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RTE Big Picture - Youth Mental Health/CAMHS

  • 27-04-2018 9:07pm
    #1
    Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    This was a damning documentary. Thanks to the families and young people who spoke out. I wish I could say I was surprised. A lot more clinicians are needed.

    And of course, no HSE rep in studio to respond.


Comments

  • Registered Users Posts: 254 ✭✭ Freedive Ireland


    Unfortunately a lot more to come in both in CAMHS and adult I think. Very courageous of the participants.


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Registered Users Posts: 254 ✭✭ Freedive Ireland


    The imbalance of bio vrs psycho/social is appalling.


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    The Mental Health Commission's report yesterday got a decent bit of coverage. Wish I could say I was surprised at the findings - "marked deterioration since 2016". This is very disappointing for people who need to access and are in services.

    https://www.rte.ie/news/ireland/2018/0725/980881-mental-health-commission/


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  • Registered Users Posts: 254 ✭✭ Freedive Ireland


    The Mental Health Commission's report yesterday got a decent bit of coverage. Wish I could say I was surprised at the findings - "marked deterioration since 2016". This is very disappointing for people who need to access and are in services.

    https://www.rte.ie/news/ireland/2018/0725/980881-mental-health-commission/

    The hse has so many policies no one really actually reads them. The culture is changing but in mm when it needs to be in km.


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    RTE report this morning about the shortage (unsurprising) https://www.rte.ie/news/2019/0131/1026756-shortage-of-paediatric-psychiatrists-hse-figures-show/
    The Health Service Executive has revealed that only half of all specialist paediatric psychiatry posts advertised in the last two years have been filled.

    Figures obtained by RTÉ News under Freedom of Information show that there is currently a shortage of consultant psychiatrists with a specialism in Child and Adolescent Mental Health.

    The HSE said the posts remain unfilled due to a lack of appropriate qualifications or because candidates withdraw from the recruitment process or refuse the post.

    There are currently 29 vacant posts for child and adolescent psychiatrists across the country.

    And also, the PSI issued a good statement a few weeks ago too. In essence, that best practice coming first should be more so the case than psychiatry. Now, can we do that?
    There has been much media focus in recent years, and indeed months, on the difficulty in recruiting Consultant Psychiatrists for Community Mental Health Teams (CMHTs). Consultant Psychiatrists have an important role as one of the core multidisciplinary team, delivering care in CMHTs.

    However, the inferences have been that the absence of a Consultant Psychiatrist being available on a CMHT precludes the safe and effective work of all other disciplines.
    The legal and contractual rational for psychiatry automatically assuming the role of “clinical lead” is questionable.

    ~

    The PSI strongly asserts that, in moving forward with quality mental health care in Ireland, it is essential that the concepts of leadership and clinical leadership in mental health are brought into line with international best practice.

    Consequently, the PSI recommends the development of a competency framework for clinical leadership and leadership development programmes that are equally open to all suitable clinicians with the requisite competencies.


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    Guidance counsellors is a topic that comes up now and then, due to students at risk and cutbacks, etc. They've frontline contact with students and yet...
    Irish Times

    Guidance counsellors say they are struggling to cope with an “epidemic” of anxiety among secondary school pupils. Speaking at the annual conference of the Institute of Guidance Counsellors, president Beatrice Dooley said demand for support was on the rise for issues such as anxiety, self-harm or suicidal ideation. However, she said guidance counsellors were under acute pressure and called for an immediate reversal of austerity-era cuts to the sector. “On the ground our members are overstretched. I spoke this week to a colleague from a town where five schools are struggling to cope with a spate of copycat suicides,” Ms Dooley said. “What is the solution? When a student takes their own life, the guidance counsellor is left to deal with the considerable cohort of students who present at our office in the succeeding few days. “These students are now terrified as they too have experienced suicidal ideation and they are highly stressed that they could go take that final step. It is overwhelming.

    Troubling too that some of the work is coming from those not qualified.

    On another note.

    https://twitter.com/lisabdixon/status/1114636541727580160


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  • Registered Users Posts: 698 SuperRabbit


    When they gave them a follow up call did they also offer them help if the person said they needed it? Or was it the calls themselves?

    Samaritans do work with schools.

    https://www.samaritans.org/ireland/how-we-can-help/schools/

    It would have been great if teachers in my school had had that kind of training, they never listened to students and if you were being bullied you'd just be given loads of terrible advice, be told it was your fault for not fitting in and be given fashion tips. Basic human concern and a few hours training in active listening would have saved lives and a lot of pain, I feel really sure of it.

    Someone in my class lost a parent to suicide and it was never discussed. It was announced to us all on a Monday morning in the middle of a long list of housekeeping things, then never mentioned again. Same when a girl in our year died by suicide.

