prisoners are referred to a visiting psychiatrist for a variety of reasons, including particular situational difficulties and, it should be noted, the numbers of prisoners referred do not necessarily correlate to actual levels of psychiatric illness.
I do not share the view expressed to the National Crime Forum that up to 10 per cent of prisoners in Mountjoy suffer from a psychiatric illness. Published research indicates that, at most, 5 per cent of committals to Mountjoy Prison had a history of major mental illness and I am advised by the Director of Prison Medical Services that, while these individuals might have had a history of mental illness, it is not necessarily the case that all of them would have required hospital care.
While adequate psychiatric treatment is available within the prison system there is still room for improvement. To this end, my Department has, for some time, been involved in negotiations with the Eastern Health Board and the Department of Health and Children with a view to improving the organisation and quantity of psychiatric input to the various institutions through the implementation of a service agreement and the assignment of a number of dedicated psychiatrists to work in the prisons area. It has been agreed by all parties involved that this is the most appropriate approach to addressing the present difficulties and I hope that the proposed arrangements can be put in place in the near future. In addition, I understand that the utilisation of beds in the Central Mental Hospital and their availability to prisoners, for whom it is not possible to provide appropriate care within prison, is currently under review. This should lead to greater access to the hospital for those prisoners who require treatment in that setting.