‘How is it possible to be in a mental health service that makes your mental health worse?’

Dr Susan Finnerty , inspector of mental health services with the Mental Health Commission. Photograph: Cyril Byrne

In south Kerry, the care of mentally unwell children is being overseen for 23 hours a week by a psychiatrist working online from the Middle East GPs referring children into the service describe frustrations with “obstacles” accessing Camhs for ill and distressed children, while those recently working within the service describe it as being “in massive crisis”.

He is seeing young children “unable to articulate their feelings” but presenting with “pains in their tummy, headaches or pains in their chest”. “There has been an increase in demand for Camhs and an increase in complexity of cases referred since Covid,” said a HSE spokeswoman. “Waiting lists are also impacted by capacity in other services – where young people do not have access to assessment and early intervention, their needs can become more complex over time necessitating referral to Camhs.”

For the then population of 3.6 million, it said there should be two multidisciplinary child mental health teams per 100,000 population . Now, with a population of more than 5 million there are just 73.On each of the teams, the policy says there should be one consultant psychiatrist, one doctor in training, two psychiatric nurses, two clinical psychologists, two social workers, one occupational therapist, one speech and language therapist, one childcare worker, and two administrative staff.

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