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The Prevalence and Practice of Drama The
The Prevalence and Practice of Drama The
Christine Mayor
Wilfrid Laurier University
Jason S. Frydman
Tulane University
Abstract Keywords
Although a growing body of literature describes drama therapy intervention models school-based drama
and case examples of school-based work, there has yet to be a comprehensive study therapy
that details the prevalence and practice of drama therapy in North American school-based creative
schools. Members of the North American Drama Therapy Association received arts therapy
an online survey designed to gather quantitative descriptive data and qualitative implementation
experiences of drama therapists currently practicing in schools. This article presents challenges
findings related to the former, reporting data focused on relevant training and expe- scope of practice
rience, organizational information, scope of practice, clinical engagement and obsta- North American
cles to the introduction and implementation of services. Interpretation of reported schools
7
Christine Mayor | Jason S. Frydman
school-based descriptive data is provided and future research directions are considered regarding
consultation school-based, drama therapy practice.
Mots-clefs Bien qu’un nombre croissant de documents décrivent des modèles d’intervention
dramathérapie dans en dramathérapie et des exemples de travail en milieu scolaire, il n’y a pas encore
les écoles eu d’étude exhaustive qui détaille la prévalence et la pratique de la dramathérapie
thérapies par les arts dans les écoles nord-américaines. Les membres de l’Association de la Dramathérapie
en milieu scolaire nord-américaine ont reçu un sondage en ligne conçu pour recueillir des données
défis d’implantations descriptives quantitatives et des expériences qualitatives de dramathérapeutes qui
le champ de pratique travaillent actuellement dans les écoles. Cet article présente les constatations liées
écoles nord- à ce sondage, rapportant les données axées sur la formation et l’expérience perti-
américaines nentes, l’information organisationnelle, le champ d’exercice, l’engagement clinique et
consultation scolaire les obstacles à l’introduction et à la mise en œuvre de services. L’interprétation des
données descriptives reportées est fournie et de futures recherches sont envisagées
concernant la pratique de la dramathérapie en milieu scolaire.
Palabras clave Aunque un creciente cuerpo de literatura describe modelos de intervención de drama
drama terapia basada terapia y ejemplos de casos basados en trabajo escolar, todavía no se ha realizado
en la escuela un estudio exhaustivo que detalle la prevalencia y práctica del drama terapia en las
terapia de artes escuelas norteamericanas. Los miembros de la Asociación Norteamericana de Terapia
creativas basada en Dramática recibieron una encuesta en línea diseñada para recopilar datos cuantita-
la escuela tivos descriptivos y experiencias cualitativas de los drama terapeutas que actualmente
desafíos de practican en las escuelas. Este artículo presenta los hallazgos relacionados con lo ante-
implementación rior, informes de datos centrados en la relevancia de capacitación y experiencia, infor-
alcance de la práctica mación organizativa, alcance de la práctica, compromiso clínico y obstáculos para la
escuelas de América introducción e implementación de servicios. Se proporciona una interpretación de los
del Norte datos descriptivos reportados y se consideran las direcciones de investigación futuras
consulta basada en la con respecto a la práctica del drama terapia basada en la escuela.
escuela
Introduction
There is an established history of using drama therapy in the schools, begin-
ning with the British tradition of integrating services into educational settings
(Holmwood 2014). North American schools have become a place for individual
and group drama therapy interventions and are increasingly seen as necessary,
effective and efficient settings for providing mental health support (Chafouleas
et al. 2016; Kern et al. 2017; Rones and Hoagwood 2000; Sanchez et al. 2018).
Furthermore, there has been a resurgence of interest in the role of drama ther-
apy in these settings; over the last decade, North American Drama Therapy
Association (NADTA) conference proceedings highlight the growing work
being done by independent drama therapists and by drama therapy organi-
zations (http://www.nadta.org/events/past-events.html). A number of articles
have articulated the challenges, rewards and possibilities of providing school-
based drama therapy, making a case for drama therapy and schools as natural
partners (Conn 1997; Leigh 2001, 2002; Gersch 2001; Jones 2012). Despite this,
a review of the literature revealed that no comprehensive study currently exists
which reflects the number and demographics, training and experience, organi-
zational information, school setting, school-based populations of focus, scope
of practice or clinical engagement of school-based drama therapists.
