1) Ok time for a new thread looking at the recently released review of mental health services over the time of the programme for government of the last government:
https://www.hse.ie/eng/services/publications/mentalhealth/delivering-specialist-mental-health-report.pdf">https://www.hse.ie/eng/servi...
https://www.hse.ie/eng/services/publications/mentalhealth/delivering-specialist-mental-health-report.pdf">https://www.hse.ie/eng/servi...
2) The context you need to bear in mind is that A Vision for Change made recommendations about resourcing and staffing over 14 years ago so these findings will help you gauge progress over those years.
3) It& #39;s also work bearing in mind our average spend on mental health as a percentage of the health budget is currently just 6% compared to 10-12% of most of our european colleagues
4) Funding for specialist mental health team staffing dropped from a high of 31.1 million in 2013 to only 3.9 in 2019, a drop of 87.5% over the course of 6 years
5) Counselling in Primary Care received no funding from 2014-2018 and a news report from May 2020 noted there were 5200 waiting for this service, it doesn& #39;t take much analysis to see the problem here
6) The Youth Mental Health Taskforce from 2017 made a lot of excellent recommendations to improve mental health in a 2 year implementation timeframe, with a budget of only 2m is it much of a surprise that not nearly enough of it& #39;s recommendations have been realised?
7) Lets take a closer look at CAMHS:
Only 44% of recommended staffing levels of community teams 14 years later
CAMHS Hospital Liaison teams only 3 of the 16 recommended teams in place & only 17.5% of recommended levels of staffing
Only 44% of recommended staffing levels of community teams 14 years later
CAMHS Hospital Liaison teams only 3 of the 16 recommended teams in place & only 17.5% of recommended levels of staffing
8) Technically 71/79 recommended CAMHS teams are in place but the size of these teams range from a low of 3.8 clinical staff to 14 at the highest.
How does a team of 3.8 mange demand?
CHO5 (South East) has only 39.8 of recommended levels #postcodelottery
How does a team of 3.8 mange demand?
CHO5 (South East) has only 39.8 of recommended levels #postcodelottery
9) Unfortunately this report doesn& #39;t break down CAMHS by discipline and compare to recommended AVFC levels. The closest data I can find for that is 2018 showing psychology only at 38% of recommended levels
10) Community Adult Mental Health Teams are faring a lot better with 77.1% of the recommended levels from AVFC
11) Mental Health for Intellectual Disability is where the greatest deficits are. Only 32% of the Adult ID mental health staff available and in CAMHS ID only 14% of recommended levels.
12) Only 26% of new development posts in the last 2 years have been filled, & 500 remain unfilled in last 6 years, maybe just maybe we need to think about how we recruit and make wholesale changes to get people in post because this clearly isn& #39;t working.