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This fragmentation may weaken follow-through after screening, limit coordination across clinical and performance services, and create uncertainty around privacy, scope boundaries, and accountability. In this Perspective, drawing on implementation science, integrated care, and systems-oriented organizational design, we suggest that a promising direction in athlete MH-MP support is not simply expanding screening availability, but building governed infrastructure that better connects identification to action. We propose a sport science hub model for coordinating two linked but distinct lanes: (1) structured MH screening, triage, and clinician-led referral workflows, and (2) MP profiling and skills-based support delivered within non-clinical scope. The model is organized around explicit guardrails, including role separation, privacy-secured and auditable access, non-punitive use protections, and emergency escalation pathways. We discuss the rationale for using structured screening and referral processes while acknowledging the limitations of current screening tools, including false-negative and false-positive concerns, and the importance of interpreting performance disruption in context rather than medicalizing normal variation. We conclude with governance principles and a forward-looking research agenda focused on implementation, trust, acceptability, screening accuracy, and prospective evaluation of integrated MH\u2013MP systems.<\/jats:p>","DOI":"10.1007\/s44192-026-00552-y","type":"journal-article","created":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T03:45:10Z","timestamp":1784432710000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comprehensive integration of mental health screening and triage with mental performance services through a sport science hub model in collegiate sport"],"prefix":"10.1007","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9438-0558","authenticated-orcid":false,"given":"Andreas","family":"Stamatis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest","family":"Rimer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Wells","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"552_CR1","volume-title":"Mental health best practices: understanding and supporting student-athlete mental health","author":"National Collegiate Athletic Association Sport Science Institute","year":"2024","unstructured":"National Collegiate Athletic Association Sport Science Institute. 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