Literature review
Interventions with specific populations and symptoms
The majority of writing on drama therapy in the schools focuses on descrip-
tions of methods of intervention and individual case studies. However, in
regard to specific populations, there is a clear research focus on the detrimen-
tal impact of trauma on both child development and academic success, and the
potential for drama therapy to help students process and express their expe-
riences of harm and re-engage in the school. Christensen (2010), Domikles
(2012), Pitre et al. (2016), Zeal (2012) and Zografou (2002) focus on individual
interventions, demonstrating the capacity for drama therapists to name, vali-
date the reaction, and help contain the aftermath of trauma and grief. Beyond
individual interventions, school-based drama therapy group work in response
to individual or collective trauma has focused on increasing emotional expres-
sion, relational engagement, social and language skills and promoting advo-
cacy (Dix 2015; Finneran et al. 2014; Fong 2006; Mayor and Dotto 2014; Landy
2010; Sajnani et al. 2014). Further, Cobbett’s (2016) mixed methods study on
the efficacy of creative arts therapy interventions in the schools demonstrated
significant improvement in students’ social, emotional and behavioural func-
tioning, interpreting these results, in part, through a trauma and attachment
framework. Multiple research projects have taken place in Montreal examin-
ing the efficacy of using drama therapy with new immigrants and refugees
to build language skills, community and emotional expression and regula-
tion (Moneta and Rousseau 2008; Rousseau and Guzder 2008; Rousseau
et al. 2005, 2012). While not explicitly utilizing a trauma frame, Rousseau et
al. (2005) highlight the importance of providing spaces for adolescent immi-
grants and refugees to share their experiences of survival.
Several drama therapists have focused their intervention work in special
education or within specialized school programs (Crimmens 2006; Dawson
1994; Greene 2012). Crimmens’ (2006) book is a practical text providing advice
on how to structure sessions within special needs environments, supplying a
variety of useful activities for practitioners. Similarly, Dawson (1994) provides
a theoretical base for his drama therapy practice, ranging from assessment
to detailed activities. Additionally, Greene’s quantitative study demonstrated
no significant changes in the academic or social skills domains, but signifi-
cant reduction in group members’ ‘problem behaviors’ (2012: 204) following a
drama therapy intervention.
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Christine Mayor | Jason S. Frydman
Methodology
Procedure
In an effort to ascertain the scope and scale of drama therapy practice within
North American schools, a web-based survey was administered to all regis-
tered members of the NADTA from February 2018–July 2018. Recruitment
for participation was drawn from the NADTA member database, with access
granted by the organization’s Board of Directors. Feedback from the NADTA
Research and Ethics Chairs was integrated into the study design prior to
distribution and IRB approval for the study was attained through Fordham
University. All potential participants received an e-mail with an embedded
link to the survey inviting them to voluntarily participate. No financial incen-
tives were provided for participation.
Measure
The survey was designed and distributed through the Qualtrics online survey
platform, focusing on five primary domains: demographics, employment and
organizational information, perceived impact of drama therapy within the
schools, individual practice in the schools, and challenges to service deliv-
ery. The survey was comprised of a maximum of 70 questions, with a built-in
mechanism for removing non-applicable questions as the survey progressed
based on participants’ prior responses. Both qualitative and quantitative
survey questions were included using multiple choice and open-ended fill-in
prompts. An optional ‘other’ text box was provided for multiple choice ques-
tions in order to avoid any possible constraints in accessing relevant informa-
tion. The questions were designed to gather both quantitative and qualitative
information, with the former targeting basic macro data on drama therapy
prevalence and nature of school-based practice, while the latter type questions
attempted to give voice to the lived experiences of practitioners.
A specific effort was made to generate a snapshot of drama therapy prac-
tice within the contemporary educational landscape. As a result, the survey
design was inclusive and broad in its formatting to allow for an array of
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Christine Mayor | Jason S. Frydman
Analysis
Of the 910 survey invitations distributed to potential participants, 138 (15.2%)
individuals began the survey. Of those individuals, 79 (57.2%) indicated they
worked in schools and proceeded onward, while 56 (40.5%) responded they
did not work in schools and halted participation. Since the survey was designed
to adjust forthcoming content based on individual responses provided by each
respondent, reported completion rates per question vary and were dependent
upon each participant’s subjective responses. All quantitative data gathered
were processed within Qualtrics, while qualitative data were aggregated and
then extracted from the program before being independently analysed by the
investigators.
