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Dáil Éireann debate -
Wednesday, 30 Jan 2002

Vol. 547 No. 1

Adjournment Debate. - Care Services.

The tragic death of an 18 year-old woman, in the first and last year of her adult life, a mother already of two young children, demands a much deeper and more effective response than a couple of days in the media headlines. While I welcome the announcement this evening that the Eastern Regional Health Authority has asked Mr. Justice Frederick Morris to carry out a case management review, it must not be accepted as an adequate response before moving on to other business. The substance of Justice Morris's findings, allowing for confidentiality, must be made public. The statement from the regional health authority does not make it clear whether the findings will be made public. Will the Minister clarify that? If this woman's life means anything, we must learn from her death and prevent the deaths of others.

We must not scapegoat the hard-pressed front-line staff of the Northern Area Health Board who are working under severe pressure due to shortages of personnel and resources and an increasing number of very troubled, frequently addicted, young people. These young people, our fellow citizens in the brave new world of the Celtic tiger, and the health professionals who are striving to make a difference to their lives, must be given the priority that Justice Peter Kelly so single-mindedly demands for them. They need social workers, secure places to live with supportive care, addiction treatment, protection from exploitation and psychological and/or psychiatric care. These are services which our developed, rich economy does not, to our shame, provide. Kieran McGrath, editor of The Irish Social Worker, wrote two weeks ago that “literally thousands of cases of suspected child abuse are unlocated”. Have we learned anything from the revelations of abuse perpetrated on a previous generation of children? Will we look back on this time too and wish we had looked closer?

I press the Minister to realise the urgency of appointing more social workers to this area. It has been pointed out repeatedly that there is an acute shortage of social workers to deal with these very vulnerable young people. These young people's needs are urgent and immediate: the response from Government is the opposite. The Ombudsman for children Bill has still not been published and therefore has little or no chance of being enacted before this Government goes out of office after five years. A children's Ombudsman could be the catalyst for action that is so lacking. His or her office would inevitably show up what is happening in the cold world of ‘at risk' children.

The woman who died was legally an adult, but she reportedly had the mind of a child. I ask the Minister to address the particular needs of those whose chronological age might suggest a lesser need for protection but who, clearly, cannot cope with adult responsibility. This could be addressed in the Disabilities Bill, which will be debated shortly.

This woman's short life is over. I did not know her and it is unlikely that many people with the power to change things did. We have the power to change things for others like her and it is urgent that we do so.

The tragic death of this 18 year-old again exposes the abject failure of the Government with regard to children. The Government has seriously failed children. It has paid lip-service and given false promises. The acid test of the Government's commitment was its firm promise early last year to pass a Bill establishing the office of a children's Ombudsman by the end of the year. This developed into promising a Bill would be published by Christmas. On six different occasions during the last Dáil session the Taoiseach emphatically promised that this would happen, but he shamelessly misled the House.

The Minister of State with responsibility for children made the establishment of an Ombudsman the centrepiece of her speeches. Her commitment to children has been exposed as phoney. After five years of this Government Justice Peter Kelly has been forced to abandon any idea that either the social or judicious services are remotely capable of dealing with the demands placed on them. The Minister presides over, in the words of Pádraig Ó Móráin in today's The Irish Times,“Dublin's ramshackle child protection service”. The most recent victim is an 18 year-old with the mind of a child. She was dead for several days before she was discovered. Two years ago a psychiatrist described the service she had been receiving as disastrous. At 16 years of age she was placed in a bed-and-breakfast which she had to leave every morning to wander the streets aimlessly. An office of Ombudsman for children would surely have a damning report on the State's treatment of this child. What would an Ombudsman say of a 14 year-old child whose grandfather yesterday begged for him to be taken into care because he was a danger to himself and others? The Taoiseach and the Minister with responsibility for children do not want an office of Ombudsman exposing their abject, cruel failure and they have not the guts to say so. They lack basic human decency in this regard.

