Vulnerable woman in 'completely substandard' arrangement to be detained in secure psychiatric unit

A vulnerable young woman is to be detained in a secure hospital psychiatric unit after the High Court told the HSE it must devise a better plan for her than a "completely substandard" arrangement under which she was leaving an open unit and regularly accessing street drugs.

Earlier this week, Mr Justice Peter Kelly said because the woman is a ward of court, he is responsible for her safety and the HSE had to urgently come with a better proposal than an open unit, a rehabilitation unit for people with long-term mental illness. It was not suitable and she “could end up dead”, he said.

A HSE proposal that the woman remains at the unit with a dedicated key worker for eight hours weekly is not a solution, he said.

A situation where the woman, aged in her early 30s with a difficult family background and described as having grown up on the streets, can leave the unit unsupervised and access and misuse street drugs – mainly benzodiazepines - cannot continue, he said.

He was told the woman has herself identified the difficulties with her taking drugs and is conscious she is placing herself in a precarious position. The drug-taking may be “a cry for help” from her, he was told.

Among the difficulties is that the open unit is close to the woman’s home area and that, when she returns there, she appears to have easy access to drugs.

The woman herself had expressed a desire to be “locked in” in the hospital unit as then she would not go home where it was “very easy” to get the tablets.

When the case returned before the judge on Thursday, he heard psychiatric and other evidence.

On foot of that, he made orders directing the woman be transferred from the open unit to the hospital unit as soon as practicable and detained there pending further orders.

The order permits the medical and nursing staff with clinical responsibility for the woman to administer such medication, including anti-psychotic medication, as they consider appropriate to promote and protect her life, health and well-being.

It also permits gardaí to search for, arrest and return the woman to the hospital if she absconds from there.

The woman’s social welfare allowance is to be paid to the general solicitor for wards of court who has discretion concerning what sums should be provided to the woman out of that.

The woman had told social workers she wanted control of her entire allowance for purposes including buying clothes and cigarettes but they had concerns she would not be able to manage her money and would use it to buy drugs.

When she was living in the open unit, some of the allowance money went towards rent for that unit and it also allocated €15 to her daily.

More on this topic

Man brandished glass and lamp in standoff with gardaí

Man appears in court charged in connection with O’Connell Street stab murder

Man due in court in connection with fatal O'Connell St stabbing

Cuba Gooding Jr pleads not guilty to groping woman at bar

More in this Section

Gardaí launch murder investigation into death of woman in Mayo

Latest poll indicates five-point lead for Fianna Fáil

Farmers misled by Government on EU beef fund, claims TD

Post-mortem carried out on Mayo woman found dead yesterday


There’s no fallback on Everest, so what drives climbers to the challenge?

Readers’ haven provides books for tourists and locals in Dingle

Want to make the most of an urban garden space? Here are seven ideas

More From The Irish Examiner