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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
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Mental Health Referrals in Health Coaching: Guidelines for Safe, Ethical Practice.

Megan E Voss1, Cherie O'Neill1, Cynthia Austin2

  • 1Earl E. Bakken Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN, USA (MEV, MJK, CON).

American Journal of Lifestyle Medicine
|July 2, 2026
PubMed
Summary
This summary is machine-generated.

National Board Certified Health and Wellness Coaches (NBC-HWCs) now have evidence-informed guidelines to recognize mental health symptoms and make referrals. These standards improve client safety and interprofessional collaboration in healthcare teams.

Keywords:
NBC-HWChealth coachingmental healthmental health referral

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Area of Science:

  • Health Coaching
  • Mental Health Integration
  • Interprofessional Healthcare

Background:

  • National Board Certified Health and Wellness Coaches (NBC-HWCs) are integral to healthcare teams, enhancing patient outcomes and trust.
  • Current lack of standardized referral protocols for NBC-HWCs creates practice inconsistencies and risks for all stakeholders.
  • The integration of health coaches into primary care and lifestyle medicine necessitates clear guidelines for mental health support.

Purpose of the Study:

  • To present evidence-informed guidelines for NBC-HWCs on recognizing mental health symptoms, initiating referrals, and managing safety.
  • To establish standardized referral processes, language, and crisis procedures for health coaches.
  • To empower NBC-HWCs to confidently collaborate with licensed mental health providers.

Main Methods:

  • Development of guidelines based on evidence, ethical codes, and scope-of-practice standards.
  • Inclusion of mental health screening and referral processes.
  • Incorporation of specific referral language and crisis safety protocols.

Main Results:

  • Guidelines provide a framework for timely and effective referrals to mental health professionals.
  • Enhanced interprofessional collaboration between health coaches and mental health providers.
  • Anticipated improvements in client safety, well-being, and coach-client trust.

Conclusions:

  • The guidelines support NBC-HWCs in functioning confidently within lifestyle medicine teams.
  • Symptom recognition and appropriate referral normalize mental health care within a whole-person approach.
  • Establishing referral networks and understanding legal responsibilities are crucial for safe and effective health coaching practice.