← LEADERSHIP TERMINAL

DÁIL ÉIREANN · FORMER

Mary Butler

Waterford · Fianna Fáil · Ireland

IN THEIR OWN WORDS

Major improvements are happening across services: enhanced access to proactive and preventive healthcare to support a better quality of life; the embedding and upscaling of women's health initiatives put in place through the implementation of the previous women's health action plans, including, as the Senator knows, free contraception, sp…

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

In relation to any proposal, a proposal for a new location requires a detailed business case, a premises, support from the regional HSE management, and the necessary funding to resource the staffing of the service. That is where I come into it and what I will be trying to do.

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

We are currently working closely with it to support the expansion of Jigsaw services to Waterford and the south east, as well as to County Clare. The location of Waterford was picked because we have no services in the south east at all. It is great that we will have the hub and spoke model the Senator spoke about.

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

That is where I do not agree with the Senator. I believe €180 million of funding ring-fenced for women's health, when we have come from a low base, is absolutely unbelievable.

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

The plan will build on our knowledge of women's health through research and innovation and will spotlight important areas such as endometriosis and cardiovascular health. Recently, the Minister announced €2 million in funding for women's health research.

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

This plan will continue to focus on how we can improve access to specialist endometriosis care and treatment. As the Senator knows, we have established two super-regional specialist centres, one in Tallaght University Hospital and another in Cork, alongside the development of five regional endometriosis hubs.

SITTING OF 2026-07-15 · READ THE OFFICIAL REPORT

The complete record

Every one of 2,499 lines we hold for Mary Butler, in date order, each linked to its source. Free to read, in full, without an account. Page 44 of 50.

  1. Supports are vital. Young trans people can feel very isolated, alone and misunderstood. They face a great many challenges because they walk a different pathway in life. Counselling supports are vital. I want to compliment the great work of BeLonG To and ChillOUT, which are based at the Manor Youth Café in Waterford city every Sunday from 3 p.m. to 6 p.m. The programme for Government commits to ensuring a transgender healthcare service that is based on clinical evidence, respect, inclusiveness and compassion. I was happy to write that into the programme. I know the trans community very well. I am very proud to be the mother of a young trans man. I hope and pray that all Deputies can support this. I do not think it is too much to ask.

    SITTING OF 2025-05-21 · READ THE OFFICIAL REPORT

  2. I have discussed the need for the service with the local HSE integrated health area manager, who is very supportive. I am evaluating all the options available to me as Minister of State as to how best to provide a youth mental health service in Waterford and other identified areas of the country where a service has yet to be established, such as Kildare, Clare, Cavan and Monaghan. I intend to secure funding for this new early intervention youth mental health service in the Estimates process for budget 2026. While CAMHS provides specialist supports for children, I am acutely aware that counselling supports are very important for young people, who deal with a lot of different issues including exam stress, anxiety, bullying and social media. The list is endless for many young people, especially for those young people in the LGBT+ community.

    SITTING OF 2025-05-21 · READ THE OFFICIAL REPORT

  3. It is important to point out that Jigsaw changed its model of care in 2022, during the Covid pandemic. Its services to support young people now have 73% coverage across the country but 100% is covered online. I meet Dr. Joseph Duffy and his team regularly. Last year, we discussed moving back towards more physical structures but they are costly. I have also invited proposals from other relevant national organisations that might be interested in developing youth mental health services. For example, there is a fantastic service under Mental Health Ireland called Mindspace Mayo that provides very similar supports. Work to secure a suitable premises for this service has begun with the chief executive of Waterford City and County Council, whom I thank for his interactions with me.

