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Report of the Inspector of Mental Hospitals 2001

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Report of the Inspector of Mental Hospitals 2001 View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Irish Health Repository Report of the Inspector of Mental Hospitals for the year ending 31st December, 2001 BAILE A´ THA CLIATH ARNA FHOILSIU´ AG OIFIG AN tSOLA´ THAIR Le ceannach dı´reach o´ n OIFIG DHI´OLTA FOILSEACHA´ N RIALTAIS, TEACH SUN ALLIANCE, SRA´ ID THEACH LAIGHEAN, BAILE A´ THA CLIATH 2, no´ trı´d an bpost o´ FOILSEACHA´ IN RIALTAIS, AN RANNO´ G POST-TRA´ CHTA, 51 FAICHE STIABHNA, BAILE A´ THA CLIATH 2, (Teil: 01 - 6476834/35/36/37; Fax: 01 - 6476843) no´ trı´ aon dı´olto´ ir leabhar. —————— DUBLIN PUBLISHED BY THE STATIONERY OFFICE To be purchased directly from the GOVERNMENT PUBLICATIONS SALE OFFICE, SUN ALLIANCE HOUSE, MOLESWORTH STREET, DUBLIN 2, or by mail order from GOVERNMENT PUBLICATIONS, POSTAL TRADE SECTION, 51 ST. STEPHEN’S GREEN, DUBLIN 2, (Tel: 01 - 6476834/35/36/37; Fax: 01 - 6476843) or through any bookseller. —————— \10.16 (Pn. 11872) Government of Ireland, 2002 Contents INTRODUCTION………………………… v GLOSSARY ………………………… vii CHAPTER 1 THE PSYCHIATRIC SERVICES: AN OVERVIEW General Comments on Inspections ………………… 1 CHAPTER 2 EASTERN REGIONAL HEALTH AUTHORITY East Coast Area Health Board Area 1/Cluain Mhuire Mental Health Service …………… 25 Area 2/Vergemount Clinic, Dublin 6 ………………… 27 Central Mental Hospital, Dublin 14 ………………… 33 Psychiatric Unit, St Vincent’s Hospital, Dublin 4 …………… 42 Wicklow Mental Health Service…………………… 47 South-Western Area Health Board Area 3/St James’s Hospital, Dublin 8 ………………… 52 Area 4-5/St Loman’s Hospital and Tallaght Acute Psychiatric Unit … … 57 Kildare Mental Health Service, County Kildare …………… 64 Northern Area Health Board Area 6/James Connolly Memorial Hospital, Dublin 15 ………… 70 St Brendan’s Hospital, Rathdown Road, Dublin 7 …………… 77 Area 7/St Vincent’s Hospital, Dublin 3 and The Mater Acute Psychiatric Unit 83 Area 8/St Ita’s Hospital, Portrane, Co Dublin …………… 90 St Joseph’s Intellectual Disability Service, Portrane, Co Dublin … … … 96 CHAPTER 3 MIDLAND HEALTH BOARD Laois/Offaly Mental Health Service ………………… 103 Longford/Westmeath Mental Health Service ……………… 109 CHAPTER 4 MID-WESTERN HEALTH BOARD Clare Mental Health Service …………………… 117 Limerick Mental Health Service…………………… 124 CHAPTER 5 NORTH-EASTERN HEALTH BOARD Cavan/Monaghan Mental Health Service ……………… 131 Louth Mental Health Service …………………… 136 Meath Mental Health Service …………………… 143 CHAPTER 6 NORTH-WESTERN HEALTH BOARD Donegal Mental Health Service …………………… 149 Sligo/Leitrim Mental Health Service ………………… 155 CHAPTER 7 SOUTH-EASTERN HEALTH BOARD Carlow/Kilkenny Mental Health Service ……………… 163 Tipperary Mental Health Service ………………… 173 Waterford Mental Health Service ………………… 180 Wexford Mental Health Service…………………… 185 iii CHAPTER 8 SOUTHERN HEALTH BOARD Kerry Mental Health Service …………………… 193 North Cork Mental Health Service ………………… 200 North Lee Mental Health Service ………………… 206 South Lee Mental Health Service ………………… 211 West Cork Mental Health Service ………………… 216 CHAPTER 9 WESTERN HEALTH BOARD East Galway Mental Health Service ………………… 221 West Galway Mental Health Service ………………… 226 Mayo Mental Health Service …………………… 231 Roscommon Mental Health Service ………………… 236 CHAPTER 10 REGISTERED PSYCHIATRIC HOSPITALS St Patrick’s Hospital, Dublin 8 …………………… 243 St Edmundsbury Hospital, Dublin 8 ………………… 249 St John of God Hospital, Du´ n Laoghaire/Rathdown ………… 251 Bloomfield Hospital, Dublin 4 …………………… 256 Hampstead and Highfield Hospitals, Dublin 9 …………… 259 Kylemore Clinic, Du´ n Laoghaire/Rathdown ……………… 263 Bungalow 22, Stewart’s Hospital, Palmerstown …………… 266 Larch Bungalow, Belmont Park, Waterford ……………… 268 APPENDIX 1 STATISTICS RELATING TO THE PSYCHIATRIC SERVICES …………………… 271 TABLE 1. Number of patients in public psychiatric units and hospitals at 31 December, 1996-2001, excluding patients in de-designated wards … 273 2. Number of patients in public psychiatric units and hospitals at 31 December, 2001 ……………………… 275 3. Rate of hospitalisation per 1,000 of the population, 31 December, 1999-2001 277 4. Admissions and admission rates for the years ending 31 December, 1999-2001 ………………………… 279 5. Community residential accommodation at 31 December, 2001 … … 281 6. Psychiatric in-patients in registered psychiatric hospitals at 31 December, 1997-2001 ………………………… 283 7. Episodes of Seclusion by Service ………………… 284 8. Regional Variation — Seclusion 1999-2001 …………… 285 9. Prescription of ECT by Service ………………… 287 10. Regional Variation — Prescription of ECT 1999-2001………… 288 11. Episodes of Special Nursing by Service ……………… 290 12. Involuntary Admissions, extensions and regradings 2001 by Service … 293 APPENDIX 2 PROCEDURES QUESTIONNAIRE ………… 297 APPENDIX 