It's also believed the digital system within the service is the worst in the world.
The Inspector of Mental Health Services in Ireland says she cannot assure all parents that their children have access to a safe, effective and evidence-based mental health service.
An independent review of Ireland's Children and Adolescent Mental Health Services has found that it is severely understaffed.
On the day of inspection, CHO8, which includes Laois, Offaly and Westmeath, had a clinical staffing level of 80.8 - the recommended figure is 135.6.
Inspector of Mental Health Services at the Mental Health Commission, Dr. Susan Finnerty, says the HSE needs to change how it recruits people:
The review also found an IT system to monitor patient records is non-existent.
The report found most services across the country had no IT system that manages appointments or maintains clinical files.
Dr. Susan Finnerty says the CAMHS digital system is the worst in the world:
Young people are waiting as long as nine months for an ADHD assessment, according to the review.
There's also a four month wait on average for anxiety queries, and two months for depression.
CEO of ADHD Ireland, Ken Kilbride says a nine months is a long time for a child:
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