    Of course it would be better if the government would directly fund, or if professionals would volunteer, to do this as well. But considering how clueless a lot of schools are this is still an excellent resource with a long track record in the UK.
    On the ground our members are overstretched. I spoke this week to a colleague from a town where five schools are struggling to cope with a spate of copycat suicides,”
    Relevant:
    https://www.samaritans.org/ireland/how-we-can-help/schools/step-step/


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    More psychologists? Yes, Minister, we could do with that.

    https://twitter.com/PsychSocIreland/status/1138042095292342272


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    This is a good piece outlining one young woman's experiences and the wider CAMHS situation. https://www.irishtimes.com/life-and-style/health-family/when-i-was-16-everything-was-fine-then-suddenly-it-wasn-t-1.3924611


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    Government: Let's do something on youth mental health.
    Government: A task force, that's it!
    Public/clinicians: Story lads. Any update on this?
    HSE/Government: *crickets*

    https://twitter.com/psychpolis/status/1162700014956793857


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    Also btw, what the heck is up with 'psychiatric' in the second letter being in italics? Is it just style thing or was it to sell the PFO vibe?

    Such a broken system.


  • Registered Users Posts: 254 ✭✭ Freedive Ireland


    if meds aren't required then you just aren't sick enough. I'd guess 99% of service users in MH services are on meds and if they are not they are soon discharged. Evidence based indeed.


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




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  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    Spare a thought or two for the young people who are in CAMHS inpatient units at this time of year.
    At Christmas, children’s wards and hospitals are inundated with gifts—from the public, community organisations, and private companies. Yet, some children who are in hospital over Christmas, are not in children’s wards or children’s hospitals, but in child and adolescent mental health services (CAMHS) inpatient units. They are often admitted far from home, and sometimes detained in hospital under a section of the Mental Health Act for their own safety or wellbeing. Some are just too unwell to be allowed home over Christmas, and need intensive support from CAMHS staff. The festive period can be particularly difficult for some children in mental health units—eating disorders can worsen given the association of Christmas with food, and for those without stable family relationships, the emphasis on family at this time of year can be a cause of distress.

    CAMHS units rarely receive donations of Christmas gifts; and if they do, it’s a tiny proportion of those received by children’s wards in acute hospitals.

    I first wondered about this discrepancy after I spent two Christmases as a junior doctor in different children’s hospitals, and saw the enormous amounts of gifts donated. One hospital still had leftover gifts in June! (They were used for inpatients’ birthdays.) Yet the following year, working in an adolescent mental health unit, I found myself wondering where the donated gifts were. I realised there weren’t going to be any. I saw the occupational therapists concerted efforts to spend the unit’s allocated £10 per child, from the therapeutic activity/OT budget, on suitable presents for each inpatient, knowing how unlikely it was that acute children’s wards would have to do that. I was frustrated at what felt like public neglect of my adolescent inpatients, and raised it on social media, asking what were the reasons for this contrast with medical wards. To my surprise, it struck a chord with others, many of whom had never realised that children were inpatients in CAMHS over Christmas.

    The disparity in the number of gifts received may simply be due to a lack of awareness that children are in mental health units over Christmas. This is despite the fact that young people’s mental health and insufficient provision of services and rising demand have been highlighted in the media. Perhaps it is because this coverage largely focuses on milder, more easily understood conditions, like stress and anxiety, or bullying and exam worries, and neglects the more severe issues of self-harm, suicide attempts, or young people who have experienced trauma, or who have psychosis.

    https://blogs.bmj.com/bmj/2019/12/20/rosanna-bevan-the-forgotten-children-at-christmas/


  • Registered Users Posts: 698 SuperRabbit


    Wow, what on earth. Wouldn't you think it was obvious anyone donating a gift to a children's hospital wants it to go to any child in hospital at christmas and has no idea that they themselves are expected to know what unit to give it to!? Very disorganized HSE as usual
    The disparity in the number of gifts received may simply be due to a lack of awareness that children are in mental health units over Christmas.
    absolutely not, people just don't realize that these children are segregated to the point where they not given the gifts, it's still the HSE after all, what on earth? Why aren't they given the donated gifts which are obviously intended for them as well? The public are supposed to know the ins and outs of HSE wards?

    rabble rabble rabble rabble!


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    This was predicted a while ago. Disappointing. :mad:

    https://twitter.com/juneshannon/status/1230045963315748864


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators Posts: 53,656 Mod ✭✭✭✭ Gremlinertia


    Recruit from who? I don't know where the people will come from this..


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil


    Recruit from who? I don't know where the people will come from this..

    Lord knows given that therapists have been redeployed during Covid...


  • Moderators, Entertainment Moderators, Science, Health & Environment Moderators, Regional East Moderators Posts: 17,180 Mod ✭✭✭✭ The Black Oil




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