The Irish Psychiatric Association has claimed that there has been almost no progress on the Government's seven to 10-year strategy for the development of mental health services.
The document, A Vision for Change, was published exactly one year ago today.
The group, which represents around 60 of Ireland's consultant psychiatrists, says the lack of action means its recommendations remain on paper.
The Vision For Change plan remains just that, a plan which has not been implemented, according to frontline staff working in mental health services.
Today's survey by the IPA finds that services have not been re-organised as agreed, and staff say there is no evidence that a new national mental health policy was launched one year ago.
In the past year hospitals have reported difficulties in providing in-patient acute care because there is a lack of community-based facilities as promised in the plan.
Dr Siobhan Barry of the IPA says no capital programme to replace the crumbling and shoddy parts of the service has yet been put in place.
The association is also critical of the fact that the National Mental Health Directorate needed to drive the organisational changes promised within the HSE has not materialised.
This is the first review of the policy: the Irish Psychiatric Association says it intends carrying out an annual review to measure progress.
