James Browne
Question:790. Deputy James Browne asked the Minister for Health the funding provided to date in 2017 for improved provision of psychotherapeutic interventions for adults and children with mental illness. [34346/17]
View answerMental Health Services Provision
Questions (790)
Written answers
As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Mental Health Services Funding
Questions (791)
James Browne
Question:791. Deputy James Browne asked the Minister for Health the funding to date in 2017 to address the service gap for low secure acute care and rehabilitation services for mental health service users with complex needs. [34347/17]
View answerWritten answers
As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Mental Health Services Funding
Questions (792)
James Browne
Question:792. Deputy James Browne asked the Minister for Health the funding provided to date in 2017 for continued investment in the CAMHS eating disorder service. [34348/17]
View answerWritten answers
As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Mental Health Services Funding
Questions (793)
James Browne
Question:793. Deputy James Browne asked the Minister for Health the funding provided to date in 2017 for the opening of new acute and high observation units. [34349/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply, in respect of Mental Health Facilities.
Mental Health Services Expenditure
Questions (794)
James Browne
Question:794. Deputy James Browne asked the Minister for Health the expenditure incurred in agency fees to date in 2017 by the HSE in the provision of mental health services. [34350/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Mental Health Commission Reports
Questions (795)
James Browne
Question:795. Deputy James Browne asked the Minister for Health the details of approved centres that have yet to comply with the mental health commission, in tabular form. [34351/17]
View answerWritten answers
The Mental Health Commission is an independent body that was set up in 2002, whose functions are set out in the Mental Health Act 2001.
The main functions of the Commission are to promote, encourage and foster high standards and good practices in the delivery of mental health services and to protect the interests of patients who are involuntarily admitted. The responsibilities of the Commission include the establishment and maintenance of a Register of Approved Centres, and appointment of the Inspector of Mental Health Services who annually inspects mental health services.
As outlined in the Mental Health Act 2001, the Inspector of Mental Health Services visits, inspects and reports on every approved centre at least once every year. Details of these inspection reports, including compliance issues, are available on the Mental Health Commission website and contain the requested information.
Mental Health Policy
Questions (796)
James Browne
Question:796. Deputy James Browne asked the Minister for Health if anti-ligature measures have been introduced in all settings; and if not, the details of settings where they have yet to be introduced in tabular form [34352/17]
View answerWritten answers
As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Mental Health Services Data
Questions (797)
James Browne
Question:797. Deputy James Browne asked the Minister for Health the number of referrals to CAMHS received to date in 2017 in each CHO; the number of such referrals accepted; if those referrals not accepted were referred to other services; and if so, the details of same in each CHO. [34353/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Occupational Therapy
Questions (798)
James Browne
Question:798. Deputy James Browne asked the Minister for Health the number of children in County Wexford on a waiting list for occupational therapy; the number of children in County Wexford awaiting occupational therapy services for up to 12 months, 24 months and 36 months respectively; and if he will make a statement on the matter. [34354/17]
View answerWritten answers
As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply.
Mental Health Guidelines
Questions (799)
James Browne
Question:799. Deputy James Browne asked the Minister for Health the status of the implementation of each of the recommendations Nos. 15.1.1 to 15.1.9, inclusive, of a vision for change; and if he will make a statement on the matter. [34355/17]
View answerWritten answers
Significant progress has been made on implementation of A Vision for Change, underpinned by the substantial additional funding provided by Government since 2012. The HSE budget for mental health services is over €850m this year for mental health. All aspects of adult and child and adolescent services are being developed, including acute and community based services, along with forensic mental health services. Detailed service improvements are reflected each year in the HSE National Service Plans and the HSE Mental Health Division Operational Plans, available on the HSE website.
The HSE National Forensic Mental Health Service provides specialist forensic services to those referred from the Irish Prison Service, and the Youth Justice Service. It also provides consultation and advice to An Garda Síochána, and the Courts Service of Ireland. Every effort is made to ensure that forensics mental health care provision is in accordance with the recommendations of A Vision for Change, including legal considerations and person-centred and recovery-based approaches on an inter-agency basis.
In relation to Recommendation 15.1.1, all prisoners are medically assessed on committal to prison. This includes a mental health assessment which can be employed to develop an individual care plan. Where clinically indicated, the prisoner is referred to a forensic clinician who, subject to his/her findings, may make certain recommendations to the Governor for the care of the prisoner. Prisoners on release, are entitled to be referred to the HSE mental health services in the normal way.
In regard to 15.1.2, the National Forensic Mental Health Service (NFMHS) at the Central Mental Hospital (CMH) at Dundrum provides a Mental Health Prison In-Reach and Court Diversion Service (PICLS) programme to the Irish Prison Service . The diversion system ensures as far as possible that those people presenting before the courts, or indeed at an earlier stage of the criminal justice system, where the infraction is a reflection of an underlying mental illness, are referred and treated appropriately. This approach has reduced the number of mentally ill people committed to prison, under sentence. An Interdepartmental Group is looking at what further improvements can be made on the issue of persons with mental illness and their interaction with the Criminal Justice System.
The recommendation reflected in 15.1.3 refers to increasing community based forensic mental health teams. Full multi-disciplinary teams are being developed for Castlerea, Limerick and Cork prisons.
Planning permission for a new modern Forensic mental health facility in Portrane to replace the Central Mental Hospital in Dundrum, was granted in June 2015. Phase 1 of the project comprises of a new 120 bed hospital, as reflected in Recommendation 15.1.4, along with a new 10 bed Child and Adolescent Mental Health unit (Recommendation 15.1.6) and a new 10 bed Mental Health Intellectual Disability unit (Recommendation 15.1.7). Construction has recently commenced on site, to include a new 30 bed Intensive Care Rehabilitation Unit, with a view to the new facilities coming on-stream in early 2020.
