Equitable Access to Lifestyle Medicine: FQHCs, YMCAs, Trauma-Informed Health Coaching, and "Community as Medicine".

Abstract

Without intentional and collaborative input from stakeholders and members of the communities we serve, Lifestyle Medicine (LM) is at risk of evolving in ways that are inapplicable and even alienating to diverse and underserved populations. To mitigate this risk, this paper advocates for implementing transdiagnostic, culturally affirmative, trauma-informed, and integrative treatment frameworks that address mental, social, and physical health in tandem. It demonstrates how the Community as Medicine model can bridge the divide between clinical settings such as Federally Qualified Health Centers (FQHCs) and community settings, such as YMCAs, improving accessibility for diverse groups. It also shows how emerging professional identities-exemplified by health coaches-can be cultivated to expand the reach of care while simultaneously opening pathways to employment. By centering inclusivity, cultural affirmation, and interprofessional collaboration, LM can more effectively meet the needs of vulnerable communities and enhance overall public health outcomes.