4858 Mental Health Report - National University of Ireland, Galway

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Findings from the Investigation of Cross-Border Collaborative Mental Health Promotion Practices The perceived benefits of cross-border working include the following: • Exchange of ideas and effective practices including sharing resources in terms of expertise, time and costs. Clearly project members perceive many benefits to cross-border working as the following comments illustrate: The project had many benefits including the exchange of ideas and effective practice, learning from each other and sharing resources... and... the establishing of multidisciplinary networks and training on a cross-border basis. Increased understanding, learning and sharing are all important benefits. The interaction between professionals was inspiring. The enthusiasm displayed by all health care professionals was evident in their willingness to share ideas and thoughts and to develop a model of best practice. • Establishing relationships and networks across disciplines, professionals, communities, service users and organisations on a cross-border basis. The benefits of working with like-minded people were underscored with an awareness that even though health workers may be working across different health systems, they are addressing the same issues. Within the CAWT area cross-border working is now a way of working, not just an experience...it is very much the way forward. ...realising that all involved are confronting the same issues and that there are no real differences between their jobs, North and South. The cross-border projects are seen as strengthening existing relationships and leading to new ones being established. Most project members report high levels of enthusiasm and good co-operation among the participating organisations and individual workers. The group has worked cohesively and there has been a sense of value and importance to the work. • All were of the opinion that there was scope for expansion and many saw the opportunity for developing new proposals and projects based on their experiences to date in the current projects. The network has now been established and it would be important to build on this and develop other proposals. Cross-border collaboration is clearly perceived as an opportunity for developing and promoting best practice on an all-island basis. 59
Findings from the Investigation of Cross-Border Collaborative Mental Health Promotion Practices Reported Barriers and Difficulties Project members were questioned concerning difficulties or barriers experienced in relation to successful collaborative work. A wide range of views were expressed, even between members of the same project. However a number of interesting issues were raised in the course of the interviews. These include the following: • Issues of shared ownership were raised, particularly where partners from one side of the border may have developed the original idea for the project. The importance of having some initial preparatory work to agree on the expectations of cross-border working from the outset was highlighted. It was also felt that this would aid in defining the nature of true cross-border work. • Building up of trust between the partner groups was highlighted as being critically important, and the need for a recognition that this was a slow process that takes time. Feelings of rivalry and competition between the crossborder partners were also expressed, particularly at the early stages of project development. • Constraints in terms of resources were also mentioned as difficulties, including distance/geographical spread and the time taken in getting all partners together at regular intervals. • Funding was also mentioned as a difficulty, particularly in relation to uncertainty about future funding and how this negatively affects planning. There was a general appreciation that cross-border working takes time and that, given the complexity of the mental health area, sustained ongoing action is needed. Continuity of funding is perceived as being critical to this endeavour. • The need for better co-ordination across the two jurisdictions was also commented on, particularly with regard to differences in the structure and working practices of the two health care systems North and South. It is clear from the case study profiles that there is a general awareness among project members that many organisations North and South are serving the same population needs and targeting the same groups of people. As commented by one of the people interviewed, within the CAWT area cross-border co-operation is now a way of working, not just a once off experience, and is regarded as being very much the way forward. Working on a cross-border basis is viewed by some project members as not being any different from working on a cross-board or cross-sectoral basis, as the same issues of partnership and collaboration are involved. The view was expressed that all involved in the area of mental health promotion are confronting the same issues North and South, and that it makes sense to pool resources, expertise and experience in order to promote best practice in the area. 60
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A Report for the Centre For Cross B
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About the Authors Dr. Margaret Barr
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Acknowledgements We would like to t
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Introductory comments by the Depart
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References Adult Mental Health Serv
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References Layte, R., Jenkinson, C.
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References Sindall, C. (1997) Inter
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Promoting Positive Mental Health: C
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The Centre for Cross Border Studies
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4858 Mental Health Report - National University of Ireland, Galway

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