Mental Health Referrals in Health Coaching: Guidelines for Safe, Ethical Practice

Megan E. Voss, Cherie O, Cynthia Austin, Mary Jo Kreitzer, Earl E. Bakken Center for Spirituality , University of Minnesota, My Pain Coach, School of Nursing, University of Minnesota

American Journal of Lifestyle Medicine

Published online on July 01, 2026

Abstract

American Journal of Lifestyle Medicine, Ahead of Print.
Purpose:This paper presents evidence-informed guidelines for National Board Certified Health and Wellness Coaches (NBC-HWCs) to recognize mental health symptoms, initiate referrals, and manage safety considerations. Coaches are essential members of ...