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Dáil Éireann debate -
Wednesday, 5 Apr 2000

Vol. 517 No. 4

Written Answers. - Autism Services.

Ruairí Quinn

Question:

127 Mr. Quinn asked the Minister for Health and Children the reason there is only one speech and language therapist and one occupational therapist available to over 90 autistic children in the Dublin and Wicklow areas and both speech and language and occupational therapy are confined to ten minutes per week rather than the daily therapy that children with autism need; the reason there is only one psychologist for more than 180 children; the reason the respite and home support services for autistic children are grossly inadequate and are not available to all families on a regular basis; and if he will make a statement on the matter. [9921/00]

As the Deputy is aware, health related support services for children with autism and their families within the Eastern Regional Health Authority's area of responsibility have been greatly enhanced and expanded since 1998. Two multi-disciplinary outreach teams were established in 1998 and 1999, each consisting of a psychologist, speech and language therapist, occupational therapist, nurse, social worker and secretarial support. This year a further £500,000, with a full year cost of £600,000 in 2001, has been provided for the expansion of the outreach and respite services, bringing the total additional funding provided for these services since 1998 to £1.2 million in 2000. A third multidisciplinary outreach team is being established to cover the western part of the region, which will have a similar composition to the two existing teams. The establishment of this team will relieve some of the pressure on the existing personnel, thus enabling them to spend more time with the children within their designated areas. The question of the overall level of input from any particular therapist will vary in each case, depending on the individual needs of each child. I understand that, in addition to recruiting the additional staff already mentioned, the authority is also seeking to fill two existing psychology posts which are currently vacant in the services. My Department will continue to endeavour to assist the authority to meet the health related needs of these children.

I am aware of the difficulties being experienced within the health services generally in relation to the recruitment of health professionals. Following a Labour Court recommendation in 1997, an expert group was established to examine and report on various issues, including recruitment and retention of staff, relating to paramedical grades. The group is in the process of finalising its report, which is expected to be published in the next few weeks. A review of psychology services is under way, with manpower planning as one of its terms of reference.

My Department is also working closely with other Departments, the health boards, voluntary service providers and the various professional representative bodies to facilitate in any way it can issues related to the short-term recruitment of additional nursing and paramedical staff to work in various areas of the health services.

With reference to the provision of respite services, I understand from the Eastern Regional Health Authority that a social worker has been recruited and is to take up duty next month specifically to develop home support services for families of children with autism. The role of the social worker is to recruit and train home support workers, including families, to provide home based respite services. The authority is also actively seeking a suitable property in order to expand the residential respite service. As an interim measure, the authority has made arrangements with a voluntary agency to provide respite services every second weekend.
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