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Working in the Intersection: Intimacy and Mental Health


The work of Mental Health Coordinators and Intimacy Professionals (Intimacy Coordinators for screen, Intimacy Director or Choreographer for stage) lives within a spectrum that is not always clear. Over the last few years, our team and some crucial outside eyes have developed a “Scope of Work” document to help differentiate these roles with a goal of freeing the professional to focus on their specialty, rather than attempting to be all things for all projects.


Below, you’ll find a topical breakdown of what sort of work falls into the scope of an MHC (mental health coordinator) or of an IP (intimacy professional), as well as areas where an overlap is likely or even inevitable. You'll find the column on the left articulates the responsibility of the Intimacy Professional. The column on the right is the Mental Health Coordinator's domain. In the middle? That's work that an MHC does but Intimacy Pros with additional, specialized training can also do if it falls within their scope of work!


Intimacy Pros:	
- Provide and collaborate with Wardrobe on Modesty Garments, SFX/HMU on prosthetics and body makeup, and Properties for related accessories.
- Provide oral hygiene as needed
- Script breakdown with risk assessment to identify intimacy and nudity in the project
- Provide barriers for intimacy between players"

Potential for Crossover with Specialized Training:
- Coordinate across departments to support mental health and wellbeing in the planning and application of SFX/HMU, prosthetics, wardrobe, and more
- Support appropriate content disclosures and media guideline

MHCs:
- Script analysis and consultation around portrayal as well as risk management during production process
- Provide individual as well as production-wide mental health related risk assessments and referrals

Depiction & Choreo -- 

Intimacy Pros:
- Support physically hyper exposed work	
- Choreograph intimate movement
- Maintain integrity and/or modifying choreography as needed
- Support safety with Nudity/Implied Nudity

Potential for Crossover with Specialized Training:
- Support depictions of SA
- Support depictions of non-consent	
- Support portrayal of Domestic Violence/Intimate Partner Violence
- Support depictions of birthing, birth trauma, breastfeeding, breastfeeding trauma (with additional medical consultation if needed)

MHCs
Support depiction of...
- mental health challenges/crisis 
- specific trauma (including but not limited to: illness, death, disaster, violence, racism, or ableism)
- abuse (physical or emotional)
- medical trauma and/or abuse by medical professional 
- Mental Illness (support integrity and accuracy)
emotionally hyper exposed work

Culture & Policy -- 

Intimacy Pros:
- Enforce closed set/rehearsal protocols	
- Create/Explain Nudity Riders/paperwork required for scenes of intimacy and nudity (includes possible collaboration with Legal)	
- Understand and mitigate power dynamics	
- Support safety with Nudity/Implied Nudity		

Potential for Crossover with Specialized Training:
- Identify needs and facilitate access to referral network for increased complexity (mental health related concerns) and specialization as well as making recommendations to Production based on these needs.	

MHCs:
- Support effective conflict management
- Understand HR implications, reporting standards, and documentation standards, in addition to power dynamics
- Creation and implementation of Community Agreements, Concern Navigation Pathways, access needs surveys and advocacy, and other policy and practice

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Determining one’s place within this spectrum is an ethical and professional responsibility, and can only be determined, ultimately, by the individual doing the work. For support in determining your scope, please contact an experienced mentor in the Intimacy Professionals and/or in the AMHC community.


We honor and utilize other experts in this field who can and should be utilized to determine Scope of Work, enhance your own competencies, and for referral purposes. We commonly use: Medical Consultants, Stunt Coordinators, Special Effect/Prosthetic Artists, Cultural and Sensitivity Consultants, Legal Advisors, Union Representatives, Access/Accessibility Coordinators, and Child Coordinators.


Some factors in determining scope of work:

  • RECITE: Evaluating the: Role, Environment, Cultural Competency, Conflict of Interest, Training, and your Experience prior to engaging in the work.

  • Liability: misrepresentation of your scope of work is not only dangerous to the folks under our care, but could also result in personal liability. 

  • Mental Health First Aid is not an adequate substitute for training as a Mental Health Coordinator, just as a single intimacy class is not enough to effectively choreograph simulated sex and nudity. 


Finally, an enormous thank you to members of our internal team who supported the development of this document, as well as those outside of AMHC who provided feedback and affirmation, including

Ash Anderson

Claire Boston

Brooke Haney

Bridget McCarthy

Alicia Rodis

Jessica Steinrock

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© 2025 scorbynw

Services provided by Mental Health Coordinators are not designed, nor should they be construed, as a substitute for professional mental health therapy, counseling or treatment. Any training from AMHC does not confer upon participants the qualifications or expertise required to practice as mental health therapists or counselors. If you have a concern that requires attention from AMHC Leadership, please fill out our "report a concern" form.

The Association of Mental Health Coordinators is a registered 501(c )3 non-profit organization.

Our website will soon be moving to www.mentalhealthcoordinators.org -- see you there!

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