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Daily Archives: June 13th, 2018

The Ombudsman for Children, Dr. Niall Muldoon, has reported for 2018. The part of the report which particularly shocked me was the long delays in seeing a mental health professional and the lack of round-the-clock care for a young person in crisis. The shock was not the lack of provision as if this was an emerging area of care. No, the shock was the decline from what was available in Dublin (perhaps elsewhere too) in the 60s and 70s – half a century ago!

You see, I know about this and I’m not sure what would have become of me had I faced the wilderness which seems to prevail today.

Shortly after my Inter Cert sometime in the early to mid 1960s, I suffered a breakdown. There’s no need to go into the causes, symptoms and diagnosis here. I want to talk about the public service I received and the extent to which it has declined.

I plunged suddenly, alarmingly and painfully into a mental crisis. I had no idea what was happening, only that I needed help. After a time I found myself seated with my GP (Dr. O’Malley, SC Rd, Kilmainham) a decent, caring man who’d looked after me since I was a child. I was upset when he told me that I’d need to see a psychiatrist. He calmed me and told me about the work of psychiatrists and psychologists. I agreed to see whoever he wanted me to see.

Here’s the part that will shock when compared to today. He made a phone call, wrote me a note and made it absolutely plain that I had to cooperate. The following Tuesday I was seated in a queue at the psychiatric outpatients clinic in the Meath Hospital.

Now, I was not a private patient. I was a public patient in a public clinic.

That first day I was interviewed at length by a psychologist so as to open up a file on me and get things moving. Then I saw a psychiatrist who would treat me.

So began a long, long series of Tuesdays in the crowded, dilapidated clinic, with lots of different drugs unlike the modern, clean ones available now. The thing is I was treated promptly without waiting for years for an appointment. I was treated kindly and with respect. Suffice it to say that after years, ups and downs, I emerged and made a good life.*

Here’s a final surprise and a dreadful comment on how things have disimproved. 24 hr. support? While I never had to use it, I was repeatedly informed during those years that if my distress became unbearable, I was to go immediately to the main reception in St. Patricks Hospital and tell them that I was an outpatient.

What the Ombudsman describes scares me. What became of that clinic and that service?

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* https://www.irishtimes.com/life-and-style/health-family/ombudsman-for-children-we-re-not-delivering-on-the-promises-we-ve-given-them-

1.3519985

** The head of the clinic was Prof. Norman Moore and I’m indebted to him and his staff.

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