Ireland's SHAME: 3,000 Young People Are Left Waiting For Mental Health Services: *UPDATED

As of the end of March more than 3,000 children and young people were waiting to be referred to mental health practitioners in Ireland.

The ( Child and Adolescent Mental Health Service ) (CAMHS) waiting list had grown to 3,029 cases by 31 March: an 11% increase on the same period last year, when the figure stood at 2,731.

It is 20% (511 cases) above the year-end target of 2,518 cases.

Referrals accepted in the first quarter of 2014 increased by 6% and new cases seen increased by 12% compared to the same period in 2013.
ie.reachout.com/getting-help/face-to-face-help/services-explained/child-and-adolescent-mental-health-services/ 

Following on from a Parliamentary Question submitted by Deputy Thomas Broughan, the Office of the National Director in the Mental Health Services Division of the HSE informed him of the figures.

In correspondence seen by TheJournal.ie, the HSE confirmed that there were 1,259 referrals accepted by CAMHS Community Mental Health Teams in March; 72% of which were offered a first appointment and seen within 3 months. While this figure is below the target of 75%, it does demonstrate an improving trend month-on-month. 

178 of the 232 development posts allocated to CAMHS in 2012 and 2013 have been filled.

Jim Ryan, the Head of Operations and Service Improvement in the HSE, informed Broughan that 92% (138) of the approved posts from mental health funding in 2012 had been filled, but – as of the end of April – only 52% (43) of approved posts from 2013 funding were filled.

Ryan wrote that a further 14.5 posts (18%) are at “an advanced stage in the recruitment process”.

The letter noted that the HSE was unable to fill 10.5 posts from the 2013 funding allocation “due to difficulties in identifying suitable candidates due to factors including availability of qualified candidates and geographic location”.

Broughan described the delay in filling these posts as “exasperating … particularly at a time when the number of referrals made to CAMHS continues to increase”.

The Dublin North-East Independent TD called on the health minister to work with the HSE to address the increased pressure on CAMHS.

It’s an area of the health budget that should be given continual priority. Urgent action needs to be taken by Minister Reilly or whoever his successor is.

In a separate letter, Carol Ivory from the HSE’s Mental Health Services Division said that an ‘improvement steering group’ had been established to review waiting times, the scope of treatment options available, clarity of information available to families and the interaction between CAMHS and other agencies both inside and outside the HSE.

Ivory told Broughan that the HSE’s Mental Health Division is “committed to ensuring that all aspects of CAMHS are delivered in a consistent and timely fashion regardless of where the service is accessed throughout the country”.

Broughan welcomed news of the steering group but said that another urgent issue also needed to be addressed, namely children being placed in adult psychiatric units.

A recent report found that 83 children were put into adult psychiatric units last year, despite the introduction of Mental Health Commission guidelines forbidding the practice in 2011.
*UPDATE ADDITION:

The chief executive of the Children's Rights Alliance has said her organisation is concerned that the new Child and Family Agency, Tusla, is another potential casualty of austerity.

It follows comments by the Tusla chief executive that the agency does not have enough money at the moment due to demand for its services.

Speaking on RTÉ's Morning Ireland, the Children's Rights Alliance’s Tanya Ward said one in ten children within the child protection system did not have an allocated social worker or care plan.

Ms Ward said if the agency did not have enough resources to fulfil its role those statistics could go in the wrong direction.

She said the alliance was also concerned that the agency would not be in a position to support the new Children First legislation, which will put a legal obligation on those working with children to make referrals and to report instances of child abuse and neglect to Tusla.

Ms Ward said this would result in a big increase in referrals to the agency.

She said: "This is the biggest public sector reform in the Programme for Government, and we've had 17 official reports documenting how our child protection system was essentially broken.

"So you'd imagine with the biggest public sector reform in Government that the Government would then back it with resources."

She added: "And certainly we're concerned that again, it's another potential casualty of this austerity."

Keywords: child and family agency, children's rights alliance, tusla 

LINKS TO HELPLINES:

www.spunout.ie & www.teenline.ie & www.letsomeoneknow.ie & www.drugscope.org.uk & 

www.youngminds.org.uk & www.3ts.ie & www.aware.ie  &  www.console.ie 

• Samaritans 116 123 or email jo@samaritans.org
• Console 1800 201 890 – (suicide prevention, self-harm, bereavement)
• Aware 1890 303 302 (depression, anxiety)
• Pieta House 01 601 0000 or email mary@pieta.ie - (suicide, self-harm, bereavement)
• Teen-Line Ireland 1800 833 634 (for ages 13 to 19)
• Childline 1800 66 66 66 (for under 18s)