The Land of Equality, a Lie? Shame on the people in Dail Eireann to allow our most Vulnerable suffer like Lepers. Some elderly were soaked in their own Urine and beds were not changed in weeks. Hold your Heads in Shame – FG FF and The Greens

Posted by

Mental health inspector criticises standards in approved centres

Mental health                 inspector criticises standards in approved centres

Senior Reporter and Social Affairs Correspondent

The Inspector of Mental Health Facilities has criticised standards in approved centres and said it is “stigmatising and discriminatory” that residents are likely to live up to 20 years less than their peers in the general community.

In her annual report, Dr Susan Finnerty said there were a string of issues in the approved centres visited last year, encompassing inadequate staffing, bad record-keeping and issues with physical restraint and seclusion.

Her office inspected all 65 approved centres, but highlighting the current limits of the inspections regime, she wrote:

“Approved centres and continuing care units only make up 1% of all mental health services in the country. The other 99% are provided in community settings and are not regulated. Though the Inspector can inspect any other mental health facility that is under the direction of a consultant psychiatrist, the Mental Health Commission does not have the legal power to enforce any required changes.”

Among issues of concern, were considerable variation in how staff use restrictive practices, physical restraint, and seclusion to de-escalate challenging behaviour; the poor quality in monitoring the physical health of residents; and staffing shortages.

Staffing was the biggest problem generally at just 8% compliance, down 1%. The second worst area of compliance was the standard of premises, at 31%.

Dr Finnerty said: “It remains a fact that in the 21st century people with a mental illness will die between 15-20 years earlier than their peers in the general community, in many cases due to preventable physical illnesses. People with mental illness have the same rights as everyone else and are entitled to an expectation of living long and healthier lives. Failure to facilitate this is both stigmatising and discriminatory.”

She highlighted concern at the failure to undertake and document a full physical review of residents on a six-monthly basis and shortcomings in screening residents prescribed antipsychotic medication on a long-term basis to minimise the potential effects of metabolic syndrome – a combination of diabetes, high blood pressure and obesity.

The report also highlighted bad record-keeping, with just 52% compliance, largely down to “bulky, untidy” files, with pages often coming loose.

Regarding the standard of premises, 69% of approved centres were non-complaint and 11% risk-rated as critical. A third of centres were unclean. “Findings included: a dirty seclusion room; unclean bathroom facilities, including discarded cigarette butts; litter in outdoor areas, and; kitchen areas that appeared contaminated. Urine soaked panels and floors were also observed.”

 

Mental health services in Ireland ‘outdated’ -                 commissionMental health services in Ireland ‘outdated’ – commission

Ireland's mental health care languishes ‘30 years                 behind UK’ - commission executiveIreland’s mental health care languishes ‘30 years behind UK’ – commission executive

Dr Susan Finnerty: Rundown mental health system                 needs a major overhaulDr Susan Finnerty: Rundown mental health system needs a major overhaul

Concerns raised over plan to move HSE child mental                 health staffConcerns raised over plan to move HSE child mental health staff

 

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s