Dáil Éireann Debate, Tuesday - 1 March 2022
655. Deputy Peter Burke asked the Minister for Health if he will consider the case of mental health in communities in a post-pandemic era and the funding requirements which will be required for future services to address the impacts of the Covid-19 pandemic; and if he will make a statement on the matter. [11025/22]
View answerAll aspects of mental health services are being improved and developed, through implementation of our national mental health policy, Sharing the Vision in the short to longer term. Sharing the Vision aims to enhance the provision of mental health services and supports across a broad continuum, from mental health promotion, prevention and early intervention to acute and specialist mental health service delivery, during the period 2020-2030.
A whole-of-government National Implementation Monitoring Committee (NIMC) was established in December 2020 to oversee the implementation of the recommendations in the policy and to monitor progress. The NIMC is made up of the NIMC Steering Committee, supported by a NIMC Reference Group of Service Users and Family Members, which is in the process of being established, and NIMC Specialist Groups, which have been established in priority areas of development including CAMHS, Acute Inpatient Bed Capacity development and also in Women’s Mental Health.
There is work ongoing across Government that aligns to the recommendations of Sharing the Vision. I am satisfied that the Committee is progressing well in this initial stage of its work, by building on the following initiatives already underway:
- Many significant recent developments in online mental health service provision and positive mental health promotion have been expedited in response to the ongoing pandemic. These initiatives exemplify the holistic, whole-of-population approach to mental health service development that Sharing the Vision promotes and seeks to advance, in parallel with the development of specialist supports.
- Sharing the Vision recommends the continued phased implementation and evaluation of existing national clinical programmes in mental health, including Dual Diagnosis, Early Intervention in Psychosis, and Eating Disorders. The clinical programmes, which are in various stages of design and implementation, are at the heart of service improvement.
- Sharing the Vision additionally recommends that, in keeping with the evolving understanding of human rights to empower people and improve quality of care in mental healthcare facilities, legislation must be updated and additional supports put in place. This is currently being addressed in the review of the Mental Health Act, 2001, which was completed, and a General Scheme approved by Government on 13 July 2021. Following the Government decision to approve the heads of bill, a formal Bill will be drafted by the Office of the Attorney General, in consultation with the Department of Health.
The policy rollout will be further enabled by the Sharing the Vision Implementation Plan 2022 – 2024, which is presently being finalised for publication in March 2022. Developed in collaboration with key stakeholders, the Plan will provide detailed 3-year plans for each of the policy’s 100 recommendations, is the next step in ensuring the continued momentum needed for a successful policy implementation. Additionally, HSE National Service Plan 2022, which is currently being finalised, will set out a plan to enhance mental health services in the short term, on the basis of the priorities set out in Budget 2022 and in line with Sharing the Vision.
With regards to funding, a total of €1.149 billion has been allocated to mental health in Budget 2022. This is an additional €47 million for next year and comprises €24 million for new developments, €13 million for existing levels of service and €10 million in once off funding for COVID-19.
The additional investment provided for in Budget 2022 will ensure the continued development of mental health services, including out of hours supports, child and adolescent mental health services (CAMHS) and the national clinical mental health programmes. An additional €1.15 million will be allocated to the Clinical Programme on Eating Disorders to continue the roll out of specialist eating disorder teams in CHOs 1, 3, 5 and 6. New mental health services for older people will be developed, in line with the model of care for specialist mental health services for older people and will be piloted next year. Two new CAMHS telehubs will be funded under Budget 2022 and funding will also be allocated to enhance the capacity of CAMHS teams across the country. Crisis resolution teams will continue to be developed with an allocated budget of over €1.4 million in 2022. An additional €10 million was announced on Budget Day as a once off funding measure to provide further investment in mental health services, with a particular emphasis on community and voluntary based supports.
As the question also concerns HSE services, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
