Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Wellness and Recovery in the Addiction Profession Part Four: Ballroom Dance - Sustainable Client Wellness for Recovery Centers Presented by: Renee Gallagher, MEd

Jessica O’Brien, LCSW, CASAC Training Organizer

• Training & Professional Development Content Manager • NAADAC, the Association for Addiction Professionals • www.naadac.org • [email protected]

PRODUCED BY NAADAC, the Association for Addiction Professionals

Presented By: Renee Gallagher, MEd 1 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

www.naadac.org/certificate-for-wellness-and-recovery- online-training-series

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www.naadac.org/ballroom-dance-wellness-webinar

CE Hours Available: 1.5 CEs

CE Certificate : $25

If you complete all six parts in the series, you can apply for the Certificate of Achievement for Wellness & Recovery in the Addiction Profession 5

Using GoToWebinar (Live participants only)

 Control Panel  Asking Questions  Handouts  Audio (phone option)  Polling Questions

Presented By: Renee Gallagher, MEd 2 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Renee Gallagher, M.Ed., Educational Consultant

US National Professional Rising Star Ballroom Dance Champion Program Developer for Sway 2 Go Recovery Ballroom Software Onboarding Project Manager at GrowthZone

Website: RecoveryBallroom.com Email: [email protected] & [email protected] Cell: 859-358-2070 Facebook: Sway 2 Go Recovery Ballroom Linkedin: www.linkedin.com/in/renee-gallagher

Webinar Learning Objectives

How Ballroom Dance May Help Recovery Efforts with Substance Use Disorders

Learning Objective #1 Learning Objective #2 Learning Objective #3

Participants will apply Participants will analyze Participants will evaluate their unique industry current client needs to the costs and benefits of knowledge to evaluate assess how the potential providing intermittent the potential value of positive learning ballroom dance client participation in outcomes of ballroom opportunities to their ballroom dance classes dance classes may help clients. facilitated inside a achieve therapeutic recovery environment. goals.

Bridges – to Ballroom Dance

Creating more questions. Answers yet to be discovered! ? Need more information

? 9

Presented By: Renee Gallagher, MEd 3 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

What is ballroom dancing?

So many different ideas!

This is ballroom dancing DV8 Kitchen Second Chance Employment

DV8 Kitchen provides staff with professional development. Invites community leaders to share expertise with staff in recovery.

Recovery Café Lafayette, Indiana

Watch clients try ballroom dance for the first time!

This is ballroom dancing 12

Presented By: Renee Gallagher, MEd 4 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

This is ballroom dancing 13

What does “Ballroom Dancing” mean for our discussion?

1. Ceremonial Structure

2. Cycled Experiences

3. Covert Learning

Ballroom Dance Lessons

How facilitated social learning and classroom structure makes ballroom dancing a unique wellness option

Presented By: Renee Gallagher, MEd 5 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Ceremonial Structure Repetition of dance movements • Community created with structure and dancer focus

Cycled Experiences

Repetition of dance movements • Multiple opportunities to improve

Covert Learning

More than a chance to dance • A mechanism for personal development

Presented By: Renee Gallagher, MEd 6 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Polling Question 1: Would you consider taking a ballroom dance lesson?

A. Yes – I’ll get my shoes! B. No – I’ve lost my shoes! C. Not yet – my feet hurt! D. Can you guarantee I won’t see anyone I know in the lesson?

Polling Question 2: Please share your primary role in your agency.

A. Nurse B. Peer Recovery Support C. Counselor D. Social Worker E. Other

Let’s consider:

Exercise

Social Leisure

Ballroom Dance As adjunctive wellness for substance use disorder

Presented By: Renee Gallagher, MEd 7 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Whereas treatments in clinical psychology routinely aim to alleviate the emotional effects of stressors that have already occurred, exercise training provides a way to ameliorate effects of stressors yet to occur. (Salmon, 2001)

Exercise

As adjunctive wellness for substance use disorder

Exercise-based treatments for substance use disorders: evidence, theory, and practicality

Sarah E. Linke, PhD. MPH, and Michael Ussher, PhD.

Summarized literary review presents research examining the effects of exercise-based treatments for substance use disorders.