Descriptive statistics were generated as percentages based on category
selections. Notably, percentages are representative of total respondents to an
individual question rather than derived from total respondents to the over-
all survey. Fill-in responses to select questions yielded subcategories, with
rates and sub-percentages determined following an aggregation of similar
responses (e.g. percentages within the ‘other’ category).
Further, because this study relied primarily on quantitative, descriptive
statistics, this presentation of data remains limited in complexity and nuanced
analysis of the experiences of drama therapists in schools. As addressed earlier
in this article, we have chosen, due to space constraints, to split the data in
two, focusing here on the macro descriptive statistics on the personal, organi-
zational and school-based demographics of those conducting school-based
drama therapy. We plan to prepare a second article focusing on the more
micro, qualitative survey questions of how drama therapy is conducted by
individual drama therapists, how they understand the purpose of their work,
and the challenges and benefits of being integrated within a school system.
This study was not designed within a full mixed methods research paradigm
and our analysis is limited by the nature of our survey instrument.
Results
The following section breaks down the range of quantitative data results
into the following categories: demographic composition of the sample, rela-
tive training and expertise of the sample, organizational information of who
employs drama therapists in schools, school-based populations and scope of
practice, clinical engagement within the schools and obstacles drama thera-
pists faced during the introduction of drama therapy into the schools and in
their current implementation. A demographic composition of the sample can
be found in Table 1. Generally, the sample was predominately white, female,
30 to 39 years of age and resided in the United States.
Gender* Race/Ethnicity*
Female 86.10% Caucasian/White 72.20%
Male 6.90% Jewish 4.10%
Genderqueer 2.70% Black 1.30%
Genderfluid 2.70% Black/White 1.30%
Cisgender 1.30% African-American 1.30%
Age Latina 1.30%
White and Latina 1.30%
20-29 21.90%
Sout Asian 1.30%
30-39 57.50%
Asian-American 1.30%
40-49 12.30%
Asian-American/ 1.30%
50+ 8.20%
Vietnamese
Country of Residence Latin (Brown) 1.30%
United States of 83.30% Chinese 1.30%
America European 1.30%
Canada 15.20% Multiracial 1.30%
“Other” 1.30% Ambiguous 1.30%
Regional Location Human 1.30%
Other 1.30%
Eastern USA 47.60%
Western USA 15.30%
Central USA 15.30%
Midwestern USA 15.30%
Central Canada 13.80%
Western Canada 3%
Outside North America 1.50%
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Organizational information
Respondents provided information specific to their organizations of employ-
ment. The survey was designed to account for drama therapists that were
outside contractors to a school setting, as well as those employed directly by
the school or school district. Participants reported that their organizations
of employment, on average, featured 3.4 drama therapists compared to 26.6
non-drama therapy personnel, indicating that school-based drama thera-
pists were in the minority within their respective organizations regardless
of organizational type. Furthermore, respondents (n=51) were comprised of
mostly clinicians who do not supervise others (45.1%), followed by program
Table 2: How would professional peers in your school setting identify your role
within the hierarchy of your school? (n = 63).
Table 3: How many schools do you personally practice in? (n = 50). No respondents
reported working in exactly 5 schools.
Table 4: What is the scope of school-based practice for your organization? (n = 88).
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Christine Mayor | Jason S. Frydman
Table 5: How often are your services included in the formalized education plans for
your student? (n = 15).
Table 7: Within the school-based setting in which you practice, what modality
of drama therapy do you use? (n = 49). The following current approaches were
not reported as being used in the schools: omega transpersonal, sociodrama,
psychodrama, healing the wounds of history, playback theatre, theatre of the
oppressed, Bergman drama therapy approaches, stop gap method, psychoanalytic
drama therapy, rehearsals for growth.