    SITTING OF 2025-05-21 · READ THE OFFICIAL REPORT

  4. I thank both Deputies for raising this really important issue today. I recently met Comhairle na nÓg to update the group on my efforts to establish a new youth mental health service for Waterford and the south east. I will give a big shout-out to Theo Hannigan, Mollie Mernagh and Eve Meleady, the three amazing young people who presented me with a petition with a lot of signatures. They are great young people and great ambassadors for their three schools: St. Paul's Community College, the Friary in Dungarvan and my own alma mater, St. Declan's Community College in Kilmacthomas. Improving access to a range of youth mental health services is a priority for me, for the Department of Health and for the HSE. In recent weeks, I received a formal proposal from Jigsaw to establish a youth mental health service for Waterford and the south east.

    SITTING OF 2025-05-21 · READ THE OFFICIAL REPORT

  5. The Minister for housing was in the House twice last week answering questions about housing. If anybody looks at the agenda, they can see that he has been in the House almost every week since the Dáil formed 16 weeks ago.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  6. I will update him at the Business Committee meeting on Thursday. On legislation, next week we will have Second Stage of the Employees (Employers’ Insolvency) (Amendment) Bill 2024 from the Department of Enterprise, Trade and Employment. We will also have Order for Report, Report and Final Stages of the Supports for Survivors of Residential Institutional Abuse Bill 2024. I remind all Deputies that any Opposition Deputy is entitled to bring forward legislation if they so wish.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  7. the Statements on Assessment of Need shall not exceed 3 hours and 32 minutes and the order of speaking and allocation of time shall be as follows: (a) the arrangements for the statements, not including the Ministerial response, shall be in accordance with the arrangements contained in the table immediately below (to be read across, not down); (b) following the statements, a Minister or Minister of State shall be called upon to make a statement in reply which shall not exceed 10 minutes; and (c) members may share time. Gov SF Lab Gov SF Mins 35 25 15 15 5 SD Gov SF IPTG Gov Mins 15 15 5 12 15 SF ITG Gov SF NP/G Mins 5 12 15 5 8

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  8. the proceedings on the Motion re Referral to Joint Committee of proposed approval by Dáil Éireann of a Carbon Budget Programme shall be taken without debate; 3. the proceedings on the Motion re Presentation and Circulation of Revised and Further Revised Estimates 2025 shall be taken without debate and any division claimed thereon shall be taken immediately; and 4.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  9. Proposed Arrangements for this week’s business: In relation to Tuesday’s business, it is proposed that: 1. the ordinary routine of business as contained in Schedule 3 to Standing Orders shall be modified to the following extent: (a) the Dáil may sit later than 10.48 p.m.; (b) the time allotted for Government Business shall be extended in accordance with the arrangements for that business, with consequential effect on the commencement time for private members' business, which may be taken later than 6.12 p.m.; and (c) private members’ time shall in any event be taken on the conclusion of the Statements on Assessment of Need, with consequential effect on the commencement times for the items following in the ordinary routine of business, namely, Parliamentary Questions to the Minister for Agriculture, Food and the Marine, and topical issues; 2.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  10. and to conclude within 60 mins) - Motions for Revised Estimates for Public Services 2025 [Votes 25 and 40] (to be moved together and decided by one question, and to conclude within 60 minutes) - Motion for Further Revised Estimate for Public Services 2025 [Vote 24] (to conclude within 60 minutes) Wednesday's private members' business shall be the Motion re Fair and Sustainable Funding for Carers, Home Support and Nursing Homes Support, selected by the Independent Technical Group. Thursday's business shall be Statements on Delivering a world class education system, which breaks down barriers and ensures every child can achieve their full potential (not to exceed 2 hrs 25 mins). Thursday evening business shall be the Second Stage of the Broadcasting (Oversight of RTÉ Accounts) (Amendment) Bill 2024, sponsored by Deputy Joanna Byrne.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  11. Wednesday's business shall be: - Motion re Membership of the Committee on Parliamentary Privileges and Oversight (to be taken without debate) - Statements on Gaza (not to exceed 3 hrs and 32 mins) - Statements to Mark Biodiversity Week (not to exceed 2 hrs and 25 mins) - Motion re Proposed approval by Dáil Éireann of the Civil Law (Miscellaneous Provisions) Act 2022 (Section 9(2)) (Amount of Financial Contribution) Order 2025 (to be taken no earlier than 6.30 p.m.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  12. I move: Tuesday's business shall be: - Motion re Referral to Joint Committee of proposed approval by Dáil Éireann of a Carbon Budget Programme (to be taken without debate) - Motion re Presentation and Circulation of Revised and Further Revised Estimates 2025 (any division demanded shall be taken immediately) - Statements on Assessment of Need (not to exceed 3 hrs and 32 mins) Tuesday's private members' business shall be the Motion re Assessment of Needs, selected by Sinn Féin.