I thank Deputies O'Sullivan and Neville for raising this matter and for affording me the opportunity to comment on the sad death of this young woman. This is a very tragic case. It is a difficult time for the family and friends of the young woman concerned and for the staff of the health board who worked closely with her. I offer them my sincere sympathy.

I have been informed by the Northern Area Health Board that the 18 year-old woman concerned was in a voluntary transition programme being provided by the health board. As she was over 18, she was not in the formal care of the health board at the time of her death and was free to come and go as she wished. She left the house in which she was living and when she failed to return, the Garda were notified to try and re-establish contact with her. Unfortunately she was subsequently found dead.

I have also been informed that the young woman was previously in the care of the area health board concerned and a wide range of services were made available to address her needs.

As the Deputies will be aware, Mr. Donal O'Shea, chief executive of the Eastern Regional Health Authority, has today announced that the former President of the High Court, Mr. Justice Frederick Morris, has agreed to carry out a case management review of the care and services provided to this young woman. The review will also cover all the circumstances leading to her death. The review will be carried out in collaboration with the Northern Area Health Board and whatever assistance is required by Mr. Justice Morris will be made available to him. I welcome the appointment of Mr. Justice Morris to undertake this case management review. We should now await his findings and I am committed to implementing his recommendations.

In relation to the teenage boy referred to by Deputy Neville, I have been informed that while it would not be appropriate to go into the detail of an individual case the young person concerned has been placed in a secure facility by order of the High Court.

I take this opportunity to assure the House of this Government's commitment to the child welfare and protection services since entering office. An additional 171.45 million (£135 million) revenue has been invested since 1997 in the continued development of child welfare, protection and family support services. Of this, 63 million (£50 million) has been invested in the ERHA area.

The number of high support and special care places has increased from 17 in 1997 to a current total of 93 which includes the 24-place special care unit at Ballydowd which is being opened on a phased basis. Plans are under way to develop an additional 41 places. These places are due to become available by mid-2002.

This Government established the Social Services Inspectorate in 1999 to provide an independent inspectorate for the social services. In its first three years it is concentrating on child care and in particular residential child care services. To date 44 inspections have been carried out throughout the country on residential children's centres operated by the health boards. The Department of Health and Children in co-operation with the health boards and the SSI have developed national standards for children's residential centres as well as standards for special care units.

The report of the working group on foster care was published last year. It addresses the range of problems currently being experienced by those involved in foster care and makes recommendations to further the development of services for foster children and their carers. There have been increases in the payments being made to foster carers. Payments last year were between £70 and £80 per child per week. It is now £220 to £230 per child per week. I am very anxious to promote not only family support but the support of foster carers.

The Children Act, 2001, was passed by the Oireachtas last year. The National Children's Office has established a high-level cross-cutting group made up of representatives of the relevant Departments and agencies to devise a programme for the implementation of the Act. The Department of Health and Children is currently drawing up the necessary regulations to allow for the implementation of Parts 2, 3 and 11. The Special Residential Services Board which has important functions under the Children Act has been established. The National Children's Strategy was launched in November 2000. It is a ten-year plan to ensure that the needs of children can be addressed in a co-ordinated manner and the structures have already been put in place to ensure that this happens. The Youth Homelessness Strategy was launched towards the end of last year. It provides for a strategic and planned approach to address youth homelessness.

The Government remains committed to ensuring that all staff in residential centres without formal qualification are facilitated to become professionally qualified. Significant pay increases have been awarded to child care workers in the health sector and the new pay arrangements which have been introduced recognise the importance of staff having professional child care qualifications. Developments are also taking place at national and regional level to improve the retention and recruitment of social work staff. There have never been more social workers either being trained or in the system.

The Springboard initiative established family support projects in each health board area throughout the country, targeting children in the seven to 12 year age group who are at risk of getting into trouble and going into care. We know this is an effective intervention.

After many years of neglect of children this Government is fully committed to children and to improving children's rights. In this context the Ombudsman for Children Bill has been circulated to Departments with a view to submission to Government next week.

Will it be set up in time before the election?

I hope so.

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