
Ireland's ‘compassionate' justice and mental health strategy aims to avoid prison return
The report, released on 28 July, outlines developments between September 2023 and September 2024, including the national rollout of Mental Health First Aid training to An Garda Síochána (Ireland's police force), the launch of the Community Access Support Team (CAST) pilot in Limerick, and progress on a dual diagnosis service in Cork Prison.
Minister for Health Jennifer Carroll MacNeill placed particular emphasis on the need for a compassionate, integrated response.
'The High-Level Taskforce on Mental Health and Addiction recognised the importance of taking a compassionate, whole-person approach to supporting people with mental health and addiction challenges who come into contact with the criminal justice system,' she said.
'Many of the Taskforce's recommendations build on what's already in place, aiming to strengthen the connections between services. This joined-up approach is designed to offer more consistent, meaningful support to individuals navigating both the justice and health systems,' she added.
Avoiding incarceration
Carroll MacNeill also pointed to the health sector's progress in developing alternatives to incarceration. 'A particular focus has been on creating real, person-centred alternatives through Diversion initiatives, ensuring that care is better integrated and more responsive to the needs of this small but highly vulnerable group,' she noted.
The Taskforce, a joint initiative between the Departments of Health and Justice, was established following the publication of its foundational report in 2022. Its Steering Committee includes representatives from the Health Service Executive (HSE), the Irish Prison Service, the Probation Service, and An Garda Síochána.
Minister for Justice Jim O'Callaghan welcomed the report's publication, noting that it can help 'reduce the likelihood of future offending.'
Minister of State for Mental Health Mary Butler highlighted the expansion of the Central Mental Hospital and the development of Crisis Resolution Teams as key achievements. She also referenced the Mental Health Bill, which concluded its passage through the Dáil on 9 July 2025.
The new policing model
An Garda Síochána has played a central role in implementing the Taskforce's recommendations, particularly through the CAST pilot in Limerick. The initiative, part of the broader 'Policing Service for the Future' strategy, is designed to support individuals experiencing situational trauma or mental health crises.
A Garda spokesperson told Euractiv: 'The Commission on the Future of Policing in Ireland stated that societal-wide issues such as the mental health of individuals are not the responsibility of An Garda Síochána alone… [recommending] the establishment of multi-agency teams (Crisis Intervention Team) that would include Gardaí to respond to the needs of individuals with mental health issues.'
The CAST project, a partnership between An Garda Síochána and HSE Mid-West Mental Health Services, exemplifies this inter-agency approach. It is currently being trialled in the Limerick Garda Division.
The Gardaí have also embedded mental health awareness into their operational framework. Over 3,500 personnel have received Mental Health First Aid training under a Memorandum of Understanding signed with Mental Health First Aid Ireland in June 2023.
In line with the new Policing Model, Gardaí are equipped to respond to critical incidents involving mental health crises.
'There are trained Garda Negotiators, Operational Commanders in every Garda Region throughout the country,' the spokesperson said. 'In recent years, An Garda Síochána has put a significant emphasis on our role as the first line of defence of the human rights of all people we come into contact with.'
Ireland's efforts to reform the intersection of mental health, addiction, and the criminal justice system are being significantly underpinned by European Union policy and funding, aligning national priorities with broader EU objectives on public health, social inclusion, and human rights.
The strategic and financial support from Brussels has enabled Ireland to advance initiatives such as the High-Level Taskforce on Mental Health and Addiction, which seeks to divert vulnerable individuals away from incarceration and toward integrated care pathways.
Convergence with EU priorities
Ireland's national mental health strategy, 'Sharing the Vision: A Mental Health Policy for Everyone', is closely aligned with EU-level frameworks, including the EU Health Strategy and the European Pillar of Social Rights.
These frameworks advocate for universal access to quality healthcare, with mental health increasingly recognised as a core component of public health policy.
Ireland has also tapped into several EU funding streams to support its reform agenda. These include: European Social Fund Plus (ESF+), EU4Health Programme: and the Justice Programme.
These funds are being used to scale up initiatives such as the Community Access Support Team (CAST) pilot in Limerick and the national rollout of mental health training for Gardaí.
As Ireland continues to embed a more humane and coordinated approach to mental health within its justice system, EU policy and funding remain critical enablers. They are reinforcing the country's commitment to reform while anchoring it within a broader European vision of inclusive, rights-based public health at a time of rising drug use in Ireland and a mental health crisis, particularly amongst young people.
