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Dáil Éireann debate -
Wednesday, 28 Feb 2001

Vol. 531 No. 4

Written Answers. - Rehabilitation Services.

Dan Neville

Question:

66 Mr. Neville asked the Minister for Health and Children if he will introduce in each health board area a dedicated facility for persons under 65 years of age with brain damage to cater for rehabilitation and long-term care. [6033/01]

As the Deputy is probably aware, acquired brain injury in young adults is most often sustained as a result of a road traffic accident, a sporting accident or fall. The degree of sustained disability is ultimately dictated by the location and severity of the injury to the brain and can range from being mild and, with the assistance of appropriate services, short-term to severe requiring on-going support services or constant nursing care.

Individuals with an acquired injury form part of a larger client group, known as the young chronic sick. The need to provide step down rehabilitation services to deliver on-going therapeutic programmes to the young chronic sick on discharge from acute hospital care or medical rehabilitation has been identified as a priority service for development. In the case of acquired brain injury, this service will provide the appropriate therapeutic programmes to enable those with cognitive impairment and psycho-social functioning problems, including the milder syndromes of inappropriate behaviours, to make the transition from hospital to the community. Needless to say, because these conditions are generally acquired in adolescence or early adult years, significant psychological strain is placed on the family and the on-going care and support required by the individual and his or her family needs to be addressed within the community support services.

For those individuals, for whom the severity of their condition is such that they are unable to return to or remain at home, there is a need for the provision of appropriate residential care, which has been identified as a requirement for specialised units, providing constant nursing care, for individuals with severe acquired brain injury. Such specialised units would also provide respite care.
I have provided just over £92 million under the national development plan for services for people with physical and sensory disabilities, including the development of step down rehabilitation and long-term care service for people with acquired brain injury.
Furthermore, my Department is currently undertaking a national review of bed capacity in both the acute and non acute sectors. This review is being undertaken in conjunction with the Department of Finance and in consultation with the social partners. While this review is centred on the acute hospital system, it will also be identifying service requirements within the sub acute sector, including the need for appropriate rehabilitation and support services. The overriding objective will be to ensure that all individuals are treated in the most appropriate setting. The national bed review will be finalised in April, 2001.
Question No. 67 answered with Question No. 28.
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