Community-based care
The Dean Clinics provide community-based services in multidisciplinary settings which are designed to meet the holistic mental health needs of both the individual service user and the community.
Each clinic’s multidisciplinary team (MDT) delivers care based on the recovery principles of hope, personal responsibility, education, self-advocacy and support, ensuring that the service user’s experience is hopeful and empowering.
Care is delivered in-person or remotely, depending on what option best meets the needs of the service user.
Mental health treatment
We treat a wide range of mental health difficulties in the Dean Clinics.
For adult service users, we treat addiction and substance abuse; anxiety; mood disorders, such as bipolar disorder and low mood; dual diagnosis (addiction and a mental health difficulty); eating disorders; memory difficulties; Obsessive-Compulsive Disorder (OCD); psychosis; stress-related disorders; and more.
For adolescent service users, we provide treatment for anxiety; low mood; eating disorders; OCD; psychosis; and stress-related disorders, and more.
Services available
We offer different levels of care through the Dean Clinics, which is determined by the service users’ needs.
Adult services
Adult services are available through Dean Clinics in Cork, Dublin, and Galway.
For adult service users, we offer a comprehensive multidisciplinary mental health assessment to determine if we can offer a recovery-focused, personalised treatment plan, which is prepared in collaboration with the service user. Treatment options include mental health reviews with the medical and nursing team, Cognitive Behavioural Therapy (CBT), occupational therapy (OT) and psychological services.
Adult service users in the Dean Clinics can also be referred to recovery-based day programmes and/or specialist treatment programmes at SPMHS where appropriate. Inpatient care or Homecare services when required can also be arranged through the Dean Clinics.
Adolescent services
We provide an MDT assessment and care and treatment through the Adolescent Dean Clinic in Cork and the Adolescent Dean Clinic in Dublin.
Treatment involves a recovery-focused, individualised care plan, which is developed in collaboration with the young person and their parents. This may include attending medical reviews, individual therapy or group programmes, with treatment approaches including psychology, CBT and OT.
Adolescent service users in the Dean Clinics may also be referred to Willow Grove Adolescent Unit (WGAU) for inpatient care or Homecare.
Clinic locations
Click the plus (+) sign on the options below to see more on the clinic locations.
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Dean Clinics for adult services
Adult services are available in the Dean Clinics below:
- Dean Clinic Cork | City Gate, Mahon, County Cork
- Dean Clinic Galway | Merchant's Road, Galway
- Dean Clinic Lucan | Lucan, County Dublin
- Dean Clinic St Patrick's | James' Street, Dublin 8.
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Dean Clinics for adolescent services
You will find adolescent services at the Adolescent Dean Clinic (St Patrick’s University Hospital campus, James' Street, Dublin 8) and the Dean Clinic Cork (City Gate, Mahon, County Cork).
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Associate Dean Clinics
In addition to our Dean Clinics, we also provide a community based psychiatric assessment service in the following locations:
- Cork, County Cork
- Kilkenny, County Kilkenny
- Naas, County Kildare.
Frequently asked questions
Click on the questions you're interested in below to see the answers.
Referrals and assessments
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How do I get referred to the Dean Clinics?
If you are not currently a service user in SPMHS, the best place to start in accessing the Dean Clinics is with your GP. They can assess if you would benefit from mental healthcare, and, if they find this would help, they may send a referral to our Referral and Assessment Service. One of our consultant psychiatrists will review this referral to see if we have a service that would suit your needs. This might include treatment at a Dean Clinic.
If you are currently in our inpatient or Homecare services, you might be referred to the Dean Clinics for follow-up care by a member of your MDT.
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What happens after I am referred?
If you are referred to the Dean Clinic by your GP, you will receive a mental health assessment when your referral is confirmed with your GP. The Dean Clinic team will confirm a date for the assessment with you in advance. Once your assessment is confirmed, you can reschedule the date for this if you need to; please give up to 72 hours notice for this to avoid a cancellation fee (see more below). Please note that first assessments are for initial psychiatric assessment and not for the purpose of medico-legal reports. Medico-legal reports will not be provided.
If you are receiving care in another service in SPMHS and are referred by the team, you will not need an assessment. You will have previously had a mental health assessment on your admission, and the team referring you will be aware of your mental health needs.
