IIN - Program Structure & Coaching Relationship Flashcards
Scope of Practice
Scope of practice refers to the procedures, actions and processes that a practitioner is permitted to undertake in keeping with the terms of their professional license or certification.
set of rules that outline what individuals can and cannot do within profession
What are the primary responsibilities of health coaches?
- listening attentively
- asking powerful and illuminating questions
- creating a safe, nonjudgmental space
- taking a client-centered approach and empowering clients
- guiding clients to identify obstacles
- lovingly challenging clients to shift their perspectives
- empowering clients to tap into resources
- holding clients accountable for their progress
What is the coaching agreement?
A mutual understanding with the client about the coaching process?
The five main factors to include in your coaching agreement are:
- What is required in the coaching interaction b/w coach + client (attendance, homework?, coach requirements?)
- Unique responsibilities of the coach + client (coach maintains code of ethics + scope; responsible for guidance/support; client - leads the way, share what matters to them and goals, keep apps, results = their responsibility)
- Guidelines & parameters of the coaching relationship
- What is vs is not appropriate (when/where you meet, length & cost of sessions, etc)
- What is vs is not being offered in the program (personal boundaries, approp behavior/conduct, what resources are offered, etc)
What 2 things will you need to accomplish around the coaching agreement.
- Create a written contract & have them agree then sign it
- Have a conversation with client and discuss any of their questions
According to the NBHWC, there are 3 main competencies that coaches should employ in preparation for the first session with a new client:
- become calm, present & emotionally available (grounding)
- review any client materials (intake, personality type tests, health assessments)
- confirm logistics (contracts signed, app confirmed and $$ collected)
What are the primary aims for the first or intake session?
- Describe the coaching process
- Determine if client is approp candidate for coaching
- Clarify coach + client roles/expectations
- Review any info/assessments together w/ client
- Ensure approp time management
(extras: establish rapport, don’t misrepresent your competencies)
What does the “Coaching Structure” consist of?
Beginning Phase (initial/ apps 1-3), Middle Phase (follow up), End Phase (closing)
The BEGINNING PHASE represents the initial sessions with a client. During this time, a health coach will:
- Explore the clients values, visions, purpose, priorities (or areas of focus) and readiness for change
- Build rapport
- Establish a client’s wellness vision and area of focus (MOST important)
What is the primary goal of the beginning phase?
The primary goal of the beginning phase is to establish a client’s wellness vision and area of focus.
What does a wellness vision do?
A wellness vision helps the client identify and prioritize what truly matters most to them - and have the physical capability & mental alertness to enjoy it.
The wellness vision can be elicited through a guided imagery exercise or assessment of your client’s current state of wellness, such as with the Circle of Life. It’s helpful to ask the client to identify any gaps between their current state and desired outcome.
When and what is the process of determining the areas of focus?
This is the start of planning or goal setting. This is when the coach encourages the client to hone in on 1-2 areas of focus from their wellness vision. Coach empowers the client to select what is most important and choose the focus.
To assess a client’s readiness for change, utilize the ___
Transtheoretical Model (stages of change model)
NBHWC Competencies for Begin Phase: In the begin phase, the NBHWC instructs coaches to:
- Ask client to take an honest assessment of their current state of health & explore their vision for optimal health
- Inquire about the client’s learning style
- Help the client identify gaps b/w current state and their wellness vision
- Explore & clarify the client’s priority areas of focus and have them define long-term goals
- Establish & support the client with short-term SMART goals
- Guide the client to establish a plan for maintaining accountability
The Middle Phase are ongoing or follow-up sessions. It is the time to support clients while they enact their plan to achieve the goals that will move them toward their wellness vision. During this phase, a Health Coach will:
- Hold the client accountable
- Discover & reflect on the key takeaways the client learns
- Help the client modify the area of focus & action plan, as needed
NBHWC Competencies for the Middle Phase: In the middle phase, the NBHWC instructs coaches to:
- Ask client to assess their current state @ beginning of each session
- Check in on commitments + action steps made in prior sessions (& celebrate successes)
- Invite client to select focus for current session
- Review + discuss client’s SMART goals that need to be accomplished b/w sessions
- Adjust plan if needed, articulating new action steps + processes for self-monitoring
- Discover + reflect on client’s learning/takeaways from the session
- Communicate appreciation of client’s work
- Invite client to provide feedback to improve coaching experience
Three ways to help clients get back on track
- Remind them of previously stated desired goals
- Identify obstacles + work with clients to adjust plan
- Articulate new action steps + adjust plan if needed
What is the end phase?
The end phase is when you’re wrapping up your program and reach the last 2-3 appointments. Referred to as the coaching program termination and a time to “recognize progress, reflect on learning & create closure”
During this phase, a Health Coach will
- Help client reflect on progress + learnings
- Celebrate client’s successes
- Assist client in creating sustainable maintenance plan
The NBHWC’s six key competencies around building a client-centered relationship are:
- The client’s agenda, interests, preferences, and needs drive the entire relationship
- Limit sharing coach’s personal info
- Educate + provide recs only when asked or given permission
- Observe, identify, and refer to client’s non-limiting beliefs & values thru out the process
- Empower client by reinforcing that they are resourceful, whole, and not in need of being fixed
- Meet client where they are in terms of health literacy
__ & __ are 2 key components for a successful coach/client relationship
Trust & Rapport
It is the coach’s responsibility to create a safe and supportive environment that produces ongoing __ and __. The coaching environment is a positive space where the client feels __ and supported.
mutual respect and trust
unconditionally accepted and supported
Why is trust + rapport important?
Because clients are able to better clarify their values and tap into their inner motivation when they feel safe to be honest and vulnerable without fearing judgment.
14 key factors to establish trust & rapport with clients
- Be sincere, authentic + honest
- Be fully engaged/present
- Convey empathy + understanding
- Show unconditional positive regard
- Acknowledge + reinforce positive behaviors
- Show confidence in client’s ability to learn, grow + change
- Adjust to client’s comm + learning style
- Hold clients accountable to their goals
- Mirror client’s body language, tone + vocab
- Act in the best interest of client always
- Address conflict or discord with client as it arises
- Follow thru on commitment + promises
- Ask for permission
- Ask client for feedback
