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Spotlight on Youth Health

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Spotlight on Youth Health Inside: Pill testing urged GPs win awards Bonfire of the faxes Spotlight on youth health Quarterly magazine of Northern Rivers General Practice Network Summer 2016 - 2017 Cover photo courtesy of in this issue - Markus Ravik Email: markus@ markusravik.com.au Editorial 3 Chairman’s report for NRGPN 2016 4 Website : http://www. Pill testing vital to help save young lives 5 markusravik.com.au/ Lifestyle and distance hit cancer patients 6 ‘Second decade’ health care gets youth scrutiny 7 editorial team Byron Bay’s eVillage project wins health care award 8 Dr David Guest Chair NRGPN Lismore and Ballina MPs respond to pill testing 9 [email protected] New research into young people’s health experiences 11 Dr Andrew Binns Clinical Editor Young people and substance abuse – listen and learn 13 [email protected] BUDDIng up to keep Byron schoolies safe 15 Solving the Troubles of Derry / Londonderry 17 Robin Osborne Editor [email protected] Capture the Fracture 19 Family Support for ICE users 19 Angela Bettess graphic | web design GPs score well in Primary Health awards 21 [email protected] Local Health Issues - What’s Up? 22 Condom users too cocky about their skills 22 Former GP to lead University Centre 23 gpspeak on the web MyGP TV 25 www.gpspeak.org.au Group Programs for Anxiety Management for 2017 25 search All articles in GPSpeak can be found by searching Teaching professionalism to tomorrow’s doctors 27 the website. Click the articles’ links to directly access exhibitions hail end of an era 28 references and other resources mentioned in the the print edition. Art talent breaks out to the mainstream 29 subscribe GP Synergy 2016 Outline 31 Get the latest from GPSpeak by subscribing to the 1-in-4 say some medical interactions unnecessary 32 newsletter that comes out once or twice each month. Add your email address to the form in the right sidebar. Order in the House 33 write Red ribbon day for Lismore Base Hospital 33 Unless otherwise stated all articles in GPSpeak can be reshared under the Creative Commons Attribution- PRODA - Provider Digital Access 35 ShareAlike 3.0 Australia license. Managing Elderly ACF Patients - A Tidal Wave Building 36 GPSpeak welcomes contributions from members and the general public. Preparing for a ‘bonfire of the faxes’ 37 tweet The two faces of Bali 38 Follow @gpspeak and comment on #gpspeak. Book Review 39 [email protected] Ph 02 66 86 7488 2 | GPSpeak Editorial I’m on the drug, I’m on the drug. a crucial factor in most suicides. I’m on the drug that killed River Depression associated with relation- Phoenix. ship, work place or financial stresses I’m on the drug, I’m on the drug. accounted for nearly 20% of cases. I’m on the drug that killed River Earlier studies had shown that if Phoenix. suicide can be prevented at this crit- ical time, most will go on to have David Caldicott (page 5), outlines the ratio- productive and full lives. I saw his body thrashing round. I nale for pill testing at music festivals. This is saw his pulse rate going down. This issue of GPSpeak looks at the risks a common practice in Europe and increases I saw him in convulsive throws. I facing young people during the rites of the number of successful emergency said “I’ll have one of those.” passage after finishing school and preparing room resuscitations by physicians like Dr … for tertiary study or entering the workforce. Caldicott. Now I’m bored and there’s no Surviving schoolies is the first hurdle and Pill testing is currently illegal in Australia stopping; I need another celeb to the crucial work done by the BUDDI team but emergency physicians have called for at fill a coffin; for Byron Bay schoolies is described on least a pilot. However, it is a matter of hot Where’ll I get my next drug page 15. action? Odds on it’ll be Michael political debate. On page 9 Tamara Scott, Jackson. On page 13 Lana Jankowiak of Lismore NSW State MP for Ballina, makes the case Headspace outlines the principles needed for changing NSW legislation and Thomas by TISM, 27 April 1995 to “cut through” to young adults and how George, NSW State MP for Lismore, argues they, like older adults, will use drugs or for maintaining the status quo. We thank them both for their contributions. The eighties Australian band, This is alcohol to reduce emotional stress. Serious Mum, was better known for its These principles are put into practice by Pill testing provides information on both biting satire than for its music. In retro- NSW Health’s Youth Health and Wellbeing the type of drugs that are prevalent in the spect, we can also acknowledge the lyrics Team (page 7). A recent workshop in