It's evolving into an environment where people with and without disabilities can feel comfortable working on all aspects of health," says Ciner, who notes that there are several options for clients who think the class format isn't the right fit or enough of a challenge. Sprit Plus is for clients who would benefit from having a family member or counselor join in alongside them. There's also one-on-one fitness training, as well as Spirit coaching, which is focused on healthful behaviors, such as smart grocery shopping, taking a walk or going swimming.