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NEVER BEFORE IN the history of the Irish state has there been an opportunity like this to make mental health a priority for the people of Ireland. We have come from an era of stigma against mental health difficulties to an age where, for the first time, people can talk about their mental distress openly.
People are more willing to seek mental health support than ever before, and that is very welcome.
But the legacy of decades of neglect, combined with increased demand, has left a mental health system cracking under pressure. The HSE has been struggling to recruit new staff, leading in the worst case to the closure of services for children and adolescents and for older people in some locations.
Letters being sent back unopened
Since September, the HSE’s mental health service for older people in Donegal has been returning referral letters unopened due to the lack of a Consultant Psychiatrist. Earlier in the year, the child and adolescent service in Waterford was closed to new referrals and is now only re-opened courtesy of a temporary appointment.
For most of this year, children were still being admitted to adult wards. And still today, families seeking help in a crisis outside of office hours may be left to wait 8 hours or more in A&E. While the staff in mental health services continue to provide support to thousands of people in distress every year, the system is unsustainable with resources running 22% below recommended levels.
How has it gotten to this state? Before the 2011 election, Taoiseach Enda Kenny singled out mental health as the key issue he wanted to tackle, if elected. The Government has delivered on some of its commitments. Successive budgets since 2012 have included allocations to mental health care, although delays in expenditure mean that the HSE has yet to realise the full funding available.
The Mental Health Act 2001 has been reviewed in light of current human rights standards, and the Government has committed to drafting legislation that will give effect to its findings. There has been investment in mental health in primary care and now GPs can refer people with medical cards for counselling instead of having only medication to offer.
Years of underinvestment
Despite these positive developments, however, the mental health services have not yet recovered from the many years of under-investment. The overwhelming message from people directly affected is still that change is needed, that good quality services are not yet available all across Ireland.
This year, people who use mental health services and their families have told Mental Health Reform about the shortfalls in meeting their needs: the over-emphasis on medication while not being offered talking therapies which could help them to recover, the lack of continuity in their care due to frequent changes in their treating doctor. One person described it as “a skeleton service that does not cater for the individual unless you fight for that attention.”
People who are going through mental or emotional distress deserve better; they deserve a real chance to recover and get back into a fulfilling life.
We, as a nation, have an opportunity in the coming weeks to make the mental wellbeing of the country a priority for the next Government. Each of us can remind candidates that mental health matters and ask for specific commitments that will improve the system. The #ourstateofmind campaign aims to give people who care about mental health the tools to do just that.
There are real steps that the next Government can take such as establishing a nationwide programme to build resilience in our children and young people; making sure that people in distress have access to 24/7 crisis supports, and prioritising easy access to counselling and psychological therapies for all people in difficulty so that early intervention can prevent longer-term difficulties.
Mental Health Reform’s full Manifesto, available here, includes more actions and supporting evidence for what can work to improve the system.
What if mental health isn’t made a priority? What if it’s a case of business as usual? If we don’t raise our voices and cast our votes with mental health in mind, we will have missed a unique opportunity to push the next Government for firm commitments to continue the reform of Ireland’s mental health system. Supporting the mental wellbeing of the population is the best way to ensure Ireland’s recovery. Now is the time to let candidates know it.
Shari McDaid, PhD is the Director of Mental Health Reform. Follow their campaign here, using the #Ourstateofmind. You can follow her on Twitter at @ShariMcDaid.
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Welcome to the 21st century!!! PASSPORT OFFICE
@Ronan Mc Namara: don’t be stupid the passport office has been providing an amazing online service for years. One of the best in the world in fact. 100% virtual applications process. They still have to be printed though and this is a more manual service which likely impacted.
@Ronan Mc Namara: learn to read honey…this article is about online applications only…
@Paul Quirke: What school did you go too?
Applications received from it are not being processed in real time but rather set aside in a queue until whenever the office reopens.
Blind leading the blind in that office.
Sure it’s a world class system…Jesus wept!!
@Ronan Mc Namara:
I renewed my passport online and I got it in 5 days while Brexit was happening. Excellent Service.
@Just Some Guy: Fair enough……but not for the last few months. Excellent Service…………….Jesus wept!
At present, no new applications for new or renewed passports are being taken either over the phone or by mail, as the coronavirus crisis has affected production of the documents themselves.
@Ronan Mc Namara: why?
The passport online system does not entail customer contact, processing can quite easily be organised with safe distancing, & actual printing, binding, & posting similarly, on a shift basis to mert demand.
Its a good revenue earner as well, so why would staff be redeployed, when lits of other public service personnel remain disengaged entirely, on full pay.
The senior heads have serious questions to answer, both in the civil srrvice & local authorities, as to why so many units closed up.
If they are not rated as essential services, then why re open them again?
@William Kelly: I agree William beggars belief….. they could not wait to closed the doors….very shoddy service.
While the Passport Office’s online renewal system is still live, applications received from it are not being processed in real time but rather set aside in a queue until whenever the office reopens.
@Ronan Mc Namara: not correct, the blank passport booklet are done in bulk order from the secure printing company contracted by the government and are stockpiled with emergency reserves. Even in the the UK although they recently changed to blue passports, red passports are still being issued as they are trying to get rid of them to make sure they have sufficiently stockpiled the new blue ones.
@Ronan Mc Namara: you also have to remember Ireland have Passport Cards, so if in the unlikely situation passport books where in fact short supply, it would be easy enough to issue the cards standalone to those applicants who only plan to travel to another EU country or just wanting a passport for the purpose of proving their ID, reserving the booklets for those who need to travel outside of the EU.
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