community and their strengths. This infor- were terrifyingly prescient. Ballina attended by 41 young people mation is key for physicians resuscitating overdoses but can also be used by drug It’s not easy being a star. All that sex and concluded “They have a voice which needs takers to “optimise” their dose. Thomas drugs and rock and roll can take it out of to be heard. … Early intervention through George argues against the moral hazard of you. No young musician aspires to being supportive resources that reach all youth … providing this information to the drug using a member of the 27 Club (dead at the age will achieve better outcomes.” public. of 27). However the mere existence of the The music festival season is upon us. meme in popular culture highlights the risk Recreational drugs will be taken by fans For physicians the issue will come down for entertainers of all ages. and performers alike but are equally lethal, to whether we can successfully increase the number of people surviving their “drug A recent study reports there were just irrespective of your musical ability and experimenting youth” and go on to have over 400 drug related deaths in health accomplishments. The tragedy of deaths in long and fulfilling lives. care professionals in Australia between young concert goers haunts us each year. 2003 and 2013. Access to lethal drugs was Our feature article by Associate Professor A trial is indicated. GPSpeak | 3 Chairman’s report for NRGPN 2016 by Dr David Guest ‘Tis the season for Christmas parties, and refinancing of GP Training that has website are the main focus of the Network’s commented my taxi driver recently, then come into effect this year. Doing more with activities, but we have also initiated two wondered “;end of year, end of school, less supposedly lifts your efficiency, if not small IT projects which are within its perhaps even end of days…” your mood, and is not much consolation. limited capacity to support. Taxi drivers don’t have an end of year Increases in costs for continuing medical The Northern Rivers Medical celebration, he mused. They may work in education and practice accreditation (CME) Exchange (NRMX) facilitates data the same industry, largely know each other continue unabated and the principle of user exchange between surgeries, allied health but often they don’t get on: “It’s a business, pays is being expanded in novel ways by the practitioners and pharmacists on the North you know.” CME industry. Coast. Its goal is limited to rapid commu- nication and it makes no attempt to be a A lot has happened in the four years since It seems likely that revalidation will be the common platform for a patient’s ongoing the Divisions and Networks of General next issue to confront Australian general care, which is an important component in Practice were defunded by the Federal practitioners. It is to be hoped we can chronic and complex disease management. government. Money is tight and primary escape the bureaucratic mess that British It will therefore dovetail with the North health care is feeling the effects. It is likely GPs face and that sense will prevail with Coast’s “Orion” health project to manage to get tighter in the future. Grand schemes efforts being directed to quality improve- such patients and is due to come online in are on hold or abandoned. There is a perva- ment activities both within general practice the latter half of next year. sive feeling of the need to buckle down and and the wider primary health care system. just get through to the next election; three The NRGPN has also worked in part- years at the grindstone! In the last few years the North Coast has nership with the local Health Promotion been the site for a number of successful Unit to disseminate public health messages GPSpeak is the voice of the Northern programs in this area, jointly sponsored by and announcements through GP surgery Rivers General Practice Network (NRGPN). the North Coast Primary Health Network televisions. Advances in communication It is an independent voice aiming to chroni- and the Northern NSW Local Health technologies give individual practices the cle the health issues on the North Coast and District. opportunity for greater control over the advocate for solutions to those problems. Our area is not part of the Federal govern- messages they display to their patients than The Federal government’s December ment’s Medical Home trials and it would be those provided by commercial interests. 2015 Mid-Year Economic Fiscal Outlook disappointing if the expertise in integrated During the financial year to July 2016 (MYEFO) statement took the profession by care built up by these two organisations is the Network lost just under $15,000 as surprise.
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