Wellness Coaching Australia's Blog

The Underside of Wellness


The Underside of Wellness

We assume that we work in a field that has appeal to anyone on this planet. Who doesn’t want to improve their health and wellness?  What could possibly be bad about working towards this outcome?

Well, think again.  Wherever there is a strong argument for one approach, there will be someone who argues against it!  (Remember the fitness movement and the articles and books sending the message that “Exercise can kill”?)

Of course, freedom of speech, sharing ideas, playing devil’s advocate etc. are all good things so when I came across the following interview, I listened, (non judgmentally) and attempted to filter out the learning or awareness that came out of what Dr. Spicer had to say.  

Dr Spicer was interviewed on Life Matters radio program and was promoting his book The Wellness Syndrome where sure enough, the main message was “Wellness is simply the latest obsession”. I will sum up Dr Spicer’s comments (and a bit of his rationale) and then counter them with a few of my own.

  • Wellness has become something else to worry and feel guilty about (consider the bloggers whose daily routine is something we can never aspire to).
  • Wellness trends are associated with abstinence and possibly self punishment.
  • Wellness encourages too much self-obsession (think of all the ways we have of monitoring everything we do.
  • Wellness behaviours are time stealers and take up huge amounts of our day.
  • Corporate wellness programs are becoming a way of discriminating against new employees who are not fit and thin.
  • Organisations are taking the view that a successful CEO must be able to run a marathon or climb a mountain and  productivity and wellness are inaccurately linked.  
  • Pressure is being put on employees to train.
  • Wellness is becoming a cult.
Yes you are probably thinking, “wow”! but let’s face it there are some things we recognize as being, if not problems, potential problems and this is what we must be aware of and accept that some of what he says could have merit.

However….

First, all the above points are referring to extremes.  

“Bloggers who have huge followings and expound living the perfect, rigorous healthy life with rules around everything could well make people feel somewhat inadequate.”   
My response – choose who you follow!  We need to take some responsibility over what we expose ourselves to.  What motivates that blogger?  Are they boasting or helping?

“Wellness behaviours are cultish and like religious rituals.” 
My response – anything taken to extremes can be sinister.  If a ritual is a habit, then that sounds like a positive way of incorporating a few new ones into our daily routine.  Becoming aware of what we do automatically is the first step to changing it.

 “Corporate wellness has become a way of discriminating.”
My response – taken to extremes yes, but high energy that comes from being well is definitely associated with productivity.  Anything that our society can do to encourage healthy behaviours as being the “norm” is a good thing.  If an individual does not want to consider their health as important, go and find an organisastion who doesn't care about this aspect of their employees’ lives.

Dr Spicer’s final comments are about the backlash that the wellness movement is having.  “Dude food” is increasing where people can eat as much as they want and eat real, high fat meals.”
My respose - Hey, if that’s your choice, it’s your body.

 “People are looking for meaning rather than happiness.”
My response – Agree (finally) - and we need to be.  If we search for happiness, it will elude us. If we try and find meaning in our lives, the incidence of depression will decrease.

 “The rise of neo-stocism – the belief that gains can only be made through pain and suffering and fight clubs, extreme work outs, tough mudders etc. are now becoming very popular.”
My response – there will always be people who want these things. Let everyone find what works for them.. There are plenty of softer “wellness” options out there!

In conclusion, I respect many of Dr. Spicer’s views but worry about the way people might interpret his message as encouraging a total lack of regard for whether we have healthy lifestyle habits and a continuation of the growth of lifestyle related illnesses.  

At least we’re doing something to try and slow it down.

The recording of Dr Andre Spicer was found at this link 

https://radio.abc.net.au/programitem/pg9G1mr82G?play=true



Working with the National Disability Insurance Scheme framework


Are you a certified Health and Wellness Coach who:

  • Has experience with, OR wants to work with, disabled people?
  • Is willing to network with local allied health professionals?
  • Is happy to work for a set hourly rate?
  • Is fairly good at working in a structured and organised way?
If so, there's a good chance that you can be paid to work as a coach within the National Disability Insurance Scheme (NDIS) framework.
This blog explains how it works, what the fee pre-requisites are, and how to apply.

Overview of NDIS process

Very simply, the NDIS supports people by way of funding if they have a permanent and significant disability that affects their ability to take part in everyday activities.

They may access NDIS funding if they:
  • have a permanent disability that limits participation in everyday activities 
  • are aged less than 65 when they first access the scheme 
  • Are an Australian citizen, live in Australia and hold a permanent visa or hold a Protected Special Category Visa.
Once an application for funding has been lodged, the NDIS: 
  • considers their existing support and how well it’s working (could include family, friend support);
  • looks at the person’s needs and goals, then identifies any gaps in existing services; 
  • works out if existing support networks (family, friends, other) can fill those gaps; and
  • fund reasonable and necessary supports to help the disabled person achieve their goals.
These ‘supports’ (services) being funded by the NDIS can be broad or specific and may include therapies, equipment, home modifications, mobility equipment, taking part in community activities or assistance with employment. 
Once appropriate services are identified, a tailored plan is created for the individual, considering their needs and goals.