    SITTING OF 2025-05-20 · READ THE OFFICIAL REPORT

  13. I look forward to further talks on CAST because it is the way forward as is mainstreaming crisis resolution teams and the crisis cafes, and making sure there are supports during the vital times out of hours when somebody is very ill, perhaps with psychosis or a dual diagnosis. Gardaí turn up on their own without the support of mental health services. We have learned that if they come together it can be very effective. I have taken on board all of the comments on Wexford and various organisations requiring funding. I will come back to the Senators on some of the issues they have raised. I thank the Senators because any day we can come into the Seanad to discuss mental health is a good day. The most important thing we can all say today to everyone we meet is "hello, how are you?" and then listen to the answer.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  14. I do need more time because I have to speak about the Limerick community access support team, CAST. I am conscious that two of the Senators sitting in front of me are from Limerick. Limerick CAST is a pilot project. It is a partnership between An Garda Síochána and the HSE. I was thrilled to launch it last year. The CAST pilot became operational in January 2025 and is already having a significant impact. To date, the project has had 196 interactions involving 35 diversions from an emergency department. This means those people in distress did not attend the busy environment. Of the interactions with the CAST team, 78% were deemed to have had a major impact on a person's life.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  15. Senator Stephenson made the statement that CAMHS is not fit for purpose when 23,000 appointments were issued to young people last year. It does a phenomenal job working with very vulnerable and sick children. I want to give a shout out to all of those working in CAMHS because it is very important.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  16. I have said quite clearly I am not happy with the waiting lists and I have visited six CAMHS teams in the past four weeks. I will visit two more on Monday. We have to delve into the reasons for this. Some teams may not have as many staff as others, they might have a bigger catchment area or the premises might not be appropriate. There are many reasons. The funding is being provided. Unfortunately, we see more and more children presenting with issues. It is correct to state there is pent-up demand since Covid, and young people are very distressed. They are distressed with regard to their mental health and with regard to trauma issues or issues they may be dealing with at home. I thank everybody who works in CAMHS every day of the week because it is not an easy job.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  17. I am far from happy. This year the budget for CAMHS is €167 million. As I have said, €110 million is provided to community-based mental health organisations. They are not private organisations but community-based mental health organisations. I have to distance myself from a comment made by Senator Stephenson, who said that CAMHS is not fit for purpose. As I stand here, young people throughout Ireland are receiving appointments from multidisciplinary CAMHS teams. Everybody who goes to work in CAMHS goes with the best of intentions to do the best they can. CAMHS has taken a hammering in recent years. I will not stand up and allow this to happen. There are 810 people working in CAMHS at present. There are 80 consultant psychiatrists. Every single one of them goes to work every day to do the very best for the young people they see.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  18. For example, the new cafe I opened in Cork last year, on Sullivan's Quay down beside the River Lee, has reduced by 18% the presentations of people in crisis. We continue to do this across the board. We also continue to roll out suicide crisis assessment nurses, SCANs. There was talk about high levels of suicide in the Cavan and Monaghan area. I was delighted to see figures this morning from Cavan and Monaghan with regard to CAMHS, with seven children on a waiting list. This is not the case in the rest of the country. There are areas that can perform very well on some issues. I provided two SCANs in Cavan and Monaghan, which had been requested by Deputy Niamh Smyth. These two SCANs have had a big impact. Another issue on which I am spending a lot of time is CAMHS because I am not happy with where we are on waiting lists.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  19. I do not believe emergency departments are the appropriate environment for people in mental health crisis. At the same time, the reality is that this is what we are dealing with at present. There have been many calls for separate rooms or a separate pathway in but these would not lessen the stigma of somebody who has a mental health issue. We all have mental health and many of us have positive mental health. Many people are challenged at different times with regard to their emotional well-being and their peace of mind. At the same time, when people are in distress we need to keep rolling out the crisis resolution teams, which we are doing at present, and the crisis cafes, which are very supportive.