4858 Mental Health Report - National University of Ireland, Galway

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Collaborative Practice and Policy Cross-Border Collaboration Health Promotion Unit, Department of Health and Children, Dublin Discussions have taken place between the Health Promotion Agency NI, the Department of Health, Social Services and Public Safety and the Health Promotion Unit, Department of Health and Children with regard to co-operation between the two jurisdictions on health promotion. The purpose of these discussions is to move current co-operation on from an ad hoc arrangement towards something more formal and structured which would have an agreed budget and a strategic plan. A number of joint projects have already taken place, but one of the areas where both agencies do want to work together on is research and training. Discussions between the two agencies are becoming more formalised and are being reported back to the North/South Ministerial Council in its health format. Co-operation on health promotion is on the agenda of the ministerial meetings. Over the past eight to nine years co-operation at the level of exchange of information and experiences has taken place. There are plans now to agree strategically what is needed to support co-operation with some joint funding and a formal structure agreed by the Ministers of Health. Cross-border work needs to have the impetus of high level political support and both Ministers are very committed. Health Research Board, Dublin Through its granting system the Health Research Board has a cross-border interest and there is limited funding available for cross-border research. The funding mechanisms are based on peer-reviewed proposals. Health Promotion Agency, Belfast Research in health promotion has not been included in the R&D strategy to any great extent and there is a need to visit that under the new Public Health Strategy. It is nevertheless hoped that all cross-border health promotion could be linked in some way. On the European front the Health Promotion Agency is linked as a collaborating centre to the World Health Organisation and there are moves within the WHO European Centre to collect health-based information, although mental health has not been specifically mentioned. Cross Border Working and Collaborative Practice Mechanisms The Case for Collaboration and Joint Working Collaborative work, partnerships and strategic alliances are becoming increasingly important in the field of health promotion. According to Sindall (1997), we are coming to the best of times in that something approaching an organisational ‘zeitgest’ has become apparent in recent years. Networks, processes and strategic alliances are now the defining characteristics of modern 75
Collaborative Practice and Policy organisational relations. The Australian Institute of Management (1994), cited in Sindall, defines a strategic alliance as “a long term partnership involving two or more organisations formed to benefit from the synergy of working together in an environment of trust, sharing information and resources to achieve a common objective”. In its Health for All Policy Framework for the 21st century (1999), the World Health Organisation highlights the need for multi-sectoral collaboration to tackle the physical, economic, social and cultural determinants of health. Furthermore this documents states that multi-sectoral action should provide a more effective, efficient and sustainable way to improve health. There is great potential in partnerships that enable different people and organisations to support each other by leveraging, combining, and capitalising on their complementary strengths and capabilities (Lasker et al. 2001). International collaboration should be initiated, according to Hosman (2000), for the following reasons: • Scarcity of resources and lack of influence • Breadth and complexity of the field. We need consensus on evidence-based principles, and we need more in-depth knowledge about a large number of evidence-based programmes and policies and insight into their costeffectiveness, especially cross-cultural applicability, efficacy, and effectiveness. The only feasible answer is for better and more co-ordinated collaboration across countries and regions. • Collaboration between research centres located across different countries and regions can produce innovations and integration in theory resulting from the cross-fertilisation of different theoretical paradigms and scientific traditions. • Growing insight into the inter-relatedness of different health and social problems. In the United States foundations and government agencies have invested hundreds of millions of dollars to promote collaboration around health issues. Although many of these partnerships and collaborations may differ in form, in the particular goals they are trying to achieve, and in whom they bring together, they all share a common impetus: an appreciation that, in today’s environment, most objectives related to health cannot be achieved by any single person, organisation, or sector working alone (Lasker et al 2001). STAKES in Finland and the World Health Organisation have also drawn attention to and highlighted the importance of increased collaboration between countries (STAKES 1999; STAKES 2001; WHO 2001). Collaboration is now also a feature of the proposed European Union Public Health Strategy. Although health problems may be affected by cultural factors, the similarities of health problems across geopolitical boundaries are much more important than their differences. In order to make significant progress in addressing health 76
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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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Background and Rationale 1 There is
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Background and Rationale of mental
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Background and Rationale underlined
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Background and Rationale • Produc
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Project Aims and Objectives 2 This
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Methodology 3 Phase 1: Methodology
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Methodology semi-structured intervi
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Methodology Methods for Review and
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Conclusions and Recommendations Dat
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References Adult Mental Health Serv
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References Department of Health and
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References Health Education Board f
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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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Organisations which contributed to
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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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