The population of the Community Healthcare West, Galway, Mayo and Roscommon, based on Census of Ireland 2016 is 453,109 or 9.52% of the national population.

P.21 Regarding Priorities and implementation of these in 2019:

1. Improve health outcomes for those identified as vulnerable in the region, including those with addiction issues, the homeless, refugees, asylum seekers and Traveller and Roma communities. This Priority was delivered via:

• Dedicated under 18 addiction service was established across the region. This involves one-to-one Addiction Counselling support.
• A Community Detox Programme was launched regarding addiction to benzodiazepines. Two part-time Counsellors were recruited to provide this service across the region.

2. Continue to implement the health actions, identified as a priority in the ‘Rebuilding Ireland Action Plan for Housing and Homelessness 2016’ so that we provide the most appropriate Primary Care and specialist Addiction/Mental Health services for homeless people. This Priority was delivered via:

• A Weekly Outreach Clinic (GP/RGN/CMHN) was established for rough sleepers in Galway.
• The HSE/Croí Project (iBalance Nutrition Lifestyle Programme) was established to improve the nutrition of homeless people.
• The ‘Housing First’ model was formed in Galway City, along with Galway City Council and other key stakeholders in the provision of independent housing for individuals with complex health and care needs.

P.40-41 Social Inclusion data

• Opioid Substitution Treatment
• Substance misuse (treatment)
• Alcohol Misuse (treatment)
• Homeless Services
• Needle Exchange
• Tobacco (p.34)