TABLE 1.

Recommendations.

Recommendations	Framework references
Develop and disseminate through co-design principles*, an individual, team and/or organizational Mental Wellbeing Declaration that outlines how the organization will promote mentally healthy environments and details the wellbeing outcomes for athletes and personnel.	1.1–1.5 Promoting mental health
Establish and define outcome measurement for athlete mental health, and continuously monitor to improve organizational capacity to reach these outcomes.	1.2 foster wellbeing; 2.2 person-centered care
Design personalized athlete development plans to address the physical health and mental wellbeing needs of each individual athlete.	2.2 person-centered care; 1.5 respecting diversity
Ensure a workforce capacity plan is activated to increase mental wellbeing capabilities of sporting organizations. E.g., include minimum accreditation standards and qualifications for mental health practitioners**; ensure competency-based mental health literacy, help-seeking and diversity education is incorporated into minimum compliance education modules.	1.1 improve the narrative; 1.4 ensure basic safety; 1.5 respecting diversity; 2.1 tailoring psycho-education
Create safeguarding policy and procedure for appropriate behavioral conduct, confidential and supportive complaint processes, and dissemination of these policies	1.4 ensure basic safety
Provide opportunities for a mental health practitioner to be embedded within the organization to work with athletes and staff in improving narratives around mental health in sporting environments.	1.1 improve the narrative; 1.2 foster wellbeing; 2.3 opportunities for self-development
Promote healthy and diverse avenues for social support in athletes’ and stakeholders’ sporting and non-sporting lives.	1.3 promote social support
Prepare athletes (and coaches) for key transitions by promoting the development of a non-athletic identity among athletes throughout all stages of their career.	2.4 strengthening external identity; 2.5 support key transitions
Aid development of athletes’ self-management and coping skills to prepare them for sporting (and non-sporting) challenges.	2.3 opportunities for self-development 2.5 support key transitions
Provide bespoke training to coaches surrounding mental health literacy, need-supportive coaching and diversity/cultural awareness, to assist in the promotion of mental wellbeing among their athletes/themselves.	2.1 tailoring psycho-education; 1.5 respecting diversity; 1.2 fostering wellbeing
Provide planned transition programs to support athletes through voluntary or involuntary retirement from sport.	2.2 person-centered care; 2.5 support key transitions
Ensure visibility of diversity to support minority groups by creating on open and inclusive environment that supports unique needs.	1.5 respecting diversity
Develop procedures for the provision of feedback (performance and wellbeing) to and from coaches, athletes and staff.	1.2 fostering wellbeing; 2.2 person-centered care

*Co-design refers to the process of bringing people with different perspectives, needs, knowledge and skills to collaboratively develop a response to a concern (Zamenopoulos and Alexiou, 2018).

**A mental health practitioner refers to a qualified mental health professional such as a psychiatrist, psychologist, mental health nurse, occupational therapist or social worker.