Creating a Plan for Funding

Here is an overview of how it works.

The tailored plan is developed by either:
  • the NDIS governing body (either Uniting, St Vincent De Paul) or 
  • a contracted NDIS planner (an individual contractor or an Agency like the Disability Trust). 

  • The services and service providers are approved and allocated by the planner. 
  • Once funding is allocated, the service providers are formally approached by either the disabled individual or their planning coordinator/consultant; 
  • The plan (delivery of services) is implemented by the person, their family and sometimes a support coordinator, and is reviewed and revised annually.

The overarching aim of these plans is that the disabled individual becomes more capable and competent over time and their needs for services change and/or diminish.
Service providers can be registered with NDIS, or not (more on that later).

NDIS Service Categories

Professional services that are covered by the NDIS fall into one of three broad areas:
  • CORE SUPPORTS – which enable the individual to complete activities of daily living and work towards their goals and objectives. 
  • CAPITAL SUPPORTS – an investment such as technology, equipment and home or vehicle modifications, capital costs (e.g. Specialist Disability Accommodation). 
  • CAPACITY BUILDING – includes support that enables a participant to build their independence and skills. 
Health and Wellness Coaches may be eligible to provide services under the specific categories within the Core and Capacity Building areas:
  • Core Supports: 1.04 Assistance with Social and Community Participation
This could include paying for after school care, vacation care or a training course or camp.
  • Capacity Building: 3.07. Coordination of support
This is more of an administrative role, where the service provider helps to coordinate the booking of and interaction with various service providers outlined in the individual’s plan.  
  • Capacity Building: 3.09 Increased Social and Community Participation
This item covers tuition fees, art classes, sports coaching, camps or groups that build a person’s relationship and other skills and independence.
  • Capacity Building: 3.11 Improved relationships 
This item is more for experienced degree-qualified professionals (e.g. psychologists) who work to reduce or eliminate behaviours of concern. There may be an opportunity for Health and Wellness Coaches to help build individual social skills. 
  • Capacity Building: 3.12 Improved health and wellbeing
This includes all activities to support and maintain wellbeing such as personal training, exercise physiology, exercise, health diets and dietetic. Service providers in this category are typically qualified as a personal trainer, exercise physiologist or dietician. 
  • Capacity Building: 3.14 Improved life choices
There are several areas within this category that may be relevant for Health and Wellness Coaches, within Planning and Plan Management (that is, their own NDIS plan), or Therapy Services.
There are many ‘line items’ within each category and the full list is available on the NDIS website.
 

Fund Management and Service Providers

The NDIS funding for a disabled person is managed in one of three ways. It is either:
  • NDIS managed – the NDIS pays service providers, and they must be approved, NDIS-registered providers
  • Agency managed – An NDIS agency like Workability or the Disability Trust pays service providers, and funding is available to either registered NDIS OR unregistered providers
  • Self-managed – the individual, their carer or their family pays service providers, and funding is available to either registered NDIS OR unregistered providers.
In any of these situations, the person who manages and distributes NDIS funding for a disabled person takes responsibility for the individuals choice of provider, according to which services have been approved in the plan. 

The criteria for choosing a service and service provider are that they must be:
  • Safe
  • Allowed within the NDIS framework
  • A competent person and provider
  • They can't be a member of the individual’s family
They may only want to use NDIS-registered providers, or may only want to use providers with specific qualifications or experience.

Pay rates

The pay rate you receive as a NDIS service provider (registered or unregistered) depends on: 
  • whether the client has low, standard or high intensity needs
  • the service category chosen, and 
  • your qualifications.
Pay rates start at $42.79 per hour, and may range up to $92.53 per hour for different services categories and/or working on weekends or public holidays.
Degree-qualified coaches (e.g. exercise physiologists) may earn up to $143 per hour depending on the service.

How Providers Get Work

While you don’t have to register as a provider, it certainly gives you a better chance of being chosen to provide services, because you: 
  • can advertise yourself as a registered provider
  • are eligible for all levels of funding management (from NDIS-managed to personally managed plans).
  • will be listed on the NDIS website as a registered provider. 
Whether approved or not, service providers may be approached by disabled individuals, the NDIS, or a support coordinator or agency to provide services. 

But at the end of the day, the more people in the industry that you know, the more likely you will be chosen to support someone. 

That means your best chance is to get out there and network! 

Find out who your local disability service providers and agencies are, meet them and introduce yourself. Let them know what you can do and how you could provide support in a positive and empowering way.

Considerations

As you can tell, the NDIS is fairly complicated and there is an application process to go through.
There is another consideration, too.

Mental health issues are often a comorbidity with disability. 
It means you may be dealing with individuals in complex situations and with complex needs. You may need to coordinate with other providers and be available at odd hours. 
You would probably need to be fairly clear on the boundaries of your role, and to communicate those boundaries clearly from the beginning.

Application Process

Are you interested in becoming a registered provider?
Click here to learn more and start the application process!



Recent Posts


Tags


Archive