Dáil Éireann Debate, Tuesday - 15 July 2014
620. Deputy Finian McGrath asked the Minister for Health if there is a scheme or supports for families of mentally ill persons who are a danger to themselves or the broader community; and if he will make a statement on the matter. [30765/14]
Amharc ar fhreagraThere is a range of supports available to families of persons with mental health difficulties. Funded parent, family and/or child support groups are available either through the Mental Health Services provided by the HSE, or through state funded voluntary organisations such as SHINE, Aware or Grow. Mentalhealth-support is an organisation created to help the families, care-givers and those suffering and affected by Psychosis. The website provides e-Learning Programmes that give the most comprehensive information and practical and up-to-date advice on this area of Mental Illness. The Endeavour Family Connections Programme is a 12-week group for relatives and friends of a person with chronic self harm, suicidality and a diagnosis of Borderline Personality Disorder, who is or has been involved in the Endeavour Programme in Cork North Lee.
The national policy document A Vision for Change, recognises the vital role played by family members in the recovery process which is accepted and supported by our mental health professionals. I am also aware and acknowledge that patient outcomes are better where families and/or carers are involved in the development of the patients care and treatment plan. Healthcare professionals should proactively encourage patients at all stages to involve their family and/or carer in the development of these plans.
I must also accept, however, that patient confidentiality is important and should not be compromised where in some limited cases patients specifically request that contact not be made with families and/or carers. For the benefit of the patient, every effort must be made to encourage him or her to involve family and/or carers, but it is equally important to recognise that breaching this confidence against the patients wishes, can damage the health professional /patient relationship. The Medical Council's Ethical Guide does however specially allow a doctor to ethically breach confidentiality if, for example he/she believes that the patient is at risk of harming himself/herself or others.
The Expert Group which is reviewing the Mental Health Act 2001 is examining a range of issues, including the broader issue of whether mental health legislation should be amended to require health professionals to consult with the family of persons with mental health problems. The Group is coming towards the end of its deliberations, and I expect to receive its final report by the end of quarter 3 this year.