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  20. Budget 2025 has additional funding of a recurring €1.3 million to start the two new teams. It takes a while to build a team. They are led by a consultant psychiatrist. It is very important that these multidisciplinary teams are built. We are making progress on this but I acknowledge the situation with dual diagnosis and the big problems we have with addiction. I acknowledge Stephen Sheil, the communications and engagement manager from Mental Health Reform, who has sat through the entire debate. I thank him and the entire team for their continued support. I want to touch on the recent report from the chief inspector of the Mental Health Commission into mental health care in emergency departments. The report made important recommendations on the timeliness of assessments following presentation to emergency departments.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  21. The model of care acknowledged that treatment options need to address people's mental health problems and deal with addiction issues at the same time. It also recommended the development of 12 adult and four youth and adolescent teams. We are now building this up because we have to build services incrementally from a funding perspective and get the right staff. At the moment, we have two adult teams and two adolescent teams in operation. In budget 2025, I secured funding for a further two teams which will be operational this year. We started in 2023, and by the end of this year, six teams will be up and running. It takes time. As I say, it takes a village. I will continue to do that work as long as I am in this role. To be very clear, we are not ignoring the area.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  22. Any Senators who have a problem with funding being allocated to private organisations must realise they are, in fact, NGOs. They have service level agreements. I ask Senators to let me know which of the organisations they would like me to defund. I have no problem looking at that. Some Senators mentioned dual diagnosis and there are some inaccuracies about that. Sharing the Vision, our mental health policy, was announced in 2020 and I am surprised some people did not know it is very clear that dual diagnosis is included. It was not included in the previous policy, A Vision for Change, which was problematic. People were siloed. Those with addiction issues could not go for mental health support and vice versa . In 2023, I launched a new model of care in respect of dual diagnoses.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  23. I will not stand over any organisation that cannot provide me with the proper clinical governance in terms of supporting people. Clinical governance is essential. I hear constantly that the Government will not fund such-and-such an organisation. Last year, the mental health budget provided €110 million to organisations. I am struck by the briefing notes provided to some Senators. Some Senators have sought funding, which is fair enough. I am a Deputy and I will always do that. However, some Senators criticised the fact that €97 million was spent on private organisations. I would advise those Senator that the correct figure is €110 million, which was allocated to organisations like Jigsaw, MyMind, turn2me, the Samaritans, Pieta House and Mental Health Ireland.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  24. A lot of issues were raised today and many comprehensive and supportive comments have been made. I have to take offence at a few and I will go through them one at a time. It is great we are all here today discussing mental health. That is the most important thing. Every time we speak about mental health, we lessen the stigma. I cannot respond to any individual cases. I will not respond to individual organisations. What I will say is that when organisations are seeking funding from the mental health budget, certain things have to be in place. Organisations have to have a board. It is also very important that they have accounts they can bring forward when seeking funding. They need to have governance, including clinical governance.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  25. I will be bringing it to Committee Stage and then look forward to bringing it to the Seanad where I hope I will get full support for it.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  26. This is the largest ever one-year allocation for mental health infrastructure and forms part of the Government’s broader commitment to delivering modern, fit-for-purpose, person-centred mental health facilities. We have made a lot of progress, but there is much more to do. I was delighted to be reappointed as Minister of State to be able to keep delivering the much-needed changes and improvements required. Mental health is everybody's business. It is a whole-of-population and whole-of-government issue. There is no health without mental health. I look forward to being back in the Seanad very soon with the new Mental Health Bill which passed Second Stage in the Dáil in September. I will be looking for Government approval in the next two weeks for 153 amendments to the Bill.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  27. Other teams are at different stages of recruitment and preparation for being operational. Prior to the inception of the national clinical programme for adults with ADHD, which I launched as Minister of State in 2021, there were no specific ADHD public services available for adults in Ireland. The new clinical programme for adults with ADHD is now being implemented across the country by multidisciplinary teams on a phased basis, with seven teams already operational. In budget 2025, I secured the funding to complete the roll-out of the programme and bring ADHD teams to all areas of the country. In addition to the progress made in our national clinical programmes, I recently announced a significant €31 million capital investment for mental health in 2025.