In 2012, we collaborated with the Russian organization Socium + to implement psychosocial activities for breast cancer patients in the Oncological Hospital in Murmansk – by model of activities within the Norwegian Cancer Society. We found the structure rather complicated, and wished we had collaborated directly with the hospital instead of through an organization. We thought it would have been good for both the economy and the sustainability of the project. In October 2012 we applied for a continuation of our project, as we felt we needed to do more to sustain the project. However, the climate for collaboration worsened as the year drew to a close.