By Brian Maguire
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Euractiv
3 days ago
- Euractiv
Ireland's ‘compassionate' justice and mental health strategy aims to avoid prison return
The Irish government has published the second annual progress report of the High-Level Taskforce on Mental Health and Addiction, highlighting a series of cross-departmental initiatives aimed at improving outcomes for individuals with mental health and addiction issues who encounter the criminal justice system. The report, released on 28 July, outlines developments between September 2023 and September 2024, including the national rollout of Mental Health First Aid training to An Garda Síochána (Ireland's police force), the launch of the Community Access Support Team (CAST) pilot in Limerick, and progress on a dual diagnosis service in Cork Prison. Minister for Health Jennifer Carroll MacNeill placed particular emphasis on the need for a compassionate, integrated response. 'The High-Level Taskforce on Mental Health and Addiction recognised the importance of taking a compassionate, whole-person approach to supporting people with mental health and addiction challenges who come into contact with the criminal justice system,' she said. 'Many of the Taskforce's recommendations build on what's already in place, aiming to strengthen the connections between services. This joined-up approach is designed to offer more consistent, meaningful support to individuals navigating both the justice and health systems,' she added. Avoiding incarceration Carroll MacNeill also pointed to the health sector's progress in developing alternatives to incarceration. 'A particular focus has been on creating real, person-centred alternatives through Diversion initiatives, ensuring that care is better integrated and more responsive to the needs of this small but highly vulnerable group,' she noted. The Taskforce, a joint initiative between the Departments of Health and Justice, was established following the publication of its foundational report in 2022. Its Steering Committee includes representatives from the Health Service Executive (HSE), the Irish Prison Service, the Probation Service, and An Garda Síochána. Minister for Justice Jim O'Callaghan welcomed the report's publication, noting that it can help 'reduce the likelihood of future offending.' Minister of State for Mental Health Mary Butler highlighted the expansion of the Central Mental Hospital and the development of Crisis Resolution Teams as key achievements. She also referenced the Mental Health Bill, which concluded its passage through the Dáil on 9 July 2025. The new policing model An Garda Síochána has played a central role in implementing the Taskforce's recommendations, particularly through the CAST pilot in Limerick. The initiative, part of the broader 'Policing Service for the Future' strategy, is designed to support individuals experiencing situational trauma or mental health crises. A Garda spokesperson told Euractiv: 'The Commission on the Future of Policing in Ireland stated that societal-wide issues such as the mental health of individuals are not the responsibility of An Garda Síochána alone… [recommending] the establishment of multi-agency teams (Crisis Intervention Team) that would include Gardaí to respond to the needs of individuals with mental health issues.' The CAST project, a partnership between An Garda Síochána and HSE Mid-West Mental Health Services, exemplifies this inter-agency approach. It is currently being trialled in the Limerick Garda Division. The Gardaí have also embedded mental health awareness into their operational framework. Over 3,500 personnel have received Mental Health First Aid training under a Memorandum of Understanding signed with Mental Health First Aid Ireland in June 2023. In line with the new Policing Model, Gardaí are equipped to respond to critical incidents involving mental health crises. 'There are trained Garda Negotiators, Operational Commanders in every Garda Region throughout the country,' the spokesperson said. 'In recent years, An Garda Síochána has put a significant emphasis on our role as the first line of defence of the human rights of all people we come into contact with.' Ireland's efforts to reform the intersection of mental health, addiction, and the criminal justice system are being significantly underpinned by European Union policy and funding, aligning national priorities with broader EU objectives on public health, social inclusion, and human rights. The strategic and financial support from Brussels has enabled Ireland to advance initiatives such as the High-Level Taskforce on Mental Health and Addiction, which seeks to divert vulnerable individuals away from incarceration and toward integrated care pathways. Convergence with EU priorities Ireland's national mental health strategy, 'Sharing the Vision: A Mental Health Policy for Everyone', is closely aligned with EU-level frameworks, including the EU Health Strategy and the European Pillar of Social Rights. These frameworks advocate for universal access to quality healthcare, with mental health increasingly recognised as a core component of public health policy. Ireland has also tapped into several EU funding streams to support its reform agenda. These include: European Social Fund Plus (ESF+), EU4Health Programme: and the Justice Programme. These funds are being used to scale up initiatives such as the Community Access Support Team (CAST) pilot in Limerick and the national rollout of mental health training for Gardaí. As Ireland continues to embed a more humane and coordinated approach to mental health within its justice system, EU policy and funding remain critical enablers. They are reinforcing the country's commitment to reform while anchoring it within a broader European vision of inclusive, rights-based public health at a time of rising drug use in Ireland and a mental health crisis, particularly amongst young people. By Brian Maguire