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Is there anything I should have ready for my assessment?
Your GP should ensure that they have sent full blood count (FBC), thyroid function test (TFT), renal and liver function test (LFT) blood results by post or fax ahead of the assessment, as these will reviewed as part of the assessment.
We recommend that you allow up to three hours for the assessment, as you will be seen by different clinicians as part of this. If you are attending the assessment in-person, we recommend that you arrive 15 minutes ahead of the booking time to complete any necessary documentation.
If you have health insurance, please have your insurance details available (health insurer name, plan, and policy number) also.
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Can I choose which Dean Clinic I attend?
The Dean Clinic you are referred to depends on the services that would best fit your needs; for example, if you need to attend a specialist service that is only delivered in one clinic only, then you will be referred to that specific clinic. Your location is always into consideration and the Dean Clinic closest to you will be offered in the first instance, except if you need to attend a specialist clinic not offered in your location.
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What is a review appointment?
A review appointment is any appointment with a Dean Clinic following your mental health assessment or hospital admission to SPMHS.
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Are Dean Clinic services remote or in-person?
Your Dean Clinic appointments may take place in-person or remotely through video calls on Microsoft Teams (MS Teams) or phone conferencing, depending on your treatment plan.
Remote appointments
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How do I attend appointments remotely?
Remote appointments can take place by video on MS Teams or phone. If you do not have access to a computer or laptop, you can use a smartphone or tablet for your appointments.
You will receive a reminder of your appointment by text in advance of your appointment. You will also receive a reminder email if you’re signed up to Your Portal, our online patient platform. You can learn more here about types of notifications you will receive.
If your appointment is taking place on MS Teams, the notification will include a link for you to connect with your clinician by video at your scheduled appointment time. You can forward text message notifications with video links to your email. You can also access the video link in Your Portal if you are registered to use this. There is a guide to using MS Teams available here.
If your appointment is taking place by telephone, your clinician will contact you at your scheduled appointment time.
Please do allow 30 minutes before and after your appointment time to be contacted.
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Is there technical support for attending remotely?
We have technical support available for all our Dean Clinic service users.
If you have any difficulty using MS Teams, you can contact our Service User IT Support (SUITS) team by calling 01 249 3629 or by emailing suits@stpatricks.ie. The team is available from 9am to 5pm, Monday to Friday; they monitor and respond to telephone and email queries during these times. Voicemail and emails left out of hours will be followed up the next working day.
If you have technical trouble at the time of your appointment, you can contact your Dean Clinic by phone or email, and the team there will inform your clinician. You can also contact SUITS for assistance.
If there is a problem which means your clinician is unable to reach you by video at your appointment time, they will telephone you instead.
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How do I get prescriptions when attending remotely?
You will be asked to name a preferred pharmacy for your prescriptions to go to, and we will keep a record of this on file.
If you are prescribed medication at a remote Dean Clinic appointment, the clinician typically checks again with you during your appointment where the prescription should be sent to. Your prescription will be securely emailed to your preferred pharmacy, or posted directly to you in some circumstances, within 24 hours. Your pharmacy will then make arrangements with you for the delivery or collection of your prescription. Please be aware there is a prescription fee, which will be discussed with you.
Please do let your clinic know if you change pharmacies.
If you need a prescription before your next Dean Clinic appointment is due, please contact your consultant’s medical secretary, who will liaise with your clinical team.
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How do I book my next remote appointment?
Your clinician will inform the Dean Clinic administrators when your next appointment will be. Your Dean Clinic administrators schedule your appointment and you will receive an appointment notification by text message or through Your Portal if you are registered to it.
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Can I rearrange my appointment?
Please note that every MDT routinely attends the Dean Clinic on a specific day of the week and changing the appointment to another day of the week is often not possible. However, if a date booked for your appointment is not suitable, please contact your Dean Clinic by telephone or email to reschedule, giving more than 48 hours notice to avoid a cancellation fee (see below for more information).
In-person appointments
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Will I get reminders of my in-person appointments?
You will get reminders of your in-person Dean Clinic appointments. You can learn more about notifications here; the type of notification you receive depends on the service you are attending and whether you are signed up to Your Portal.
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How do I get to the Dean Clinic for my appointment?
