Developing Standards & Credentialing for Health & Wellness Coaches: An Update with Michael Arloski

Developing Standards & Credentialing

For Health & Wellness Coaches:

An Update With Dr Michael Arloski

Copyright RBGWS 2013


NCCHWC is a non-profit volunteer organization,

dedicated to establishing training and education

standards, and certification of professional health

and wellness coaches, pursuing collaborative

research, and supporting all health professions

in integrating basic coaching skills.

Visit www.ncchwc.org.

http://www.ncchwc.org


Richard Cotton, MA, National Director of Certification, American College of Sports Medicine**

Karen Lawson, MD, University of Minnesota Center for Spirituality and Healing**

Margaret Moore, MBA, Wellcoaches Corporation, Institute of Coaching, McLean Hospital, an affiliate

of Harvard Medical School**

Ruth Wolever, PhD, Duke Integrative Medicine**

Michael Arloski, PhD, The Wellness Coach Training Institute, Real Balance Global Wellness Services

Linda Bark, PhD, RN, MCC, Bark Coaching Institute, JFK University, American Holistic Nurses

Association, American Holistic Nurses Certification Corporation

Michael Burke, EdD, Mayo Clinic

Georgianna Donadio, PhD, National Institute of Whole Health

Roy Elam, MD, Vanderbilt Center for Integrative Health

Jody Hereford, BSN, MS, Iowa Chronic Care Consortium

Meg Jordan, PhD, RN, California Institute of Integral Studies

John B. Livingstone. M.D., FRSH(UK), Assistant Clinical Professor, Harvard Medical School at

McLean Hospital, Society of Behavioral Medicine, Journal Reviewer and Planning

Committee, Medical Director, Gaffney and Livingstone Consultants

Pam Peeke, MD, MPH, advisor to Surgeon General, Chief Med. Correspondent, Discovery Health TV

Linda Smith, PA-C MA, Duke Integrative Medicine

Teri Treiger, RN-BC, MA, CCM, CCP, Past President of the Case Management Society of America

My own perspective…

• Involved in the development of the

field of wellness coaching since

professional coaching emerged in

the mid-1990’s

• CEO and Founder of The Wellness

Coach Training Institute, powered

by Real Balance Global Wellness

Services, Inc. Over 3,000 wellness

coaches trained worldwide.

• Author Wellness Coaching for

Lasting Lifestyle Change

• Member of the NCCHWC

Leadership Team

• Psychologist for 36yrs. Wellness

Professional for 34 years.


• Medical system and methodology is set up

to deal with acute care, not chronic illness.

• Finding solutions for healthcare today is

an ultimate challenge for all.

• Prevention and Lifestyle Medicine

• Recognition of the role of behavior/choice

in health.

Today’s Medical Challenge


Lifestyle Medicine! Ahhh…someday!

6

Lifestyle Medicine

• Lifestyle affects the course of an illness.

• “Lifestyle Medicine” is showing us the behavioral nature of health.

7

Resources for evidence on lifestyle’s effect on the course of illness and health.

• American College of Lifestyle Medicine - www.lifestylemedicine.org

• The Institute of Lifestyle Medicine - www.instituteoflifestylemedicine.org/

• American College of Preventative Medicine www.acpm.org/

Lifestyle Medicine Is

Evidence-based

http://www.lifestylemedicine.org

http://www.instituteoflifestylemedicine.org/

http://www.acpm.org/

• “Recent clinical research provides a

strong evidential basis for the preferential

use of lifestyle interventions as first-line

therapy. This research is moving lifestyle

from prevention only to include

treatment--from an intervention used to

prevent disease to an intervention used

to treat disease.”

From the ACLM

9

http://www.lifestylemedicine.org/Default.aspx?pageId=106633

• Evolving Applications

• Creating A Whole New “Layer of Care”

without being treatment

• Going Beyond DM Approaches

• The behavioral change resource for

medicine.

Wellness Coaching

And Lifestyle Medicine

10

The Behavioral Skills Gap

• Professionals

functioning as

“coaches” need training

in coaching and

behavioral change

methodologies.

• Wellness Coaching as

one very viable solution.

11

A “Coach” – A vehicle that takes you from

“where you are” to “where you want to go”!

“Coaching”

Evolves

“Coaching” and Wellness Emerge

1937 1958

Early 1970’s

1977 1988

1992 1995

1998

Coaching and Wellness Take Off

Together!

Mid-late 1990’s

Late 1990’s

Early 2000’s

2005 2006- 2007

2009 2011 +

Wellness Coaching

Is Evidence-based, Rooted in

Behavioral Science

Business

Career Advancement

Entrepreneurship

Management & Leadership

Communications

Interpersonal studies

Psychology

Counseling

Humanistic Psychology

Cognitive-Behavioral

Professional Life Coaching

CTI - CoachU - ILCT

Others

ICF

Health Education

Prevention

Risk Reduction

Prochaska - TTM

Personal Growth

Humanistic Psychology

Maslow & Others

Positive Psychology

The Wellness Field

Health Promotion

Travis, Ardell, NWI, Others

Heatlhcare

Treatment

Chronic Illnesses

Lifestyle Effects On

Course of Illness

Motivational Interviewing

Lifestyle Medicine

Disease Management

Behavioral Health

Wellness Coaching Today


Wellness Coaching is distinct from:

• Counseling &

Psychotherapy

• Consulting

• Business &

Executive

Coaching


“Health and Wellness Coaches are professionals from

diverse backgrounds and education who work with

individuals and groups in a client-centered process to

facilitate and empower the client to achieve self-determined

goals related to health and wellness. Successful coaching

takes place when coaches apply clearly defined knowledge

and skills so that clients mobilize internal strengths and

external resources for sustainable change.”

