Dáil Éireann Debate, Tuesday - 27 February 2024
515. Deputy Thomas Pringle asked the Minister for Health if the promised mental health Bill will implement the recommendations contained in the independent review of the provision of child and adolescent mental health services, CAMHS, in the State by the Inspector of Mental Health Services; and if he will make a statement on the matter. [8850/24]
View answerOf the 49 recommendations made by the Mental Health Commission in their CAMHS report, the HSE have reported that approximately 40 are in progress. A number of these recommendations also relate to new service developments which are dependent on further investment.
Responsibility for 4 recommendations (Recs. 1, 2, 14 and 19) lie with the Department of Health. Of these four, recommendation one relates to the Mental Health Bill and pertains to the question raised by the Deputy.
Recommendation one of the Mental Health Commission report on CAMHS relates to the immediate and independent regulation of CAMHS by the Mental Health Commission. I can assure you that the Department and I have reviewed the 49 recommendations and in collaboration with the HSE and the Mental Health Commission will continue to monitor progress.
I fully support the regulation of all mental health services, including community CAMHS, and I am actively progressing legislation to underpin this regulation.
The Government recognises the importance of ensuring all mental health services, both inpatient and community, and both adult and child and adolescent, are fully registered, regulated, and inspected by the Mental Health Commission in its role as the independent regulator of mental health services.
Under the Mental Health Act 2001, the Mental Health Commission registers, inspects, and regulates all inpatient mental health services, including inpatient CAMHS. The Mental Health Act 2001 does not include any provisions for the registration or regulation of community mental health services and therefore, it is not considered that the Act provides the necessary legal basis to expand the Commission’s regulatory remit.
The expansion of the Mental Health Commission’s role into regulating all community mental health services, including community CAMHS, is being addressed in the forthcoming Mental Health Bill. The new Bill is a complex and lengthy piece of legislation. It will provide the necessary legal underpinning to ensure that the Commission can regulate all community services. Additionally, the Bill will overhaul the involuntary admission and detention process, modernise provisions related to consent to treatment, provide enhanced safeguards for people accessing inpatient treatment, and provide a new, discrete Part that relates exclusively to the care and treatment of children and young people.
The Bill is now in its final month of drafting and I will introduce it to the Oireachtas in the summer legislative session, which begins in April.
Work also continues to improve CAMHS at service-level. Year-on-year funding for mental health services increased by €74 million from €1.221 billion in Budget 2023 to nearly €1.3 billion in 2024, and with a strong focus on investing in child and youth mental health. This is the fourth consecutive year that an increase has been provided to support mental health services, and highlights in real terms the importance this Government places on the mental health of those living in Ireland.
CAMHS receives €146.5 million in dedicated funding annually. In addition to this, approximately €110 million in funding is provided by the Government to NGOs and community-based mental health organisations this year to deliver supports and services. A significant proportion of this is dedicated to supporting young people. A few weeks ago, I announced a further €10 million in funding for mental health to support the delivery of clinical programmes and youth mental health, again highlighting the Government’s recognition of mental health as a central component to overall health.
For the first time in the history of the State we now have a dedicated National Office for Child and Youth Mental Health in the HSE. This is a very significant development which I delivered and it will improve leadership, operational oversight, and management of all service delivery and improvements. Both a new HSE National Clinical Lead for Child and Youth Mental Health and a new Assistant National Director for Child and Youth Mental Health have recently taken up post.
There continues to be growing demand for CAMHS across the country with over 22,000 referrals last year. Between 2020 and 2021, referral rates into CAMHS increased by 33%, while the number of new cases seen increased by 21%.
It is a priority for the Government and for the HSE to improve access to CAMHS and to address CAMHS waiting lists. The new dedicated National Office for Child and Youth Mental Health in the HSE will continue to improve leadership, operational oversight, and management of all service delivery and improvements. This includes taking account of the recent Maskey and Mental Health Commission reports on CAMHS. The National Office is currently finalising the Youth Mental Health Service Improvement Plan which will set out agreed actions for focused service improvement through identified, timely, and measurable actions.
Staffing in community CAMHS has increased in recent years by 500 full time equivalent posts between 2011 and 2024. I secured new development funding for new posts under Budget 2024, with a focus on child and youth mental health posts. There are now 75 CAMHS teams and 4 in-patient units nationally.
Both I and the Government remain committed to the development of all aspects of mental health services nationally.