You can get addresses and transport information for each clinic on its individual page. You can see our Dean Clinic network here and choose which clinic you need to get information for. The Dean Clinic administrator who will be in touch with you about your appointments will also be able to provide information.
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What happens when I arrive at the Dean Clinic?
We recommend that you arrive at the clinic 10 minutes before your appointment. When you arrive at the clinic, please check in at reception. There is a seating area in each clinic where you can then wait for your appointment. The Dean Clinic administrator will let you know if you need to fill out any documentation while you are waiting for your appointment. They will also let the team know that you’ve arrived and the clinician will call you in for your appointment.
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How do I book my next in-person appointment?
Your administrator will be informed by your clinician as to when your next appointment will be. This may be discussed with you before you leave the clinic following your appointment, and you will receive notification of your appointment by test message or Your Portal if registered.
If you need to change the date or time of your appointment, please phone or email your Dean Clinic administrator to arrange a suitable appointment. Please give at least 48 hours notice to avoid a cancellation fee (more information on this can be found below).
Fee information
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What are the fees for the Dean Clinics?
SPMHS is an independent, not-for-profit mental health service. Our services, including those for the Dean Clinics, are funded through health insurance or directly by the service user themselves. If you have health insurance, it is advised that you contact your insurance provider with your policy number to clarify your cover. All health insurers have different benefits so it is important to familiarise yourself with your benefits.
We are independent from state-run, or public, services, which means that the public medical card does not cover the cost of treatment in the Dean Clinics.
We have more insurance and finance information available here.
All fees for Dean Clinic appointments remain the same, whether they take place in-person, by video or by telephone.
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How do I pay?
Payment
Payment in advance is required to secure your Dean Clinic appointment.
For remote appointments, the Dean Clinic team will contact you one week in advance of your scheduled review for confirmation of attendance and prepayment of your appointment. Your full receipt will be emailed to your after attendance to your remote review appointment.
If you would like to pay for remote appointments by electronic funds transfer (EFT), please contact the Dean Clinic by phone or email and bank details can be sent to you.
For in-person review appointments, payment is required on arrival to the clinic. You can make a payment for your appointment at the reception desk.
Cheques
Cheques can be made payable to St Patrick’s University Hospital and should be posted to:
Finance Department
St Patrick’s University Hospital
James’ Street
Dublin 8
D08 K7YWPlease ensure your invoice number (if received) or your full name, the Dean Clinic name and appointment date are enclosed when sending in a cheque.
VHI Customers
From October 2019, we agreed with VHI that VHI customers’ benefits would be claimed at the time of service delivery, by receiving a reduction in full Dean Clinic appointment fees. A signed VHI claim form is required in order for this reduction to be processed.
Our Finance Department will send your VHI claim form by DocuSign. Please note that, if VHI forms are not returned, you will be liable for the full appointment fee without VHI claim reduction.
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Is there a cancellation fee?
Cancellation fees for appointments
A cancellation fee is charged if you do not attend your appointment or if you give less than 48 hours notice of cancellation. This is to ensure that all appointment slots are used and that service users waiting for appointments are offered cancelled appointments.
If you do not attend your review appointment, you will be charged a fee of €75.
If you cancel your review appointment with less than 48 hours notice, you will be charged a fee of €75.
Cancellation fees for assessments
If you are booked in for a mental health assessment, a deposit is due 14 days ahead of this assessment. You will receive a letter with information about the assessment which will let you know the cost of the deposit.
If no deposit is received within this timeframe, your assessment is automatically cancelled. A cancellation fee, which is the same amount of the deposit, will be due. Our team will be in touch with you during the period to check in with you around this and only cancel if no response is received.
If the deposit is paid and the assessment is cancelled up to 72 hours before its scheduled time, your deposit will be refunded.
If you have paid your deposit but cancel your assessment within 48 hours of its scheduled time, the deposit fee is not refunded.
Appeals
Any appeals for cancellation or non-attendance fees can be made to deanfeeappeal@stpatricks.ie or by post to:
Debbie Van Tonder
Dean Clinic Programme Manager
St Patrick’s University Hospital
James Street
Dublin 8
D08 K7YW.
Dean Clinics information leaflet
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Adolescent Dean Clinic