The Mental Health Commission reports analysed CAMHS care between April 2022 and July of this year and made 49 recommendations.
In Cork and Kerry, children who were suicidal were waiting more than 50 days on average to be seen by a mental health professional.
Some care is also being carried out online from Qatar.
'Serious concerns were also expressed about one facility in the Sligo, Leitrim, Donegal, Cavan and Monaghan area, where the management of one team was placing children at risk of being 'lost' in the system.
In the Waterford, Wexford, Carlow, Kilkenny and South Tipperary area, difficulties in working relationships was found among one team, and a lack of understanding about monitoring children on anti-psychotic medication.
While in the Kildare, West Wicklow, Dublin West, Dublin South City and Dublin South West area, concern was raised about two teams, and poor follow-up care was highlighted.
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