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  28. Since I launched the policy in 2020, we have seen significant progress in the improvement, enhancement and reform of our mental health services, in particular across the roll-out of our national clinical programmes. I have prioritised the national clinical programme on eating disorders since my first appointment as Minister of State in 2020. The reality is that there was very little support available for people with eating disorders prior to the now-annual investment of more than €9 million in the clinical programme. The most effective treatment setting for eating disorders is in the community and we now have 14 of the 16 teams envisaged by the model of care funded. Most teams are fully operational with almost 100 dedicated clinicians seeing people every day.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  29. Sharing the Vision is a far-ranging and comprehensive policy, with the vision of creating a mental health system that addresses the needs of the population through a focus on the requirements of the individual. To do this, the policy contains 100 recommendations for the ongoing enhancement of our mental health services as well as recommendations for promoting positive mental health and developing upstream prevention and early intervention supports, in line with international best practice. The policy is action-oriented and focused on better outcomes for people experiencing mental health difficulties to bring about tangible changes in their lives and achieve better results, with the voice and expertise of people with lived and living experience embedded throughout.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  30. Two thirds of counselling services in Ireland are accessed by females. It is really important we support younger, middle-aged and older men to reach out and ask for that help. My Department is working to develop a successor suicide reduction policy for Ireland. A public consultation is in progress with 1,895 submissions to date, where many people have been generously sharing their stories, their lived experience and their living experience. I look forward to bringing the new policy to Government for approval later this year. The reform of Ireland's mental health services is guided by Sharing the Vision: A Mental Health Policy for Everyone.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  31. When we talk about suicide reduction, we never want to focus too much on figures. We are always conscious of the people we have lost and how much more we need to do. The developments in reducing the incidence of self-harm and suicide have been primarily realised through work aligned with the goals of Connecting for Life, our national suicide reduction strategy. There has been sustained investment in suicide reduction initiatives, and the budget and expenditure of the HSE’s National Office for Suicide Prevention has increased from €5 million in 2012 to almost €15 million in 2025. Suicide remains a critical public health issue, particularly among men. Men account for almost 80% of suicide deaths. I am acutely aware of this and budget 2025 allocated €2 million to enhance the provision of counselling supports for men.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  32. In recent years there have been several positive developments in reducing suicide and self-harm rates in Ireland. Between the years 2000 and 2021, Ireland has seen a 28% reduction in the suicide rate. This has resulted in Ireland having the 11th lowest suicide rate in the EU for all deaths, according to Eurostat data. Government also noted that preliminary data for 2023, showing 302 deaths, was the lowest preliminary figure in more than 20 years. Of course, this is provisional data and it will be revised upwards, but we are making progress. Recently published data from the National Suicide Research Foundation self-harm registry also highlights that, between 2010 and 2023, self-harm rates decreased by 12%. This is another positive development, as previous self-harm remains the biggest risk factor for suicide.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  33. Our statements today are about mental health and suicide prevention. As a society there is a huge amount for us to reflect on when it comes to the issue of suicide. Each death is so devastating for that person, their loved ones, friends and communities. As I have said before, there is no greater tragedy than someone deciding that life is not worth living. As Minister of State, I never lose sight of this and it is a critical area of focus for me. All of us in the Government are committed to improving mental health services and reducing suicide. Just last week I brought a memo to Cabinet, to update Government on key developments in suicide reduction, and to note the significant reduction in the suicide rate and the reduction and stabilisation of the self-harm rate.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  34. I am pleased to be here in the Seanad to discuss the very important topic of mental health and suicide prevention. This month is mental health awareness month, and today is “Hello, how are you?” day, when we mark the annual campaign led by Mental Health Ireland which encourages meaningful conversations and reminds us of the power of this simple question. The message of the campaign is that talking about mental health can be difficult but starting that conversation does not have to be. This is my first time speaking on Seanad statements since I was reappointed as Minister of State with responsibility for mental health. It has been an honour and privilege to be the first person to bring the mental health portfolio to the Cabinet table. This is a real milestone for mental health in Ireland and shows the importance it has for the Government.