3 PROCEDURES FOR TRANSFERS UNDER SECTION 208 OF THE MENTAL TREATMENT ACT, 1945 … … 307 iv Introduction To the Minister for Health and Children In pursuance of the provisions of Section 247 and 248 of the Mental Treatment Act 1945, I am submitting to you my report for the year 2001 on psychiatric hospitals and services and the care of patients therein. This is my fourteenth report since my appointment in November, 1987. In Chapter 1, the report details some general matters affecting the psychiatric services at the time of inspection and highlights the main developments envisaged in the psychiatric services in each health board. The report then proceeds to deal with each individual ser- vice. Each health board is allocated a separate chapter, with a chapter also being devoted to registered psychiatric hospitals. Finally, there is a presentation of the latest statistical information on the psychiatric services. I carried out the inspections in all hospitals and services with the assistance of Doctor Liam Hanniffy, Assistant Inspector of Mental Hospitals. The inspections were enhanced by the professional advice and guidance of Mr Michael Hughes, Assistant to the Inspector of Mental Hospitals. Ms. Anne Tighe of the Department of Health and Children and Ms. Joan Moore of the Health Research Board assisted with the compilation of this report. As in previous years, we followed the protocol of first presenting a draft report to the Chief Executive Officers of health boards and the Medical and Administrative Directors of private and voluntary hospitals for their observations. In matters relating to factual errors as pointed out by them, our reports were amended and finally prepared for presen- tation to the Minister for Health and Children. The reports presented here are summaries of the final reports. Much fuller and more detailed accounts of our inspections were presented to the Chief Executive Officers of each health board and to voluntary and private hospitals. On behalf of the Inspectorate, I would like to thank the many individuals in the psychiatric services throughout the country who co-operated fully with us in providing all necessary information relating to their services and for affording us access to information requested. Those who wish to obtain more statistical information about the activities of Irish psychi- atric services and quantitative data concerning the facilities they provide should consult the ‘‘Activities of Irish Psychiatric Services’’ published by the Health Research Board in association with the Department of Health and Children on an annual basis. Dermot Walsh Inspector of Mental Hospitals v Glossary A & E Accident and Emergency. ACNO Assistant Chief Nursing Officer. Catchment Area Refers to the area traditionally served by a district mental hospital. In many cases, catchment areas correspond with county boundaries. In Dublin and Cork, the catchment boundaries correspond in most cases with those of the community care areas of the health boards. Clinical Director The clinical director is the consultant psychiatrist responsible for a psychiatric hospital and services in the catchment area served by the hospital. Clinical directors may also be known as resident medical superintendents, see RMS below. CNO Chief Nursing Officer. CPN Community Psychiatric Nurse. CPR Cardio Pulmonary Resuscitation. Day Centre A day centre provides social care for patients and it may also offer treatment. Rehabilitation and activation services may be provided and could include occupational therapy, social skills training and light industrial therapy. Day Hospital A day hospital provides comprehensive treatment equivalent to that available in a hospital in-patient setting for acutely ill patients. Clinics can also be held and a range of investigative procedures performed. The day hospital acts as the focus of psychiatric care in an area and is primarily for active treatment of patients with psychi- atric disorders. De-designation The term used to indicate that a part of a psychiatric hospital has been formally separated from the hospital and its patients are no longer considered to be psychiatric patients. Accommodation for older people and patients with intellectual disabilities in a number of hospitals has been de-designated. DNO Deputy Nursing Officer. ECT Electro-convulsive therapy. ESF European Social Fund. FBAO Foreign body in airway obstruction. vii GP General Practitioner. Integration May refer to the integration of male and female patients in the same ward or the integration of male and female nursing staff or both. Intensive Care Unit A specialised unit within the Mental Health Service providing observation and treatment of patients for whom management on an acute ward is not possible. Long-stay A patient who has been continuously hospitalised for over one year.
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