NCCHWC Definition of A Wellness Coach


Who Becomes A

Wellness & Health Coach

• NCCHWC makes no distinction

between “health coach” and

“wellness coach”.

• Diverse backgrounds

• No evidence that a medical background

makes a better coach

• Its about being a behavioral change

expert, not a wellness content expert.

• Case managers • Nurses • Nurse practitioners • Physicians • Physician assistants • Physical therapists • Occupational therapists • Exercise physiologists • Social workers • Psychologists • Counselors • Dietitians • CAM/integrative practitioners

• Diabetes educators • Health educators • Dietitians • Personal trainers • Fitness instructors • Massage therapists • Athletic trainers • Ex-professional athletes • Sports coaches • Teachers • Mental health professionals • Career transitioners • Recreational therapists

Copyright John Travis, M.D.

used with

permission.

Who wellness coaches work with.

• Majority already have

a “health challenge”

• Coach for best effect

on the course of an

illness/condition.

• Primary prevention

• Coach for prevention

of reoccurrance

• Coach for

maintenance


Health care

• Health insurance plans

• Corporate health centers

• University health centers

• Hospital wellness

• Medical fitness facilities

• Physician practices

• Medical homes

• Gov’t healthcare agencies

• Rehabilitation facilities

• Clinics: weight loss, diabetes,

cancer, heart disease,

women’s health, men’s health

• Integrative health clinics

• Hospices

Corporate & Consumer

• Employee wellness

• Private practice - fitness

• Private practice - yoga

• Private practice – nutrition

• Private practice - life

• Health clubs

• Spas

• Wellness centers

• Retirement & seniors facilities

• Web health and wellness

23

How Wellness Coaches help

patients become clients

• Co-creating an alliance

(the relationship)

• Empowering self-efficacy

and self-advocacy

– a mindset shift for both

coach and client

– lines up with “patient-

centered care”




• Taking stock of their

wellness/health

• Developing an integrated

wellness plan

• Providing Support &

Accountability

• Working through barriers

both internal and external




• Tracking behavior (self-

monitoring)

• Increasing

connectedness

• Ensuring life-long

success


• WC’s do not provide treatment, therefor

they are not licensed.

• Currently credentialing is primarily in the

hands of the training organizations.

• Quality of training varies from extremely

good to inadequate.

Wellness Coaching Professionalism


The Benefits of Standards &

Credentialing for Wellness Coaches

• Build credibility and

integrity

• Standards to guide

the development of

coaching tools and

methodology

• Improve research

• Respect &

Reimbursement


Following a Summit in Fall 2010 of 68 participants,

the Consortium grew to 75 organizations. Over the

past two years, 45 volunteers have worked on 6

project teams:

Certification & Competencies

Training & Education

Coaching Research

Government Relations

Reimbursement

Media & PR

Academic Consortium for Complementary and Alternative Health Care American Association of Cardiovascular and Pulmonary Rehabilitation American Association of Diabetes Educators American Board of Holistic Integrative Medicine American Chiropractic Association American College of Lifestyle Medicine American College of Sports Medicine American Holistic Nurses Association American Holistic Nurses Certification Corporation

American Occupational Therapist

Assoc. Case Management Society of America

Health club industry/YMCA National Commission for Health Education Credentialing / American Association for Health Education (CHES - Certified Health Education Specialist) International Coach Federation Patient Advocates Preventive Cardiology Nurses Association National Wellness Institute Society of Behavioral Medicine


• The challenge of developing standards and

credentialing for a new profession is huge.

• We are doing so in the midst of the current healthcare

crisis.

• The work of an all-volunteer organization is by nature

slow, but our progress is steady and well-thought out.

• A primary goal of 2013 is to be even more inclusive of

stakeholders. Everyone will be invited to participate.


Requirements for establishing a new profession

• Standard body of knowledge and skills:

Job Task Analysis

• Standardized examination to validate knowledge and

skills – Independent National Certifying Body

• Standardized curriculum to train/teach knowledge and

skills delineated for the profession - DACUM process

• Professional Association to advocate

Job Task Analysis

• Input will come from

coaches in the field

whose primary work

is wellness/health

coaching.

• Input will not come

from educators or

coach training

organizations.

• Analysis will be

independent

Coaching Research

• The Research

committee continues

to assemble a

resource of the

evidence on wellness

coaching.

• Standards will allow

us to compare

“apples with apples”.

• Evidence will build

credibility in the field.


NCCHWC Project Plan

• Job Task Analysis

• Training & Education Standards

• Market Feasibility Survey

• Government Relations

• Communications

• Stakeholder Summit

www.ncchwc.org

Moving Wellness Coaching Forward

• Continue to grow a

process of non-

competitive trust.

• Become even more

inclusive.

• Spread coaching skills to

all professions.

• Be an integral part of

improving health

throughout the world.


[email protected]

www.realbalance.com

1-866-568-4702

Developing Standards & Credentialing for Health & Wellness Coaches: An Update with Michael Arloski

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Transcript of Developing Standards & Credentialing for Health & Wellness Coaches: An Update with Michael Arloski