    SITTING OF 2025-05-15 · READ THE OFFICIAL REPORT

  35. I hope, with the support of the Minister and Cabinet, to look for funding in the Estimates process when I have the report at the end of June. These premises exist. We will also consider any new approved centres. Five will be rebuilt and we will potentially look at putting some beds in there. We will have to grow this incrementally. Everything we do is incremental because we need dedicated staff. They are dedicated and precise in the work they do. They work with people who are very ill with eating disorders. As I said, dieticians are important. We have learnt a lot in the past six or seven years about the importance of a clinical programme. It is important that we move forward with the lessons we have learned.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  36. The HSE is considering where we can provide the correct wraparound supports, such as those provided by dieticians, clinicians, social workers and whomever else. We want to know if we can grow beds organically because we believe we have the capacity to do so.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  37. I thank the Deputy. He is right that eating orders are complex and individual. They are the mental health illness with the highest mortality rate. Every case is different. I acknowledge the advocacy groups, including Bodywhys and Cared Ireland. They provide enormous support to people with eating disorders and I acknowledge that. There are currently only three adult eating disorder beds in St. Vincent's University Hospital in Dublin. As of yesterday, nobody was waiting for a bed, which is unusual. There is normally a waiting list but there was no waiting list yesterday. We are trying to grow the number of beds organically around the country. There are 64 approved centres around the country, including departments of psychiatry.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  38. However, the clinical lead has already told me that another team will be potentially needed in the Dublin area, such is the growth in population. I know this review is of keen interest to people with lived and living experience and advocates, many of whom I have met. I will ensure they have an opportunity to input into this review and have their voices heard as we plan for the future enhancement of eating disorder services.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  39. That is why I am progressing the review of the model of care, which has two distinct phases. Phase 1 focuses on adult inpatient services and a review of adult bed capacity for specialist eating disorders beds is under way. The national clinical programme is developing a bed capacity plan with a geographical spread, which is important, based on this review. I expect to receive the plan from the HSE at the end of June. Phase 2 will involve evaluating the community-based teams and reviewing service level trends over recent years to inform a plan for the future development and expansion of eating disorder services. Originally, it was envisaged we would need 16 teams, 14 of which have been funded this year.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  40. I thank the Deputy for this important question. Eating disorders are complex and individual. They are the mental health illness with the highest mortality rate. The first model of care was devised around 2018. At the time, it was expected that approximately 50 people would present with an eating disorder. In 2024, 562 people were treated through HSE services. The national clinical programme on eating disorders has progressed well, with 14 of the 16 teams envisaged by the model of care now funded. Approximately 100 dedicated eating disorder clinicians are working on the teams across the country. Enhancement of eating disorder services is a key priority for me and the Minister. While there has been great progress under the model of care, we cannot stand still.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  41. It is the reason I am waiting on the plan from the HSE to develop eating disorder beds for adults across the country and to try to increase them organically. We have 64 approved centres round the country and there is absolutely no reason why there cannot be one or two beds with the correct wraparound supports. The support of a dietician here is extremely important.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  42. I thank the Deputy for his question. We saw eating disorders grow exponentially during Covid, for example. This was especially the case among younger girls aged 14, 15 and 16. Last year, for example, the eating disorder clinical team worked with approximately 520 young people. Many of those were transferred back to a GP for further support. It is possible to recover from an eating disorder but it is a very difficult process and happens on a case-by-case basis. For some people, it can take up to seven years to recover. One of the challenges we encounter a lot is the transition of a young person who has been receiving the support of a dedicated team while aged under 18 to the adult services. This is an area we are really putting a focus on.