Presented By: Renee Gallagher, MEd 8 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

A small but growing body of research has examined the potential role of exercise in the treatment of SUDs. Exercise is advocated as an intrinsically rewarding, engaging, healthy, and safe alternative behavior. (Linke & Ussher, 2015)

Linke & Ussher (2015)

• Exercise as adjunctive • Preclinical studies provide Theoretical Mechanisms treatment for SUDs for evidence “supporting the continue to be investigated: various populations: role of exercise for the 1. SUD severity prevention and treatment • Psychological 2. Inpatient of SUDs”. • Behavioral 3. Outpatient • Psychobiological

Presented By: Renee Gallagher, MEd 9 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Exercise as an Adjunctive Treatment for Substance Use Disorders: Rationale and Intervention Description

Jeremiah Weinstock, Margaret R. Farney, Noel M. Elrod, Craig E. Henderson and Edward P. Weiss, (2017)

A protocol for integrated exercise intervention for use in Substance Use Disorder clinics.

An important goal of SUD treatment is to find healthy ways to respond to and manage stress, and exercise appears to be such an approach. It addresses important facets that can lead to stable, long-term recovery from SUD. (Weinstock et al., 2017)

Empirical Support for Exercise in SUD Treatment (Weinstock, 2017)

Research Programs/Locations Findings Miscellaneous • Prison methadone maintenance • Improvements in physical health, • mental health and overall quality of The flexibility of exercise options • Residential methamphetamine life. allows exercise to be incorporated treatment into various SUD treatment settings. • Improved quality of life as a • Outpatient alcohol predicator for sustained recovery. • Reduction in stress

Presented By: Renee Gallagher, MEd 10 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

A Pilot Study of Aerobic Exercise as an Adjunctive Treatment for Drug Dependence

Richard A. Brown et al., (2010)

Intervention to increase exercise for substance use disorder as an unexplored strategy for preventing relapse.

Exercise has been proposed as an effective relapse prevention intervention specifically due to the potential number of positive physiological and psychological benefits. (Brown et al., 2010)

Presented By: Renee Gallagher, MEd 11 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Pilot study – Exercise intervention (Brown et al 2010)

1. Supervised moderate intensity 2. Group behavioral training 3. Incentive system aerobic exercise component • Participants earned incentives – • 1x weekly • Cognitive and behavioral techniques relation to self-monitoring for incorporated various levels of adherence • Additional “prescriptions” given to exercise 2x to 3x additionally per • Co-led by exercise physiologist and • $5 for each weekly exercise session week psychologist • $5 for returning self-monitoring • Self-report • Guided to increase fitness through form behavioral changes in daily life • Prize drawing

Social Leisure

As adjunctive wellness for substance use disorder

Presented By: Renee Gallagher, MEd 12 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Leisure and health: why is leisure therapeutic?

Linda L. Caldwell, (2005)

Review of literature – empirical evidence that leisure can contribute to physical, social, emotional and cognitive health through prevention, coping (adjustment, remediation, diversion), and transcendence.

A primary prevention perspective suggests that leisure activity may ward off poor health and risk behaviours before they occur. (Caldwell, 2005)

(Caldwell, 2005)

1. Leisure for 2. Leisure for 3. Leisure for prevention coping transcendence

Presented By: Renee Gallagher, MEd 13 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Polling Question 3: Leisure: What type of leisure do you prefer ?

A. Social Leisure: (movies, eating out with friends) B. Solitary Leisure: (reading, writing, watching TV, internet) C. Social Exercise-Leisure: (ballroom dancing, bowling, group-fitness) D. Solitary Exercise-Leisure: (gym, walking, running) E. Nothing: I need to find a way to de-stress!

Reducing latent deprivation during unemployment: The role of meaningful leisure activity

Lea E. Waters and Kathleen Moore (2002)

Study to investigate leisure activity and the reduction of latent deprivation.

Presented By: Renee Gallagher, MEd 14 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

…social activity, which may be reflective of a sense of group belonging and support, contributes more to psychological health, by reducing depressive affect, during unemployment than solitary activity. (Waters & Moore, 2002)

Meaningful social leisure activity (Waters and Moore 2002)

Perceived latent deprivation As decreases meaningful social leisure activity

increases 44

DV8 Kitchen Provides Second Chance Employment Professional Development & Life Skills Weekly Classes Watch staff as they dance!

Presented By: Renee Gallagher, MEd 15 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Leisure activities are linked to mental health benefits by providing time structure: comparing employed, unemployed and homemakers

William K. Goodman, Ashley M Geiger, Jutta M Wolf, (2016)

Study investigates relationship of leisure activities and time structure related to improvements in mental health for unemployed individuals.