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Christine Mayor | Jason S. Frydman
multiple schools worked within the same educational setting (e.g. elementary
school, middle school, etc.). This may have important implications in terms of
drama therapists’ capacity to adapt to a variety of developmental needs and
settings. Based on our survey questions, information as to why this might be
the case is limited; we do not know if this is an individual preference, necessity,
or an organizational requirement. We also do not know how drama therapists
conceptualize their work within these different school environments. It is further
notable that while there was roughly an even split between working across
elementary, middle, and high school, very few respondents endorsed working
at either the early prevention or intervention stage of preschool or engaging in
follow-through work at the college age level. Additional research on why this
might be the case (e.g. funding opportunities, developmental appropriateness,
personal preference from drama therapists, lack of known interventions for
these age groups) might reveal whether expansion into preschool – or college-
level settings could be a viable opportunity for drama therapy.
There is minimal literature focusing on the transaction between drama
therapists and school staff (teachers, administrators, other support staff, etc.),
despite data from the survey suggesting that this interaction represents a
significant component of drama therapists’ time in the schools. Consultation
with school personnel was indicated by a wide majority of respondents to be
an active part of their school-based practice, with 41.3% spending about a
quarter of their time consulting. Further, 43% of respondents (n=31) provide
professional development to school staff. In addition, while the literature has
focused on the impact of drama therapy on students, data from this survey
indicated that 24 respondents provide direct socio-emotional support services
for school personnel, with nearly half identifying this role as a formalized job
function. Clearly there is a significant amount of consultation work being
done by school-based drama therapists, implicating peer-to-peer services as
an area for future investigation. We highly recommend further research into
the ways in which drama therapists consult, collaborate, and support school
staff. This is of particular interest given that data from this survey suggests
that, despite working with school staff taking up significant amounts of drama
therapists’ time in the schools, obstacles with school faculty, support staff and
administration were noted in both the introduction and current implementa-
tion phase of service delivery. This data demonstrates challenges introducing
and working with other members in a school environment, suggesting that
drama therapists may need to give substantial consideration to their role, how
to frame their work, and how to integrate and communicate within a multi-
tiered system, acknowledging and adapting to inherent complexities. While it
is unclear whether unstable funding contributes to drama therapists’ integra-
tion into the formal mechanisms in schools, it is notable that this is listed as
the second most frequent response to challenges during both the introductory
and current implementation of services. Additional research on how drama
therapy work is funded, including strategies for attaining and maintaining
funding streams, might benefit the community. Importantly, few drama ther-
apists indicated the student population was a challenge to the introduction
(11.5%) or current implementation (3.1%) of drama therapy, suggesting there
may be greater buy-in of services from students over staff in schools.
Additionally, further understanding of drama therapists’ roles within formal
mechanisms of the school and hiring practices might shed light on how drama
therapists work with others within the school system. A number of respondents
(n=33, 52.3%) reported mainly being considered an outside contractor at their
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Christine Mayor | Jason S. Frydman
school. Similar to Frydman and Segall’s (2016) previous findings that working
in multiple settings is a common occupational practice for drama therapists,
most respondents to this survey (71%) also practice outside of a school setting,
with a majority of drama therapists engaged in private practice in addition to
their school responsibilities. Therefore, it may be that rather than being fully
incorporated into a school setting, drama therapists often see themselves as
hired contractors and thus maintain other employment. Further, participants
reported that school-based drama therapists were in the minority within their
respective hiring organizations, regardless of organizational type (3.4 drama
therapists compared to 26.6 non-drama therapy personnel), potentially lead-
ing to professional isolation within an environment which is traditionally
populated by educators or those trained in education. Therefore, it may be
that the professional composition of the school environment was a catalyst
for a number of drama therapists (n=23, 37.3%) to pursue additional school-
specific training. Drama therapists also reported less than anticipated integra-
tion within a school’s formal education planning; the majority did not have
their services included in this planning (67.3%), only half participate in this
planning process at all, and many reported maintaining minimal interaction
with school administration (42.5%). These data suggest that drama therapists
tend to operate independently or more informally, rather than as a full partici-
pant within existing school structures. In terms of clinical engagement, drama
therapists similarly reported a fairly even split between providing individual,
small group, and classroom based interventions, but very few (3.5%) described
their clinical work as directed towards the whole school.
