This paper brings together HIQA and the MHC’s review of evidence and experiential learning for policy-makers to consider at a critical time in the development and implementation of the new children’s policy framework.

Table of contents:

1. Background p.2
2. Methods p.3
3. Overview of children’s health and social care system in Ireland p.5
4. Key themes emerging from the evidence and key considerations for policy development p.6

• 4.1 Improving interagency working p.7
• 4.2 Supporting effective transitions from child to adult services p.13
• 4.3 Supporting services to deliver timely and appropriate care and support p.17

Conclusion p.21
References p.23

P.11 The evidence review and stakeholder engagement also highlighted that when children are transitioning in and out of services, they are at increased risk of less focused and coordinated care. For example, when children are discharged from acute services, there needs to be established and appropriate links to primary and community services. Stakeholders noted that criteria to access services can be relatively strict, and their views align with findings in recent reports reviewed. They noted that this was particularly an issue for children with dual-diagnoses, for example children with a disability and a mental health issue or children with an addiction and a mental health issue, who could be restricted to attending one service only or may be declined from both services.