Mental health care disparities
Deputy Doherty raised unequal standards between public and private mental health care and worsening child admissions to adult psychiatric units. The Tánaiste said admissions have fallen sharply since 2009 and the system is moving in the right direction, though more progress is needed.
The Mental Health Commission's annual report published today shows that there is a gap in the quality of care for people who are presenting with mental health issues, between private and public patients. There is clear evidence that independent private mental health service providers are providing care in superior standard premises than those within the public system. Treatment should not be based on ability to pay. It should be based on need. The report also shows an increase in the number of children being admitted to adult psychiatric facilities. The recent closure of 11 CAMHS beds in the Linn Dara unit probably means that this practice will continue. We need to get rid of this draconian practice. We need to ensure that our most vulnerable children are not being admitted to adult psychiatric hospitals. Will the Tánaiste give an assurance that the Minister for Health will engage with the HSE to ensure this practice is ended and adequate investment is provided to address the many deficiencies highlighted in the commission's report?
Comment on this
I am happy to give that assurance. That is very much what is happening at present. For the information of the House, if we go back to 2009, 55% of child admissions were to adult units. Last year, that figure was 6.3%. The job is not done yet but there has been a massive improvement, with those admissions going down from 55% to approximately 6% last year. Of course, we want to get to zero. While the Deputy's description of the report from the Mental Health Commission is correct, it is also incomplete. It is worth recording that the report shows that we are going the right direction, there has been a significant improvement in recent years and more than 80% of public units are now compliant. That needs to be 100%.