…leisure activities were found to serve as distractions from everyday worries and tend to provide daily structure, while exercise, in particular, was noted to increase structured routines.” (Goodman, Geiger & Wolf, 2016)

Conclusions (Goodman, Geiger & Wolf, 2016)

Using one’s time during For employed – recreational activities The promotion of social recreational unemployment – for recreational showed ”beneficial association” with activities may provide an intervention activities is linked to lower depressive the symptoms attributed to that improves mental health for symptoms. depression. unemployed individuals.

Presented By: Renee Gallagher, MEd 16 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Ballroom Dance

As adjunctive wellness for substance use disorder

Social partnered dance for people with serious persistent mental illness: A pilot study

Madeline E. Hackney & Gammon M. Earhart, (2010)

A study aimed to determine feasibility of social dance to promote social opportunities and aid recovery.

Exercise compliance is difficult to achieve in clinical and research settings, but dance may be particularly effective as it interests and engages many. (Hackney & Earhart, 2010)

Presented By: Renee Gallagher, MEd 17 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Study (Hackney & Earhart, 2010)

Intervention: Participants attended 1-hour Salsa dance lessons once time weekly for 10 weeks. Results: • 20 minutes warmup Beck Depression Inventory Discussion: Pre: 18.3 +/- :4.0 • 40 minutes partnership Participants who completed the • Plenty of partner rotation Post: 11.7 +/- :4.2 program: • Appeared motivated Beck Anxiety Inventory • Most of the 9 participants indicated Pre: 17.8 =/- :4.0 interest in continuing Post: 12.8 +/- :3.9 • Open responses showed the salsa classes had positive impact on: • Life • Learning new things • Part of group activity 52

Recovery Café Lafayette, Indiana

Watch clients try ballroom dance for the first time!

Why Do You Dance? Development of the Dance Motivation Inventory (DMI)

Aniko Maraz, Orsolya Király, Róbert Urbán, Mark D. Griffiths, Zsolt Demetrovics, (2015)

A study to explore the motivations for recreational social ballroom dancers who completed an online survey.

Presented By: Renee Gallagher, MEd 18 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Furthermore, there is much evidence to support the benefits of dancing including improvements in psychological wellbeing, increased self-esteem, and anxiety reduction. (Maraz et al., 2015)

doi:10.1371/journal.pone.0122866.g001 (Maraz et al., 2015) Gender differences in dance motivation

Conclusions

Aniko Maraz, Orsolya Király, Róbert Urbán, Mark D. Griffiths, Zsolt Demetrovics, (2015)

• Mood Enhancement indicated as the strongest motivation for participation in ballroom dance.

• Ballroom dancing has been shown to: • Lower feelings of anxiety • Increase self-esteem • Improve participant psychological well-being

Presented By: Renee Gallagher, MEd 19 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Ballroom Dance Lessons

How facilitated social learning and classroom structure makes ballroom dancing a unique wellness option

Aspects of a Ballroom Dance Group Class

Ceremonial Structure

Cycled Experiences

Covert Learning

Ceremonial Structure

• Physical layout and structure of class instruction • Cohesion in class and Dance Community

• Practice with everyone in class • Facilitation of group class • Process and norms create dancing systems and communities

• Partner interaction, greetings, cooperation and more.

Presented By: Renee Gallagher, MEd 20 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Cycled Experiences

The ceremonial structure of ballroom dance group classes supports cycled learning experiences.

Facilitated repetition of experiences allows students to move from initial on-boarding of knowledge to ease of use.

Repeated and numerous chances to begin and again – help learners gain a sense of competency of self, partner and entire class.

• Opportunities for: • Learning and using empathy • Helpfulness through teaching and encouragement • Learning from others

Covert Learning

More than a chance to dance • Communication • Cooperation • Social ease • Patience • Expression • Structure • Physical Awareness • Self • Others • Leadership • Followership • Responses versus Reactions

Examples

Local recovery centers and groups participate in ballroom dance classes

Presented By: Renee Gallagher, MEd 21 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Women’s Ballroom Class

DV8 Kitchen

Second Chance Employment

DV8 Kitchen provides staff with professional development. Invites community leaders to share expertise with staff in recovery.

Recovery Café Indy (Indianapolis) Recovery Café Lafayette Indiana

Recovery Café Indy Watch clients try ballroom dance for the first time!

Presented By: Renee Gallagher, MEd 22 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Polling Question 4: Leisure opportunities, such as ballroom dancing may help improve recovery outcomes for some of my clients.

A. Yes: (I already suggesting leisure and exercise to clients) B. Maybe: (I want to learn more about leisure as a tool for SUD). C. Not really: (Exercise & leisure aren’t meaningful for recovery).