With regards to drama therapy practice and supervision, the survey unex-
pectedly weighed heavily towards those who utilize DvT in the schools. It is
possible that the drama therapy approach of the researchers may have influ-
enced either who participated in the survey or how the survey was completed,
as both authors have a history of using DvT in school-based settings. Further,
20.4 per cent indicated that they used a form of drama therapy outside of
one of the identified current approaches (Johnson and Emunah 2009). It is
unclear whether school-based drama therapists favour a separate approach
or something more eclectic. While we are not able to determine whether
these surprising findings on the approach of drama therapy are simply from
this sample or are representative of the whole of North American school-
based drama therapy, it might be helpful in future research to consider how
and why drama therapists determine their approach to working in schools.
Additionally, it is important to note that only 39 per cent of respondents were
directly supervised by a drama therapist, which may influence the approach,
ability to develop more refined drama therapy practices, and the professional
identity of school-based drama therapists. Notably, Beauregard et al. (2016),
identified a related finding in their survey of drama therapists’ attitudes and
actions regarding LGBTQI and gender non-conforming communities, in
that practitioners could benefit from an increase in drama therapy-informed
supervision, highlighting a disparity between drama therapists’ practice and
their processing of clinical work within a drama therapy lens.
Limitations
This study was designed to provide current information about the prevalence
and practice of drama therapy in North American schools, and therefore a
cross-sectional research design was employed. This cross-sectional study does
not provide longitudinal data on trends regarding the prevalence and practice
Acknowledgements
We would like to thank the NADTA Board for their support of this study. In
particular, we would like to thank Research Chair Calli Armstrong for her
invaluable feedback on the research design, ethical considerations and imple-
mentation of the study. We would also like to thank Darci Burch, Christina
Opolko and Erinn Webb who offered feedback on an early pilot of this survey
instrument. Finally, we would like to thank Dr Abigail Harris for her oversight
of this research and comments on our survey instrument.
References
Anari, A. (2009), ‘Effectiveness of drama therapy in reducing loneliness
and social dissatisfaction’, Developmental Psychology: Journal of Iranian
Psychologists, 5:18, pp. 111–17.
Beauregard, M., Stone, R., Trytan, N. and Sajnani, N. (2016), ‘Drama thera-
pists’ attitudes and actions regarding LGBTQI and gender nonconforming
communities’, Drama Therapy Review, 2:1, pp. 41–63.
Butler, J. D. (2015), ‘Playing with reflection in drama therapy education’, in
E. Vettraino and W. Linds (eds), Playing in a House of Mirrors: Applied
Theatre as Reflective Practice, Rotterdam: Sense Publishers, pp. 109–22.
—— (2017a), ‘Re-examining Landy’s four-part model of drama therapy educa-
tion’, Drama Therapy Review, 3:1, pp. 75–87.
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Christine Mayor | Jason S. Frydman
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Christine Mayor | Jason S. Frydman
Suggested Citation
Mayor, C. and Frydman, J. S. (2019), ‘The prevalence and practice of drama
therapy in the North American school system: A descriptive report of
contemporary service delivery’, Drama Therapy Review, 5:1, pp. 7–25,
doi: 10.1386/dtr.5.1.7_1
Contributor details
Christine Mayor, MA, RDT/BCT is a Ph.D. student at Wilfrid Laurier University
where she specializes in the racialization of how trauma is defined and treated
in school-based settings. She is the former director of public health and policy
and ALIVE’s school-based trauma program at the Post Traumatic Stress Center
in New Haven, CT. Christine is the associate editor of Drama Therapy Review.
Contact: Lyle S. Hallman Faculty of Social Work, Wilfrid Laurier University,
120 Duke Street West, Kitchener, ON, N2H 6P6, Canada.
E-mail: camyr@mta.ca
https://orcid.org/0000-0003-2121-5898
https://orcid.org/0000-0003-0898-3884
Christine Mayor and Jason S. Frydman have asserted their right under the
Copyright, Designs and Patents Act, 1988, to be identified as the authors of
this work in the format that was submitted to Intellect Ltd.
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Applied Theatre Research profiles contemporary, innovative, unorthodox and radical Editors
practice of drama and theatre. Topics explored include theatre in political debate, Peter O’Connor
social action and dissent; theatre for development; youth theatre; theatre in schools The University of Auckland
and educational settings; theatre in therapeutic settings; theatre in prisons; theatre p.oconnor@auckland.ac.nz
in health education and awareness; theatre in human services, such as aged care and
hospitals; and theatre in business, commerce and conferences. It has a global focus John O’Toole
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and countries. j.otoole@unimelb.edu.au
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