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First National Preventive Health Research Programme YELP Holistic First Business Plan YELP Holistic First Business Plan Defined Terms SWOT Analysis Executive Summary Deliverables And Costs Snapshot Page To 10 Benchmark Techniques Defined Terms for Five YELP Business Plans Second National Preventive Health Research Programme Bohemian Teenagers Arts Assistance Programme First BTAAP Business Plan Bohemian Teenagers Show Choir Programme Defined Terms BTSCP Second BTAAP Business Plan Bohemian Teenagers Symphony Orchestras Programme Defined Terms - Bohemian Teenager Symphony Orchestra Programme Third BTAAP Business Plan Bohemian Teenager Ballet & Modern Dance Programme Defined Terms BTB&MDCP 4.(a) Economic 'Principle of Comparative Advantage' dictates that GPs Outsource GP's Patients with any of Five Lifestyle Risk Factors For Chronic Disease to a REC to Take Charge Of the Final Three Stages of the Five Basic ‘Stages of Change’
Section 2 IV. notes that Access Economics report released in March 2010 "The growing cost of obesity in 2008: three years on" estimated the total cost of Obesity in 2008 to be $58.2 billion, comprising $50 billion in lost Wellbeing and $8 billion in financial costs (such as productivity costs, health system costs, carer costs and transfer costs) . Section 2 VII. provides a bar graph evidencing the material increase since the early '90s of Australian adults using anti-depressants to treat the normal illness of Depression which affects one in four women and one in six men at some stage in their lives. Section 3 VII. a) cites Gail Bell's essay The Worried Well and Rebekah Beddoe's book Dying for a Cure as testaments that anti-depressants, without a support network, often render the ill person materially worse off, particularly people who were experiencing mild Depression. Section 3. VII b) asserts that strenuous, weight-bearing exercise is a proven therapy for treating stress, anxiety and Depression, citing research done by Kline/Coleman in Strenuous Exercise Lowers Depression and an article titled "Exercise & depression" by Nick Taylor of La Trobe University's School of Physiotherapy. Section 3. VI (c) cites Michael Colling's book "The Other Side of Blue What we learn through overcoming adversity" and extensive research by Mayo Clinic in the USA over 20 years that "Optimists are less likely to suffer from depression....." to support exploring the brain's natural restorative faculties in a REA amidst a LCCBSG.
A litany of medical journals chronicle the -
(i) vast increase in prescription of SSRI and SSNRI anti-depressants globally since the late '80s, and (ii) serious emotional problems that a not insignificant percentage of the population have experienced whilst taking them.
Man has inhabited terra firma for 65,000 years. Why has a materially increasing percentage of the population become reliant on anti-depressants in the last 20 years? Popping a pill is not the panacea to every illness viz a viz "........ we understand the influence of the social and physical environment on health much better.....".
For many years, GPs have been able to provide advice and information about Depression, encourage exercise and refer patients to a psychiatrist or psychologist.
Some GPs occasionally refer to a relaxation therapist who can provide one-on-one meditation which can assist anxiety disorders by using passive techniques to relax the patient. Yoga and Pilates classes are beneficial for relaxation.
GPs are also able to refer a patient to a qualified exercise physiologist which are health professionals who have graduated from a certified university course in exercise science and provide services associated with health, fitness and exercise. Under an Enhance Primary Care plan Medicare rebates $45.85 per session for up to 5 sessions pa. More recently, under the Community Awareness and Infrastructure Initiative, within the Focus on Prevention package, GPs were -
* equipped with
Lifescripts Resource Kits, and
This YELP Holistic First Business Plan contends that -
(A) it IS cost-effective for GPs to action the below Stages 1 and 2 of the Five Basic ‘Stages of Change’:
(B) it is NOT cost-effective as GPs are over-qualified (in medical practice) yet under-skilled (in sports administration) to action the remaining below stages 3, 4 and 5 for GP's Patients who are keen to Materially Alter Lifestyle:
3. Decide and prepare to make a change (determination/preparation) One of the oldest economic theories, namely Ricardo's Principle of Comparative Advantage deems in this matter - I. that GPs deliver medical treatment that they are highly trained and proficient to provide; and II. that lower cost providers who are better skilled in other less specialised processes should perform those other processes. Unless regular, rigorous, Challenging recreational exercise is a feature of a GPs' Lifestyle Behaviour, that GP is not expert in the Final Three Stages of the Five Basic ‘Stages of Change’. Hence, less than 10% of GPs are suitably qualified, and the ones that are, probably do not have the time and are over-qualified. RECs will - A. "enjoy an infectious enthusiasm for the benefits of regular, rigorous, Challenging exercise"; B. have Talk The Walk Motivational Skills; and C. possess the integral Motivational Interviewing Techniques each having previously motivated over 100 adults to commence a REA. Hence, due to their Eleven Sports Administration Attributes, RECs would be qualified to: * implement the 11 features/requirements to complete the Supervision process for an Interested Adult to successfully commence one of 9 Rigorous Recreational Exercise Activities; or * Refer Interested Adults who wish to commence one of 6 MREAs to the Organiser of a LDMREG. Upon GPs actioning stages 1 and 2 above for patients suffering from anxiety/Depression or Obesity/Type 2 Diabetes, or Substance Abuse, economic merit exists for GPs to refer these GP's Patients to an accredited REC to implement the Final Three Stages by Taking Charge Of those GP's Patients self-treat their illness, within a LCCBSG, by commencing one of an initial 14 Recreational Exercise Activities.
Over the last 20 years, the Business Plan Developer has encouraged several adults who were Obese, or suffering anxiety or mild Depression or highly reliant on alcohol, nicotine and or caffeine, to the belief that regular, rigorous, Challenging exercise would re-generate their own natural faculties to strengthen their Coping Skills and enhance their Self-esteem. The Business Plan Developer deployed the sales pitch that Recreational Exercise Is Fun And Addictive within a LCCBSG, whereupon they became fastidious about weight management and maintaining a clear head to perform at their best with their new found sporting "mates".
Hence, the Business Plan Developer considers that GPs could Outsource the Final Three Stages of the Five Basic ‘Stages of Change’ to RECs to Supervise or Refer GP's Patients with the following symptoms into a LDREG - ¨ suffering Obesity and Type 2 Diabetes; or ¨ using excessive Recreational Drugs. In addition, the Business Plan Developer believes that GPs could similarly refer patients experiencing lethargy, anxiety or Depression to a REC. Not all adults who experience Depression treat that normal illness which afflicts one in 5 Australian adults by going to their local GP. Some are aware that all work and no play makes Jack a dull boy, and identify the power of recreational exercise to get their mind off their worries which have lowered their energy to handle stresses, and strengthen their resolve by achieving Challenging physical milestones within a LCCBSG. Such suffers of lethargy, anxiety or Depression opt to refocus on exercise in the great outdoors and many of them Cold Turkey and benefit by learning from their bout due to recovering from it without anti-depressant. Hence, RECs would be equipped to similarly assist patients experiencing lethargy, anxiety or Depression. Commencing a Recreational Exercise Activity could compliment a GP's Patient who is taking traditional anti-depressant medication to enhance their confidence and self-belief.
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