Drug court Reduce Stress Recovery Centers Fun Treatment Professional Centers Development

Group Personal Meetings Development

At your organization

Considerations to create your own ballroom dance classes inside your organization

Presented By: Renee Gallagher, MEd 23 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Evaluate your space Finding a place to dance at your location.

Music

Three Set up your phone or Size of space laptop computer while using Pandora or an Itunes play list! Two Portable speakers Flooring Type Make it work! A class will add the extra of 4 can work in a boost your class will One small office space. enjoy. Gyms are ideal and For basic dance outdoor spaces work moves most flooring well too! types work well. Wood and linoleum are ideal. 70

Ask your staff – and/or volunteers Is there a person already involved in your organization available to share their dancing knowledge?

Patience

Three Build an experience Structure around a holiday, a meal or an idea. Enthusiasm Two Some people need to watch others dance Help develop some One several times before “mini-lessons” – A trying it themselves. Most people who 15-minute snap shot ”Themes” often help dance “love” it. Find is a great way to learners ease into someone in or introduce new the dance around your dancers to the experience. organization who activity. wants to share their knowledge. 71

At your location

Your staff: • Do any of your existing staff members or volunteers know how to ballroom dance? • Could a staff or volunteer provide this experience for your clients? • What can you do to make sure your staff are comfortable sharing their dance expertise?

Your location • What space needs do you have? • Can you “team up” with another provider who may have a bigger space?

Presented By: Renee Gallagher, MEd 24 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

In Your Community

Considerations to create your own ballroom dance classes for recovery groups

In Your Community, Practice or Recovery Center

Learn about ballroom dancing in your area: Ballroom Dance Organizations: 1. Amateur Ballroom Dance Association: • Google search: Ballroom dance group classes, ballroom dance instruction, social dance lessons www.usadance.org in your area Learn about local chapters and events • Ask Friends: Word of mouth is a great way to locate ballroom dance instructors who will travel to your location to teach a ballroom dance class. 2. Ballroom Dancers * com Cost range: $30-$80 per group class www.ballroomdancers.com • Check your local gyms: Many teachers already host classes in existing community centers and Find local dance teachers YMCAs. 3. National Dance Council of America www.ndca.org Learn about ballroom dance events

Finding the right teacher – Ask these questions

• Will you teach introductory level group classes on-site at my location? • What is your cancellation policy? • Do you have equipment you can bring to our location? Sound system, music, etc.? • What would you teach beginners in an introductory dance class? • How comfortable are you teaching in an office environment? Describe your facility to the dance studio staff.

Presented By: Renee Gallagher, MEd 25 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

Finding the right teacher

Avoid: • Do not sign exclusive contracts or long-term obligations. • Do not allow a dance studio to aggressively solicit. Explain to studio owners that you are making your clients aware of leisure opportunities in the area. • Studios or teachers who try to sell you on “emotional” experiences and “escapes” found in ballroom dancing at their studio or a particular teacher should be thoroughly vetted. Now You Know: Ballroom dancing can help students be present and in the moment – perpetuating an escape from reality defeats the purpose of using the activity as a recovery resource.

Finding the right teacher

Do: • Look for dance studio staff who want to share the fun and healthful benefits of ballroom dance with your clients or organization. • Look for instructors who are interested in helping individuals use ballroom dancing as stress-relief – not an emotional escape. • Experiment with teachers and learning experiences until you find the right fit for you. • Take note: Instructor expertise varies greatly – and is not regulated in the industry. Kindness, organization – and, a care for people goes a long way. Anyone can teach a dance step – look for “genuine” teachers. • You may need to try several lessons from different instructors before finding the right fit for your needs.

Renee Gallagher, M.Ed., Educational Consultant

US National Professional Ballroom Dance Champion Program Developer for Sway 2 Go Recovery Ballroom Software Onboarding Project Manager at GrowthZone

Website: RecoveryBallroom.com Email: [email protected] & [email protected] Cell: 859-358-2070 Facebook: Sway 2 Go Recovery Ballroom Linkedin: www.linkedin.com/in/renee-gallagher 78

Presented By: Renee Gallagher, MEd 26 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

www.naadac.org/ballroom-dance-wellness-webinar

CE Hours Available: 1.5 CEs

CE Certificate : $25

If you complete all six parts in the series, you can apply for the Certificate of Achievement for Wellness & Recovery in the Addiction Profession 79

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Presented By: Renee Gallagher, MEd 27 Ballroom Dance: Sustainable Client 4/7/2021 Wellness for Recovery Centers

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