In relation to 15.1.5, there are a number of prison based multi-disciplinary groups that provide information and support in the area of mental health to prisoners. There are consultant-led forensic mental health in-reach teams in all the prisons in Ireland at present. The Irish Prison Service (IPS) is seeking to advance a robust system that would see integration and further development of services with statutory and voluntary partners. Mental health service provision in prisons must form part of the overall community response to this cohort of prisoners. Current arrangements with the Central Mental Hospital are a good example of collaborative working. In addition to healthcare input, the IPS Psychology Service provide ongoing evidence informed therapeutic approaches to those referred to the service who are suffering from mental health difficulties.
The implementation of Recommendations 15.1.8 and 15.1.9 are being progressed on a joint basis by the health and judicial systems. This involves, for example, the HSE National Forensic Mental Health service, An Garda Síochána and the Irish Prison Service. The NFMHS provides regular training to An Garda Síochána and the Garda training college at Templemore also delivers training as part of the training of all new Garda trainees. The Forensic service provides an advisory service to the Garda negotiation team, and has established links to local Gardaí. Structured links to Divisional Gardaí level are also being developed. Good progress has been made in recent years on the specific recommendations, arising from the significant additional funding given to mental health, including the modernisation of the NFMHS and by progressing the work of the Inter Departmental Group on those with mental health issues coming into contact with the criminal justice system.
Mental Health Services Provision
Questions (800)
James Browne
Question:800. Deputy James Browne asked the Minister for Health the number of counties which have a seven-day support team for mental health; the details of same in each case; and if he will make a statement on the matter. [34356/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Mental Health Services Provision
Questions (801)
James Browne
Question:801. Deputy James Browne asked the Minister for Health the number of counties which have a home care team for supporting persons with mental health; the detail of same in each case; and if he will make a statement on the matter. [34357/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Emergency Departments Staff
Questions (802)
James Browne
Question:802. Deputy James Browne asked the Minister for Health the number of hospitals which have a psychiatric nurse employed in emergency departments; the detail of same in each case; and if he will make a statement on the matter. [34358/17]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Health Services Funding
Questions (803)
James Browne
Question:803. Deputy James Browne asked the Minister for Health the agencies funded by the NOSP, National Office for Suicide Prevention, in 2017; and if he will make a statement on the matter. [34359/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Ambulance Service Provision
Questions (804)
James Browne
Question:804. Deputy James Browne asked the Minister for Health the status of the proposed construction of ambulance stations for Gorey and Enniscorthy; the date on which they will proceed to the next stage; the timeframe for tendering process to commence and be completed; the timeframe for construction to commence; the funding he will allocate to same; and if he will make a statement on the matter. [34360/17]
View answerWritten answers
As this is a service matter, I have asked the HSE to respond to you directly.
HSE Records
Questions (805)
James Browne
Question:805. Deputy James Browne asked the Minister for Health the value of drugs under the control of the HSE the location of which are unknown, missing or unaccounted for at the end of each of the years 2013 to 2016; and if he will make a statement on the matter. [34361/17]
View answerWritten answers
In relation to the specific issue raised, I have asked the HSE to respond to you directly.
Primary Care Centres
Questions (806)
James Browne
Question:806. Deputy James Browne asked the Minister for Health if dietetic services will be made available in all new primary care centres; and if he will make a statement on the matter. [34362/17]
View answerWritten answers
As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply.
Mental Health Services Staff
Questions (807)
James Browne
Question:807. Deputy James Browne asked the Minister for Health his Department's estimate of the additional resources required to provide the funding necessary for the staffing requirements under A Vision for Change, taking into account the 2016 census returns, broken down by each CHO area. [34363/17]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Mental Health Services Data
Questions (808)
James Browne
Question:808. Deputy James Browne asked the Minister for Health the number of children under 18 years of age who have been admitted to acute hospitals on mental health grounds; the number of individual children these admissions relate to; and the number of subsequent readmissions in 2015 and 2016 and to date in 2017. [34364/17]
View answerWritten answers
As this is a service issue, this question has been referred to the HSE for direct reply.
Mental Health Tribunals
Questions (809)
James Browne
Question:809. Deputy James Browne asked the Minister for Health if an analysis has been completed or studies carried out on the number of admissions and renewal orders revoked before a mental health tribunal is held. [34365/17]
View answerWritten answers
Under the 2001 Act, a person who is involuntarily admitted to an approved centre has their admission or renewal order independently reviewed by a mental health tribunal within 21 days. This includes patients who were regraded from a voluntary patient to an involuntary patient. Every tribunal is made up of a chairperson, a consultant psychiatrist and a lay-person and adults receive free legal representation.
It is important to emphasise that Section 28 of the Mental Health Act 2001 obliges the consultant psychiatrist responsible for the patient to revoke an order where they become of the opinion that the patient is no longer suffering from a mental disorder as defined in the Act. However, even if an order is revoked before a Mental Health Tribunal, the patient is written to and offered a hearing and the patient's legal representative will advise them in relation to this.
Figures in relation to the number of Admissions and Renewal Orders revoked before Mental Health Tribunal is held for the years 2012 to 2017 are set out in the following table:
|
Year |
Number of Admissions and Renewal Orders revoked before Mental Health Tribunal is held |
|
2012 |
1530 |
|
2013 |
1457 |
|
2014 |
1514 |
|
2015 |
1661 |
|
2016 |
1648 |
|
2017 |
689* |
* Figures to end May 2017