Submission to Oireachtas Committee on Future Health Care Appendix. Summary of Mid West Mental Health Facilities/Team

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Mid West Community Health Care Submission to Oireachtas Committee on Future Health Care Appendix Summary of Mid West Mental Health Facilities/Team Approved Centres 4 Day Hospital 11 Day Centres 10 High Support Hostels 8 Medium Support Hostels 11 Low Support Hostels 5 Rehab Teams 2 Old Age Psychiatry Teams 3 Community Adult Mental Health Teams 13 Liaison Psychiatry 1 Forensic Team 1 MHID Adult Team 1 (In Development) Child & Adolescent Mental Health Teams 6 Appendix 1 Staffing WTE Medical Dental Nursing Health & Soc Care Professionals Management Admin General Support Patient & Client Care 62 377 156 73 45 73 786 (As at 30/11 /17) Mental Health Community Team Population Actual Clinical WTE Tevere Day Hospital Sector A 27,152 8.7 76.3% 2.7 St. Annes Day Hospital Sector B 54,751 14.9 64.7% 8.1 Willowdale Day Hospital Sector C 48, 837 15.7 76.5% 4.8 Churchtown Day Hospital Sector D 39,162 10.4 63.2% 6.0 Kilmallock Day Hospital Sector E 24,997 8.1 77.4% 2.4 VFC Total Clinical WTE 1 P a g e

Mental Health Community Team Clare Kilrush day Hospital West 20,752 7.7 88.3% 1.0 Shannon Day Hospital South 39,402 9.7 58.6% 6.8 Stella Maris Day Hospital North 19,163 7.5 93.2% 0.5 Ennis Day Hospital East 39,500 11.4 68.7% 5.2 Mental Health Community Team North Tipperary Nenagh Day Hospital 38,379 10.0 62.0% 6.1 Thurles Day Hospital 32,903 9.6 69.5% 4.2 Old Age Psychiatry Services - Old Age Tearmann (2 Teams) 27,418 12.4 54.9% 10 Old Age Psychiatry Services - Clare Old Age Clare Cappahard (1 Team - Also covering N. Tipp) 17,655 9.0 62.1% 5.5 Child & Adolescent Mental Health Services Population Actual Clinical WTE VFC Clinical WTE CAMHS East Clare Team 15,408 7 51.6% 6.6 CAMHS West Clare Team 15,217 9.8 73.2% 3.6 CAMHS East Team 6.4 74.5% 2.2 CAMHS West Team 47,090 9 41.2% 12.8 CAMHS Central Team 9 81.6% 2.0 CAMHS North Tipperary Team 18,551 8.5 52.1% 7.8 2 P a g e

Development Posts Human Resources Human Resources Management in AREA 3 Mental Health Direct Staff WTE 786 No of 2017 Development Posts filled 0/12.5 Social Worker Senior 3 Clinical Nurse Specialist 3 Clinical Nurse Specialist 1 Psychologist Senior 2.5 Occupational Therapist Senior 1 Psychologist Upgrade - Consultant Perinatal specialist 0.5 Clinical Nurse Specialist (Perinatal) 1 Staffing levels and Costs No of 2016 Development Posts filled (specific to New High Obs Unit) 0/24.8 Registered Psychiatric Nurses 15 Clinical Nurse Specialist 3 Clinical Nurse Manager2 2 Healthcare Assistants 4.8 No. and % of 2015 Development posts filled 15/31 = 48.4% No. and % of 2014 Development posts filled 9/14 = 64% 35/35 = 100% No. and % of 2013 Development posts filled 1 CAMHS Consultant post in Clare currently being filled through agency since 16.01.16 Successful candidate currently being processed for Permanent appointment No. and % of 2012 Development posts filled 37/37 = 100% 3 P a g e

Appendix 2 Finance The budget and actual spend on Mental Health Services in the Mid West is summarised as follows: 4 P a g e

Appendix 3 Bed and Residential Provision Mid West Mental Health Service Approved Centres Unit Registered Beds Operational Beds Unit 5B, 42 42 3 Acute Psychiatric Unit, 39 39 2 Ennis Tearmann Ward, 15 15 1 Cappahard Lodge, Clare 32 32 1 Conditions Attached Mid West Mental Health Services Community Residences High Support 24 Hour Nursing Beds Clients New Strand, 11 11 Ivernia House, Croom 13 13 Ferndale, 11 9 O Connell House, Newcastle West 22 18 Total 57 51 Medium Support Hostel Supervisor Beds Clients 2/3 Verona, 5 4 ½ Vizes, 6 2 29 Norbitton Hill, 4 4 Ferndale Lodge, 3 2 Beechill, 4 3 Roma, 3 3 Total 25 18 Low Support No Hostel Supervisor Beds Clients 7 Landsdown Park, 4 3 14 Joseph Street, 3 3 Total 7 6 5 P a g e

Mid West Mental Health Services Community Residences Clare High Support 24 Hour Nursing Beds Clients Respond, Orchard Grove, Ennis 10 9 Cois Mara, Spanish Point 11 11 Orchard Lodge, Kilrush 10 8 Teach na Beithe, Ennis 7 7 Total 38 35 Medium Support Hostel Supervisor Beds Clients Ashfield Close, Ennis 8 6 24/25 Mountain View, Ennis 6 4 Prague House, Ennistymon 6 4 63 Shannon Heights, Kilrush 5 4 Ard Aluinn, Ennis 7 5 Total 24 17 Low Support No Hostel Supervisor Beds Clients St. Frances House, Shannon 5 5 4 Corovorrin Crescent, Ennis 3 2 71 Shannon Heights, Kilrush 4 3 Total 12 10 Appendix 4 - CHO 3 CAMHS Waiting List Clare West Clare East East North Tipperary West Central 0 to 3months 22 9 24 1 12 23 3 to 6 months 11 6 18 4 14 6 6 to 9 months 6 9 2 6 17 1 9 to 12 months 4 5 1 10 1 12 to 15 months 2 6 7 10 2 15 to 18 months 2 4 18 to 21 months 9 21 to 24 months 1 27 to 30 months 30 to 33 months Total 45 37 44 33 63 33 TOTAL WAITING LIST between 0 12 months 298 TOTAL WAITING OVER 12 MONTHS = 43 Overall CHO 3 CAMHS Waiting List = 255 (As as 31.12.17) 6 P a g e