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Mental Health Services

Dáil Éireann Debate, Thursday - 29 February 2024

Thursday, 29 February 2024

Ceisteanna (9)

Darren O'Rourke

Ceist:

9. Deputy Darren O'Rourke asked the Minister for Health the number of psychologists employed by CAMHS in the Meath area; the number of psychologists working in CAMHS in the Meath area; the size of the waiting list for access to CAMHS services in the Meath area; the average time waiting to secure an appointment with a psychologist in the Meath area; the average waiting time to access CAMHS services in the Meath area in 2020 to 2024, inclusive, in tabular form; and if he will make a statement on the matter. [9553/24]

Amharc ar fhreagra

Freagraí ó Béal (6 píosaí cainte)

I want to ask the Minister about the number of psychologists employed by CAMHS in the Meath area; the number of psychologists working in CAMHS in the Meath area; the length of the waiting list to access CAMHS services in the Meath area; the average time waiting to secure an appointment with a psychologist in the Meath area; and the average waiting time in recent years.

I thank the Deputy for tabling this question. Officials in my Department sought an update from the HSE in relation to the specifics of the question that has been raised. The HSE has advised that four CAMHS teams are shared across the Meath and Louth area to address the population demands of County Meath, as well as the catchment area served by the team in Drogheda. These teams are based in Navan, Ashbourne, south Louth, east Meath and Trim.

As part of the multidisciplinary make-up of each CAMHS team, each of the four teams is funded for and holds a senior psychology post. I often speak of the CAMHS multidisciplinary teams, which include consultant psychiatrists, clinical psychologists and the whole way down to occupational therapists, OTs, clinical nurse specialists, social workers, etc.

To respond to the specific question, of these four posts, a senior psychologist is currently in place and working in the Navan team. Of the two further teams, two posts are vacant but I need to say again that they are funded. One post-holder is currently on sick leave so it does leave a situation where instead of having four psychologists working across four teams, there is currently only one person in post due to two vacancies and one person on sick leave. Data made available to my Department indicates that within the Navan team from 2021 to date in 2024, there have been fewer than ten children who have had to wait to be seen by a psychologist at any given time. That is the importance of the multidisciplinary team. In addition, there have been fewer than five children waiting more than one month from receipt of an internal CAMHS psychology referral to be seen in Meath.

The HSE have confirmed that there are currently 305 children and young people on the waiting list to access CAMHS in the Meath area, across all four teams. In the Meath area, since 2020 to date in 2024, routine appointments for CAMHS have been seen within four to 13 weeks. I will come back in the next slot.

I thank the Minister of State for the reply. It is very concerning that we have a 75% vacancy for one reason or another. Can I have an update on filling those posts? I appreciate that the funding is in place but I would push back and say it is not enough for the Department or the HSE to provide the funding. We need to secure and fill those posts. Are enough psychologists being trained? Is the HSE recruiting to a significant degree? What is being done to fill those posts? It is recognised that they are required; they are absolutely needed to address the demand that exists. There are 305 children waiting. They serve a geographical area but a population area as well. What is being done to fill those vacancies, including in terms of training?

As I put on the record of the House on Tuesday, we have made progress on the CAMHS waiting list. At the end of 2023, there were 3,759 children on the list. This was a decrease of 480 children through the end of the year. It is still a very high number. I have a dedicated focus on it week on week, month on month. I welcome that reduction. It has to be noted in this context that CAMHS provides a multidisciplinary service, composed of psychiatry, psychology, nurse specialists and health and social care professionals. The Deputy asked a specific question and I was delighted last year, with the support of the Minister, Deputy Donnelly, to be the first Minister of State ever to support counselling psychologists, which we use across a lot of our teams. We allocated €750,000 in recurring funding year on year because it is a very costly role to take on. People are in college, qualifying and training for a very long time. This is a step forward to support more psychologists to work in Ireland.

There is an urgent need to address those vacancies and I encourage the Minister of State at the earliest opportunity to meet the demand that exists. I encourage her to review the workforce plan in respect of the overall demand for the services and ensure those teams are filled as full as possible and that there are not vacancies. We are talking about psychology here. I expect it might not be to the same extent but there might be a similar picture in other grades as well. Is social prescribing being explored as a priority for the Department, the Minister or the HSE as an option as a matter of priority for our mental health services?

We currently have 820 people working in CAMHS, with 225,000 appointments issued last year. There were 12% more referrals last year and in 2021, there was 33% more referrals. By the end of 2024, there will be more than 900 people working in CAMHS. I have received that funding in the budget. As late as yesterday evening, I had a meeting about these posts being put in place. One of the issues we are examining is geographical spread. It is really important in respect of this postcode lottery that when we are recruiting, the geographical spread is really important for children wherever they live in the country. I had that meeting yesterday with the Department and the HSE.

I am a big supporter of social prescribing. It is a really great initiative. We mostly work with adults in social prescribing but it has been a game-changer for many people who might have felt disadvantaged or who might have felt outside their community.

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