Transcript of "Developing Standards & Credentialing for Health & Wellness Coaches: An Update with Michael Arloski"
Developing Standards & CredentialingFor 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.Copyright RBGWS 2012
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 AmericaCopyright RBGWS 2012
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. Copyright RBGWS 2012
Today’s Medical Challenge • 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.Copyright RBGWS 2012
Lifestyle Medicine • Lifestyle affects the course of an illness. • “Lifestyle Medicine” is showing us the behavioral nature of health. 7
Lifestyle Medicine IsEvidence-based 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/
From the ACLM • “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.” 9
Wellness CoachingAnd Lifestyle Medicine • Evolving Applications • Creating A Whole New “Layer of Care” without being treatment • Going Beyond DM Approaches • The behavioral change resource for 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” and Wellness Emerge 1998 1995 1992 1988 1977 Early 1958 1970’s1937
Coaching and Wellness Take Off Together! 2011 + 2009 2006- 2005 2007 Early Late 2000’sMid-late 1990’s1990’s
Wellness Coaching Is Evidence-based, Rooted in Behavioral Science Wellness Coaching Today Professional Life Coaching The Wellness Field Lifestyle Medicine CTI - CoachU - ILCT Health Promotion Disease Management Others Travis, Ardell, NWI, Others Behavioral Health ICF Business Communications Psychology Health Education Personal Growth Heatlhcare Lifestyle Effects On Career Advancement Interpersonal studies Counseling Prevention Humanistic Psychology Treatment Course of Illness Entrepreneurship Humanistic Psychology Risk Reduction Maslow & Others Chronic Illnesses Motivational InterviewingManagement & Leadership Cognitive-Behavioral Prochaska - TTM Positive Psychology Copyright RBGWS 2012
Wellness Coaching is distinct from: • Counseling & Psychotherapy • Consulting • Business & Executive Coaching Copyright RBGWS 2012
NCCHWC Definition of A Wellness Coach “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.”Copyright RBGWS 2012
Who Becomes AWellness & 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.
Copyright John Travis, M.D.used withpermission.
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 Copyright RBGWS 2012
Health care Corporate & Consumer• Health insurance plans • Employee wellness• Corporate health centers • Private practice - fitness• University health centers • Private practice - yoga• Hospital wellness • Private practice – nutrition• Medical fitness facilities • Private practice - life• Physician practices • Health clubs• Medical homes • Spas• Gov’t healthcare agencies • Wellness centers• Rehabilitation facilities • Retirement & seniors facilities• Clinics: weight loss, diabetes, • Web health and wellness cancer, heart disease, women’s health, men’s health• Integrative health clinics• Hospices 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” Copyright RBGWS 2012
How Wellness Coaches help patients become clients• Taking stock of their wellness/health• Developing an integrated wellness plan• Providing Support & Accountability• Working through barriers both internal and external Copyright RBGWS 2012
How Wellness Coaches help patients become clients• Tracking behavior (self- monitoring)• Increasing connectedness• Ensuring life-long success Copyright RBGWS 2012
Wellness Coaching Professionalism • 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.Copyright RBGWS 2012
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 & PRCopyright RBGWS 2012
Academic Consortium for American Occupational TherapistComplementary and Alternative Health Assoc.Care Case Management Society of AmericaAmerican Association of Cardiovascular Health club industry/YMCAand Pulmonary Rehabilitation National Commission for HealthAmerican Association of Diabetes Education Credentialing / AmericanEducators Association for Health Education (CHESAmerican Board of Holistic Integrative - Certified Health Education Specialist)Medicine International Coach FederationAmerican Chiropractic Association Patient AdvocatesAmerican College of Lifestyle Medicine Preventive Cardiology NursesAmerican College of Sports Medicine AssociationAmerican Holistic Nurses Association National Wellness InstituteAmerican Holistic Nurses Certification Society of Behavioral MedicineCorporation
• 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.Copyright RBGWS 2012
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 advocateCopyright RBGWS 2012
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.orgCopyright RBGWS 2012
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. Copyright RBGWS 2012