HSE child mental healthcare: Inspector ‘cannot assure parents that services are safe and effective’

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HSE child mental healthcare: Inspector ‘cannot assure parents that services are safe and effective’
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Child and Adolescent Mental Health Service ‘is creaking at the seams, with increasing risk to children’, review finds

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Dr Finnerty reiterates this call in this final report: “to ensure the State and the HSE act swiftly to implement the governance and clinical reforms” to ensure “all children have access to evidence-based and safe services, regardless of geographical location or ability to pay”. The vast majority of teams “were significantly below the recommended staffing levels” with some below 50 per cent of recommended level. There were particular shortages in occupational therapists, social care leaders, advanced nurse practitioners, clinical nurse specialists, psychologists, speech-and-language therapists and social workers, while in five CHOs no team had a team co-ordinator, the report says.

“It is difficult to see this as anything except a postcode lottery for children and their families ... This means inequalities of care ... which should be seen as unacceptable”. “Another team in another CHO did not follow up their patients for up to two years despite these children being on continuing medication,” the report continues.

“Many of their children were out of school, or spent long periods away from school and were not interacting with peers,” Dr Finnerty adds.

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