There is a shocking double standard in how mental health services for young people with intellectual disabilities are staffed compared with mainstream CAMHS. In mainstream CAMHS, multidisciplinary staffing is treated as basic good practice. Yet in CAMHS-ID teams, for a group of children with even more complex needs, there is a far lower standard set by the Government. There is not a single CAMHS-ID team in the country staffed to the level set out in the HSE's own model. The services overall are funded at only 43% o…

Does the Government accept that disability service delivery in this State has become extraordinarily fragmented and that this fragmentation is making it impossible to guarantee equity, to plan services properly or to ensure public money is being used in the most effective way? I ask this because a recent response to a parliamentary question of mine shows that the HSE now has approximately 1,172 service arrangements or grant aid agreements with over 494 organisations providing disability services on its behalf. This…

I thank Sinn Féin for bringing this motion to the House this evening. Early intervention classes are a pivotal part of the continuum of support for children with additional needs and autistic children who are not yet ready to transition to a special class or into school more generally, yet an insidious pattern is emerging in the treatment of early intervention classes. They are being slowly but surely phased out under the guise of inclusivity. A reply the Department recently gave to a parliamentary question of mine…

The cost of energy is one pressure among many bearing down on families already dealing with soaring costs of rent, groceries, insurance and transport. For many families, there is simply no give left in the monthly budget. The Government's response to the energy crisis so far amounts to a very expensive, broad-brush set of measures that leave clear gaps and whose modest effect will evaporate quickly if the situation in the Middle East becomes more entrenched. If you reduce fuel taxes, everybody who buys fuel gets so…

How can the Minister of State ensure that funding from his Department is shared fairly across regions, especially in areas of major population growth? Is there any clear formula for matching that funding to population growth? I ask this with particular reference to Midleton and Carrigtwohill where major population increases are projected over the next decade, but where local amenities are plainly not keeping pace. By 2034, the population of Midleton is expected to grow by 100% from where it was in 2022, while the e…

What people see in towns like Midleton and Carrigtohill is residential development moving ahead much faster than amenity provision. New houses are being built at pace and more families are moving in, but the facilities which are core to community life are lagging badly behind. There is a sense that many families describe of being in a town that is thriving but impoverished in respect of the most basic communities that matter families on a daily basis, such as youth facilities, playgrounds and skate parks. Does the …

Under the current disjointed system, families are having to spend years campaigning for basic amenities. They are being forced to become fundraisers, social entrepreneurs and project managers trying to patch together one disconnected grant after another while their town or village expands around them, and their children often outgrow the project before it is finally delivered, as in the case of playgrounds. That is not a serious way to provide basic amenities. Like so much about public service delivery, it is not f…

I have had a couple of adversarial exchanges with the Taoiseach in this House, but I will be the first person to applaud him if he intervenes in the situation facing healthcare workers with long Covid. He met a group of these workers last June. He knows that their case is genuine and that they have suffered terribly not just with their symptoms but also with being on a financial cliff edge every six or 12 months as their special Covid leave with pay was due to end. Their circumstances are extremely difficult. They …

I came in just after Deputy Ó Murchú started.

Is this amendments Nos. 1 and 4?

I have lost track a little bit here. I will pass over.

I echo the point made by Deputy Ó Murchú. Research undertaken by the National Disability Authority has indicated that people have not been supported sufficiently to understand what the end of the wardship system means for them and those supporting them. We must ensure that all those who come within the scope of the original Act, namely, disabled people, older people and people with severe mental health difficulties have a legal right to accessible information, meaningful engagement and practical supports, including…

The mental health strategy, A Vision for Change, is now 20 years old, but the State is still nowhere near providing the specialist multidisciplinary teams it promised for older people in that document. There are large parts of the country, including Dublin south-west, Limerick city-Tipperary north, Cork north and east, and Cork south and west, where the HSE has approved no occupational therapy posts at all for older adult mental health services. There are no approved psychology posts in Kildare-west Wicklow or Done…

Can we have order, please?

Deputy Doherty.

Deputy Doherty, can you take your seat, please?

Deputy Doherty.

I thank the Tánaiste. We move back now to Sinn Féin and Deputy Martin Kenny.

Deputy, your time is up.

The assisted decision-making Act represented one of the most significant legal reforms in the history of the State. It abolished the adult wardship system, repealed the Lunacy Regulation (Ireland) Act 1871 and replaced a plenary substitute decision-making model with a graduated rights-based framework designed to support autonomy and maximise decision-making capacity. Its full commencement in April 2023 marked a profound shift in how the State understands legal capacity, moving Ireland closer to compliance with the …