Euractiv
24-07-2025
- Euractiv
Ireland publishes National Drugs Strategy as ministers battle rising cocaine use
Dublin - Ireland's health ministers have released an independent evaluation of the country's National Drugs Strategy (NDS), 'Reducing Harm, Supporting Recovery 2017–2025', highlighting progress in harm reduction and international alignment, while also identifying areas for structural reform. The report, commissioned by the Department of Health and conducted by Grant Thornton, assesses the strategy across four key domains: impact, governance, performance, and coherence with international policy frameworks. It fulfils a commitment made in the Programme for Government and arrives as policymakers prepare to draft a successor strategy by the end of 2025. The evaluation finds that the NDS has made 'notable progress in advancing a health-led approach,' particularly through the expansion of harm reduction measures such as naloxone distribution, needle exchange programmes, and drug-checking services. On governance, the report cites the establishment of strategic implementation groups and enhanced interagency collaboration at the local level as key achievements. These developments, it notes, have enabled 'more responsive and context-sensitive service delivery.' Performance metrics show improved data collection and monitoring. Shifting trends Cocaine emerged as the most common primary drug reported in treatment cases in 2024, underscoring a shift in Ireland's drug use profile. Ireland's latest drug use figures, published in 2025 by the Health Research Board, reveal a shifting landscape in substance use, with cannabis and cocaine remaining the most prevalent illicit drugs. Based on data from the 'Healthy Ireland Survey 2023', 7.8% of adults reported using cannabis in the past year, while cocaine use rose to 4.4%, particularly among those aged 25–34. Sedative and tranquilliser use stood at 2.5%, with higher rates among women and older adults. The report also highlights a rise in polydrug use and a strong correlation between drug use and other risk behaviours, including tobacco and alcohol consumption. EU drug strategy alignment Internationally, the strategy is deemed well-aligned with the EU Drugs Strategy and Action Plan 2021–2025, with Ireland's contributions to early warning systems and multilateral research initiatives receiving particular praise. However, the review also identifies persistent challenges, including fragmented delivery of prevention and early intervention services, and a need for alternatives to coercive sanctions. It outlines 10 strategic recommendations to guide the next phase of policy development. Minister for Health Jennifer Carroll MacNeill welcomed the report's focus on equity and access, noting alignment with ongoing Sláintecare reforms. 'The establishment of new HSE health regions presents a valuable opportunity to tailor drug treatment services to population needs and to ensure that both existing and new funding is allocated effectively and transparently,' she said. Carroll MacNeill also highlighted the importance of cross-border and EU collaboration: 'The upcoming Irish Presidency of the EU offers a unique opportunity to foster greater collaboration between member states, the EU Drugs Agency, and civil society organisations.' She added, 'Together, we can better address the health and preparedness challenges posed by an evolving and dynamic drugs market.' Minister for Public Health, Wellbeing and the National Drugs Strategy, Jennifer Murnane O'Connor reaffirmed her commitment to a health-led approach, including the proposed health diversion scheme. She welcomed 'the strong endorsement in the evaluation of the health-led response to drug use, including the proposed health diversion scheme for people found in possession of drugs for personal use. I am determined that the scheme will commence as soon as possible, in line with the commitments in the Programme for Government.' Next steps Murnane O'Connor announced the formation of a steering group to draft the next strategy. 'It is my ambition that the successor national drugs strategy will further strengthen the health-led approach to drug use by addressing the health and social needs of people who use drugs, reducing the harms for individuals, families and communities associated with drugs, and supporting recovery from drug addiction,' she said. The review's 10 recommendations include enhancing culturally sensitive services, increasing community engagement, aligning service delivery with regional needs, and investing in monitoring and research systems. It also calls for stronger integration of alcohol treatment services and continued development of alternatives to criminal sanctions. The evaluation follows the 2024 report of the Citizens' Assembly on Drug Use, which issued 36 recommendations spanning prevention, harm reduction, treatment, and recovery. These remain under active consideration by the Joint Oireachtas Committee on Drug Use and are expected to shape the forthcoming strategy. The EU Drugs Strategy 2021–2025 set out a robust, health-oriented framework to tackle drug-related issues across member states, balancing supply reduction with demand-side interventions. Central to the strategy has been harm reduction, international cooperation, and evidence-based policymaking, underpinned by commitments to human rights, gender equality, and public health. Its strategic goals have included enhancing security, expanding access to treatment, and reinforcing governance structures. The strategy also aligns with UN conventions and supports multilateral engagement. Its foremost priority is the disruption and dismantling of high-risk organised crime groups linked to drug trafficking, particularly those operating within or targeting the EU, and addressing their connections to broader security threats. By Brian Maguire