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  43. Phase 2 concerns the eating disorder beds for adults. We have 20 for children and this capacity is sufficient. We monitor it weekly. I will speak to this aspect in my next contribution.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  44. To be clear, since this model of care came in, no child under 18 has had to go abroad for treatment. Since 2019, 14 people have gone abroad for treatment under the auspices of the HSE. Other people may have gone under the cover of private healthcare, but we know that 14 people went abroad for very specialised treatment. Turning back to the Deputy's initial question, there were two phases to the clinical model of care when it was launched in 2019. I suppose the plan was centred on the fact that the HSE and best practice showed the majority of people with an eating disorder are best served in the community. The emphasis was put on the teams being displaced all over the country. As I said, 14 of the 16 teams are funded, with 11 now operational. We will have the 14 teams up and running by the end of the year.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  45. A review of adult bed capacity for specialist eating disorder beds is currently under way and the national clinical programme is developing a plan with a geographic spread based on this review. I met with the HSE about eight weeks ago regarding a plan to increase bed numbers organically. We are keen to have a geographical spread of these beds. I expect to receive this plan from the HSE next month. It was promised that I would have it by the end of June.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  46. In response to the Deputy's question on inpatient admissions, eating disorders affect a relatively young section of the population and younger people can access 20 dedicated eating disorder beds across the four CAMHS inpatient units. As of the most recent update available, the waiting list nationally to access beds in CAMHS units, for those aged 18 and under, due to eating disorders was two as of 6 May. For adults, the HSE currently works to meet people’s needs through the provision of general adult mental health beds, by procuring private capacity on a case-by-case basis and through the three specialist eating disorder beds at St. Vincent’s Hospital. As of yesterday evening, no one was waiting to access the beds at St. Vincent's.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  47. I thank the Deputy for the question. I was expecting Deputy Clarke. Eating disorders are complex and individual and can be one of the most serious mental health issues. The national clinical programme on eating disorders is progressing well with 14 of the 16 teams envisaged by the model of care now funded and approximately 100 dedicated eating disorder clinicians working in teams across the country. Approximately 90% of people with eating disorders are treated in the community. Enhancement of eating disorder services is a key priority for me and I have stated my intention to secure funding for the remaining teams in the next budget.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  48. I thank all the Deputies for their suggestion. I am happy to engage with the Opposition and we can discuss the motion in advance of the business meeting on Thursday morning and look at speaking times for next week.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  49. the Statements on the Common Agricultural Policy and Ireland's CAP Strategic Plan shall not exceed 2 hours and 25 minutes and the order of speaking and allocation of time shall be as follows: (a) the arrangements for the statements, not including the Ministerial response, shall be in accordance with the arrangements contained in the table immediately below (to be read across, not down); (b) following the statements, a Minister or Minister of State shall be called upon to make a statement in reply which shall not exceed 10 minutes; and (c) members may share time. Gov SF Lab Gov SF Mins 25 15 10 10 3 SD Gov SF IPTG Gov Mins 10 10 3 9 10 SF ITG Gov SF NP/G Mins 3 9 10 3 5

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT

  50. and shall in any event be taken on the conclusion of the Statements on the Common Agricultural Policy and Ireland's CAP Strategic Plan, with consequential effect on the commencement time for Second Stage of the Information on Repairability of Certain Products Bill 2024 and on the time for the adjournment of the Dáil; and 2.

    SITTING OF 2025-05-13 · READ THE OFFICIAL REPORT