De réir mar a thuigim, tháinig an Taoiseach isteach sa Dáil aréir agus chuir sé in iúl gur polaiteoir é a chuireann béim ar fhreagraí díreacha. Táim ag tnúth le freagraí díreacha anois. Táim ag díriú isteach ar chúrsaí meabhairshláinte. Tagaim ó chathair atá ag fanacht le hionad nua. Tá ionad síciatrach ann. Tá 45 leaba istigh ann. Tá níos mó ná 50 othar san ionad sin. Chomh maith leis sin, tá cuid de chosmhuintir na cathrach páirteach i bpatról slándála ag iarraidh daoine a choinneáil ó na huiscebhealaí de bharr go bhfuil sé ar intinn acu lámh a chur ina mbás féin. Sin an cúlra atá agam ón gcathair.

An pointe ginearálta atá á dhéanamh agam, agus an cheist atá á cur agam, ná cá bhfuil an t-athbhreithniú ar A Vision For Change? Sin plean forásach cuimsitheach. Ba é an tréimhse ama a bhí i gceist ná 2006 go 2016 - tréimhse deich mbliana. Insan fhís sin bhí chuile rud - idir an fhís agus na rudaí a bhí le déanamh. Anois táimid in 2018 agus, in ainneoin na ngeallúintí uilig mar gheall ar athbhreithniú, fós níl athbhreithniú againn. An rud atá léite agam ná athbhreithniú ar litríocht idirnáisiúnta ó thaobh chúrsaí meabhairshláinte de. Thóg sé sin dhá bhliain agus 12 seachtain. An dáta atá ar sin ná mí Feabhra 2016. Thóg sé go dtí Iúil 2016 é sin a fhoilsiú. Tá sé foilsithe anois agus táimid fós ag fanacht ar athbhreithniú ar an doiciméid A Vision For Change. Tá sé ráite linn go bhfuil grúpa maoirseachta - nó oversight body - bunaithe agus tá duine i gceannas air, ach dhá bhliain agus trí mhí tar éis an phlean sin a bheith críochnaithe níl athbhreithniú fós againn.

Tá a fhios agam nach bhfuil an Taoiseach ró-thógtha le miotas so níl mé ag súil le freagra indíreach. Ba mhaith liom a fháil amach go díreach stádas an athbhreithnithe sin. Cá bhfuil sé? Cé atá i gceannas? Cé mhéad cruinnithe a bhí ag an ngrúpa maoirseachta seo? Cén scála ama atá i gceist ag an Rialtas maidir leis an athbhreithniú atá geallta? I mo thuairim féin, níl gá le athbhreithniú mar tá sé ráite gurb é an t-aon fhadhb a bhí leis A Vision For Change ná nár cuireadh é i bhfeidhm.

Gabhaim buíochas leis an Teachta as a cuid cheiste. Tháinig an coiste maoirseachta maidir leis A Vision For Change le chéile i mí Dheireadh Fómhair 2017 chun an straitéis ar mheabhairshláinte - A Vision For Change - a athnuachan.

Aontaíodh creatlach oibre a chinnteoidh go gcríochneofar obair an choiste maoirseachta roimh dheireadh na bliana. The A Vision for Change oversight committee was convened in October 2017 with the objective of updating the A Vision for Change mental health strategy. A work plan has been agreed and will ensure that the work of the oversight group will be completed before the end of the year. The priority considerations of the oversight group include but are not limited to primary prevention, early intervention and positive mental health; integration of care and delivery systems between primary and secondary services; development of e-mental health responses; workforce planning, forecasting and skill mix, including mechanisms to attract and retain staff; the emerging needs of vulnerable groups such as people with comorbidities and specialist needs, as informed by the relevant programmes; the development of research data and evaluation capability to ensure achievement of best mental health outcomes can be demonstrated with the resources available; and proposing policy changes or enhancements that will benefit all those engaged with mental health services, with a particular emphasis on social inclusion and the needs of vulnerable groups, with the focus on reducing stigma and discrimination. The oversight group is determined that its work will focus on developing measurable outcomes and has emphasised the importance of stakeholder and focus groups in the formation of final recommendations. Those consultations are anticipated to commence in the near future. Subgroups have considered how best to build on existing policies and resources and have agreed there should be a focus on identifying gaps in current policy.

Gabh mo leithscéal, ach níor thuig mé an cheist iomlán. I did not pick up all the question. Cén ionad? Cén áit? B'fhéidir gur ionad i nGaillimh atá i gceist. I am sorry, but I did not quite pick it all up.

Tá mé ag déanamh trácht ar an ionad síciatrach chun cé chomh dona is atá rudaí ar an talamh a chur in iúl.

I bPáirc Merlin-----

Ní hea.

-----nó in ospidéal an choláiste?

San ospidéal ginearálta. B'fhéidir go mbeidh an Taoiseach in ann breathnú ar an áit seo, ina bhfuil 45 leaba agus, de réir mar a thuigim, 51 othar. Ní féidir an t-ionad nua a oscailt de bharr easpa foirne. Ba mhaith liom dul ar ais go dtí mo chéad cheist. Bhí mé ag súil le freagra díreach. Cén uair a bheidh an t-athbhreithniú críochnaithe? Tá ceist eile agam. An bhfuil na tuarascálacha léite ag an Taoiseach? Níl gá le athbhreithniú eile. Bhí an tuarascáil a d'fhoilsíodh i mí Iúil 2017 ag caint faoi "light refresh" - b'shin an méid - ós rud é go raibh chuile rud clúdaithe in A Vision for Change. Níl aon gá le haon rud eile ach A Vision for Change a chur i bhfeidhm. Tá gá le beart leis an straitéis sin a chur i bhfeidhm. Tá sé seo ráite ag na haltraí síciatrach, ag an gCoimisiún Meabhair-Shláinte agus ag chuile dream, ach tá an Taoiseach fós ag caint faoi tuilleadh athbhreithnithe.

I do not have any specific information on the psychiatric unit in Galway but the Minister of State at the Department of Health, Deputy Finian McGrath, who has responsibility for mental health and older people, will revert to the Deputy with a detailed response. In terms of the issue more generally, the A Vision for Change review will be completed by the end of the year. We look forward to doing that. As the Deputy is aware, over 70% of the staffing need identified in the existing A Vision for Change document has been achieved and we are looking at new and more modern ways to deliver mental health online, with trials being progressed to overcome some of the staffing challenges. The budget for mental health services has significantly increased by almost €200 million since 2012, from €711 million to €910 million, a 28% increase. We have committed to a further increase of €55 million in 2019.