Geographical Barriers to Mental Health Service Care Among Individuals With an Intellectual Disability in the Republic of Ireland

2016 ◽  
Vol 13 (4) ◽  
pp. 261-268 ◽  
Author(s):  
Hugh Ramsay ◽  
Niamh Mulryan ◽  
Philip McCallion ◽  
Mary McCarron
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Mental Health Service ◽  
Health Service ◽  
Republic Of Ireland ◽  
The Republic

scholarly journals Mental health law profile on the Republic of Ireland

2016 ◽  
Vol 13 (1) ◽  
pp. 15-17 ◽  
Author(s):  
Anna Datta ◽  
Justin Frewen
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Mental Health Service ◽  
Health Service ◽  
Patient Treatment ◽  
Service Users ◽  
Health Law ◽  
Republic Of Ireland ◽  
The Republic ◽  
Positive Step

This article provides a brief overview of the legislation that has been enacted in Ireland with respect to mental health, in particular the 2001 Mental Health Act. Although that Act was a positive step towards developing an Irish mental health service that protects the human rights of service users, a number of concerns remain, including issues related to consent and capacity, involuntary out-patient treatment and admission, the adversarial nature and timing of tribunals, and the lack of safeguards for voluntary patients.

Irish Mental Health Social Movements: A Consideration of Movement Habitus

2002 ◽  
Vol 11 (1) ◽  
pp. 62-80 ◽  
Author(s):  
Ewen Speed
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Social Movement ◽  
Service User ◽  
Service Users ◽  
Department Of Health ◽  
Mental Health Service User ◽  
The Republic ◽  
Consumer Model

There has been a lack of any concerted mental health service users‘ movement within the Republic of Ireland. Mental health service users’ movements elsewhere have a marked orientation towards strategies of empowerment and the provision of peer advocacy and support for mental health service users. Two potential user habituses (drawn from the literature) are expounded and discussed, in a context of transformations they have effected in the mental health field. Through an analysis of Department of Health and Children literature and literature offered by mental health service user groups (such as Schizophrenia Ireland and AWARE) service user habitus in Ireland are delineated and explored. A comparison between the habitus drawn from international literature and the Irish literature illustrates that the dominant Irish mental health social movement habitus is a consumer habitus. This analysis demonstrates that Irish governmental psychiatric policy is driven by a consumer model that in turn is adopted by mental health social movement organisations, resulting in a dominant consumer habitus.

scholarly journals Who is in the transition gap? Transition from CAMHS to AMHS in the Republic of Ireland

2015 ◽  
Vol 32 (1) ◽  
pp. 61-69 ◽  
Author(s):  
F. McNicholas ◽  
M. Adamson ◽  
N. McNamara ◽  
B. Gavin ◽  
M. Paul ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Service ◽  
Health Services ◽  
Young Person ◽  
Republic Of Ireland ◽  
Transition Boundary ◽  
The Republic ◽  
Service Need

ObjectiveThe ITRACK study explored the process and predictors of transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Republic of Ireland.MethodFollowing ethical approval, clinicians in each of Ireland’s four Health Service Executive (HSE) areas were contacted, informed about the study and were invited to participate. Clinicians identified all cases who had reached the transition boundary (i.e. upper age limit for that CAMHS team) between January and December 2010. Data were collected on clinical and socio-demographic details and factors that informed the decision to refer or not refer to the AMHS, and case notes were scrutinised to ascertain the extent of information exchanged between services during transition.ResultsA total of 62 service users were identified as having crossed the transition boundary from nine CAMHS [HSE Dublin Mid-Leinster (n=40, 66%), HSE South (n=18, 30%), HSE West (n=2, 3%), HSE Dublin North (n=1, 2%)]. The most common diagnoses were attention deficit hyperactivity disorder (ADHD; n=19, 32%), mood disorders (n=16, 27%), psychosis (n=6, 10%) and eating disorders (n=5, 8%). Forty-seven (76%) of those identified were perceived by the CAMHS clinician to have an ‘on-going mental health service need’, and of these 15 (32%) were referred, 11 (23%) young people refused and 21 (45%) were not referred, with the majority (12, 57%) continuing with the CAMHS for more than a year beyond the transition boundary. Young people with psychosis were more likely to be referred [χ2 (2, 46)=8.96, p=0.02], and those with ADHD were less likely to be referred [χ2 (2, 45)=8.89, p=0.01]. Being prescribed medication was not associated with referral [χ2 (2, 45)=4.515, p=0.11]. In referred cases (n=15), there was documented evidence of consent in two cases (13.3%), inferred in another four (26.7%) and documented preparation for transition in eight (53.3%). Excellent written communication (100%) was not supported by face-to-face planning meetings (n=2, 13.3%), joint appointments (n=1, 6.7%) or telephone conversations (n=1, 6.7%) between corresponding clinicians.ConclusionsDespite perceived on-going mental health (MH) service need, many young people are not being referred or are refusing referral to the AMHS, with those with ADHD being the most affected. CAMHS continue to offer on-going care past the transition boundary, which has resource implications. Further qualitative research is warranted to understand, in spite of perceived MH service need, the reason for non-referral by the CAMHS clinicians and refusal by the young person.

Expert consensus on the operation of an adult tertiary intellectual disability mental health service in New South Wales, Australia

2021 ◽  
pp. 103985622110142
Author(s):  
Jessica A Walsh ◽  
Janelle Weise ◽  
Claire Eagleson ◽  
Julian N Trollor ◽  
Rachael C Cvejic
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Mental Health Service ◽  
Health Service ◽  
New South ◽  
New South Wales ◽  
Health Staff ◽  
Mental Health Staff ◽  
Complex Needs ◽  
South Wales

Objective: To identify and reach consensus on the priorities and operation of an adult tertiary intellectual disability mental health service in New South Wales, Australia. Method: An online Delphi consultation was conducted with 25 intellectual disability mental health experts. Results: Participants agreed that the service should involve a multidisciplinary team and accept people with an intellectual disability aged over 15 years with complex needs and/or atypical presentations. Agreed service roles included short-term assessment, diagnosis and treatment, providing high-level clinical advice, and capacity building. Endorsed principles and practical ways of working align with existing guidelines. Conclusions: This study describes experts’ views on how an adult tertiary intellectual disability mental health service should operate in New South Wales. Further consultation is needed to determine the views of people with an intellectual disability and mental health staff.

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