Euractiv
15-07-2025
- Euractiv
Irish AI start-up targets chemotherapy bottlenecks with remote assessment platform
Dublin - Irish health-tech start-up eAltra is poised to transform chemotherapy care delivery with an AI-powered remote assessment platform that promises to cut costs, reduce patient wait times, and ease pressure on overstretched oncology departments. The company, a spin-out from Trinity College Dublin's ADAPT Centre and backed by Enterprise Ireland as a High Potential Start-Up (HPSU), has demonstrated the efficacy of its conversational AI tool in a six-month pilot study conducted in partnership with Health Innovation Hub Ireland (HIHI) and Tallaght University Hospital (TUH). The platform enables patients to complete chemotherapy toxicity assessments remotely in under six minutes, a process that traditionally requires in-person consultations. According to the study, the tool not only improves patient experience but also delivers measurable gains in clinical efficiency and cost savings. The study found that, 'For patients, eAltra's pre-appointment remote assessment, completed in under six minutes, reduces unnecessary travel and optimises appointment scheduling – timed chemo production ensures treatment is ready when a patient arrives, eliminating wait times by up to two hours.' Patients reported high satisfaction with the tool's usability and clarity. Clinical teams also stand to benefit. The study reported a minimum productivity gain of 3.5 hours per treatment day, equating to 20 minutes saved per patient. Importantly, the AI chatbot achieved a 98 per cent agreement rate with nurse-led assessments, the current gold standard. Scalable cost-savings From a financial perspective, the implications are significant. In a hospital treating 200 patients annually, the tool could generate savings of €27,300 per nurse, rising to €55,000 with two clinical nurse specialists. Additional savings are anticipated from reduced paper usage. The platform is designed for seamless integration with existing health IT infrastructure. It complies with HL7 standards and is interoperable with national systems including the National Cancer Information System, Cerner/Oracle Health, and EPIC. Sustainability is another key advantage. By enabling remote care, eAltra reduces patient travel and associated emissions. With healthcare accounting for five per cent of global travel, the shift to digital engagement offers a meaningful reduction in carbon footprint. Denis Roche, founder and CEO of eAltra explained that, 'eAltra is a spin out company of Trinity College Dublin and was awarded High Potential Startup status by Enterprise Ireland.' Roche explained how, 'Health Innovation Hub Ireland has been supporting our development throughout these milestones. The clinical access, study design support and pilot management they have provided has contributed to our product development and market positioning. We are hugely ambitious for eAltra both at home and abroad and the HIHI pilot result provide significant evidence of efficacy, useability, impact and patient satisfaction.' AI reshaping healthcare Eimear Galvin, HIHI Dublin Manager, highlighted how AI is reshaping healthcare She said: 'These study results show that eAltra improves patient care, provides cost savings and increases productivity by streamlining processes and minimising delays in systemic anti-cancer therapy, in this case chemotherapy.' Galvin added that by enabling remote assessments just 24 hours pre-appointment, unnecessary travel and associated costs are eliminated, ensuring timely rescheduling when required. She explained that, 'Timed chemotherapy production aligns drug preparation with patient arrival, reducing wait times by up to two hours and optimising pharmacy workflows.' The announcement comes as HIHI launches a national competition, ' to identify and pilot AI-driven healthcare innovations. The call is open to companies, researchers, and clinicians until 28 August, with selected projects to be trialled in clinical settings across Ireland. More information is available at Digital care policy advances eAltra's innovation aligns closely with Ireland's national AI strategy. As the Department of Enterprise, Trade and Employment stated in its 2024 strategy refresh: 'AI presents opportunities completely unlike those we have experienced before with previous technological advancements, in terms of their potentially transformative impact for our collective good.' Ireland's 'Digital for Care' framework also underpins eAltra's approach. The framework sets out a roadmap to digitally transform health services in Ireland and improve access for patients, and at the European level, the European Commission has noted that, 'AI is emerging not just as a tool but as a transformative force reshaping healthcare delivery.' The Commission has said that 'AI-driven personalised treatment plans can complement traditional approaches by offering more targeted and effective care, improving patient outcomes while also helping to reduce the financial burden on healthcare systems.' By Brian Maguire