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Dáil Éireann díospóireacht -
Tuesday, 31 Mar 1992

Vol. 417 No. 9

Adjournment Debate. - Waterford Handicapped Children Centre.

I am asking that direct funding be provided by the Department of Health for the Sacred Heart Day Unit for Mentally Handicapped Children at Lady Lane, Waterford. To visit the Sacred Heart Unit is one of the most heart rendering experiences imaginable. The unit is run by a remarkable lady, Sister Imelda, who is assisted by a wonderful staff, 12 of whom are full-time and nine part time. The nine part-time workers are on a FÁS training course.

The most apt way of describing Sister Imelda is to say that she compares somewhat with Mother Teresa of Calcutta. She devotes all her time and energies to the care and wellbeing of these young children. There are 45 children in the unit and their ages are from 4 to 16. They attend the day care centre for five days of the week. These children vary from moderately to severely handicapped. I think the Minister will appreciate from that the amount of effort and love necessary to cater for their needs. The children are ferried to and from the unit by a team of volunteer drivers. Recently the director, Sister Imelda, was told to cut back on numbers by the South Eastern Health Board in an obvious attempt to reduce costs. This centre has a waiting list of 26 children and is desperately short of cash. At present there is a bank debt of £30,000 and it would be much higher but for the trojan efforts of the voluntary fund raisers who help the centre.

Waterford city have a well deserved reputation for being very charitable in needy cases and they have constantly raised money for this unit. Every day the problems in relation to finance facilities and accommodation become more difficult. Apart from fund raising, the unit is assisted financially by the South Eastern Health Board who have their own financial difficulties. The board have done their best in very difficult circumstances but their best is not good enough and that is why I am asking the Minister for Health to assist the unit directly. In one of his initial interviews the Minister made the point that his priority was to assist the mentally handicapped and he could not come across a more deserving case than this one.

Sister Imelda and her staff should not have the additional worry of insufficient financing. Their work is extremely demanding and they operate in a building constructed in 1974 which needs to be extended if not totally replaced. The unit should be financed entirely from central funds. I understand that the Minister will visit Waterford shortly and I hope he will visit the Sacred Heart unit to see their magnificent work — and plight — at first hand. I hope he will see fit to assist them as they deserve.

In reply to a Dáil question on the matter last week, the Minister indicated that some extra moneys will be available from the South Eastern Health Board. I understand that the sum in respect of 1991 is £6,500. However, I understand that an extra £850,000 will be available for all mentally handicapped people in the south-west region and I hope that a substantial amount of those moneys will be made available. However, direct funding is the ultimate solution so that all the children in need of assistance can be catered for in satisfactory surroundings.

I am very pleased that Deputy Deasy raised this matter as, the more we discuss it, the more we highlight the problems of the mentally handicapped.

The Sacred Heart Unit, which is run by the Irish Sisters of Charity, provides training and education for about 40 children with mental handicap. The unit is funded by the South Eastern Health Board under section 65 of the 1953 Health Act and, as such, the funding issue is a matter for the health board.

In 1991 the funding provided by the health board was £110,000, which was an increase of 10 per cent on the 1990 figure. I am pleased to inform the Deputy that this figure has been further increased by £6,500 and a payable order for that amount will be issued to the Sacred Heart Unit shortly.

The 1992 allocation for the unit has not yet been determined by the health board. I understand that it will be increased in line with the funds available to the board for the funding of such agencies. Sister Imelda recently met the chief executive officer of the South Eastern Health Board about her budgetary situation. The cash flow problems of the unit due to late payments from the health board have since been sorted out.

As regards waiting lists for services, the position is that this year, apart from the normal increases in allocation totalling some £4 million, an additional £5 million revenue and £1 million capital has been made available to enable significant improvements in mental handicap services to be put in place.

These additional funds will enable an extra 80 residential and 300 day places to be provided to those most in need of such services. A further 41 respite places will be developed. This will mean that about 500 additional families will be able to have a respite break of one month in the year. This is a very significant provision and will provide valuable relief to families and carers. These additional places will be spread over the entire country in proportion to need.

A home care or outreach programme will be initiated to meet the needs of families with a mentally handicapped member. It is my intention that this scheme will work in a flexible way. The scheme should provide a service for up to 1,000 families and will be targeted specifically at those persons who have no service at present or an inadequate one.

Crisis intervention and services for disturbed persons will also be developed. There is a particular need to have an effective and immediate response when crises arise. There is also the need to cater for those persons who are very disturbed. Special measures will be put in place to meet these needs. Twenty places to deal with emergency needs in the Dublin area will be provided, which should ensure that all emergencies can be responded to as they arise. The service for people with mental handicap who are also disturbed will be improved and expanded.

Preventive and early intervention services play a significant role in reducing the level and severity of handicap in our society and will receive particular attention this year. A specialist genetic counselling service will be initiated in 1992. Services for children will be expanded by the provision of three extra early intervention teams and 55 places in child education and development centres. The precise operational details of the additional services to be provided, the staffing requirements, and the people to benefit are being considered by the regional mental handicap co-ordinating committee in each health board area.

Because of the serious situation which exists in the Dublin area £2.65 million revenue was allocated to the Eastern Health Board. The next largest amount, that is £850,000, was allocated to the South Eastern Health Board area in recognition of the scale of unmet need there. This money will enable ten residential places, five respite places to serve 60 people, 60 day places, a home support service for 90-150 families, two early intervention teams and 15 day places for children to be created in the south-east.

The South Eastern Health Board are in the process of consulting and agreeing with the regional mental handicap co-ordinating committee the precise operational details of the additional services to be provided and their proposals are awaited.

These developments are a major step forward and will result in a considerable improvement in service provision. I accept that more needs to be done but I want to assure the Deputy that these services will be maintained at this higher level and it is my intention that they will be built on and further improved in future years.

As Deputy Deasy suggested, I will be delighted to visit the Sacred Heart Unit when I am in Waterford.

The Dáil adjourned at 9 p.m. until 10.30 a.m. on Wednesday, 1 April 1992.

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