‘Root and branch reform’ needed to make Camhs an attractive workplace for child psychiatry graduates
, the Mental Health Commission identified serious risks to the “safety and wellbeing of children” using the service including poor medication monitoring, understaffing, overworked and unsupervised staff, lack of care-planning, inconsistent care, poor risk-management, and chaotic, paper-based record-keeping.
In the midwest 140 children had been “lost” – ie, left without follow-up care – while children in other areas were left on antipsychotic medication for up to two years without review. The Irish Hospital Consultants Association said 23 consultant posts in psychiatry were “not filled by doctors on the specialist register”.
“There needs to be a whole-systems change where the HSE looks at the planning, the management, the governance of Camhs... A mental health lead working at senior level is needed. If they made the service better, with a proper IT infrastructure as a minimum, then Camhs would be more attractive.”
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