Assistance Dogs – Other Disabilities
Background
There is increasing recognition of the therapeutic function pets can play in relation to mental health. However, there has been no systematic review of the evidence related to the comprehensive role of companion animals and how pets might contribute to the work associated with managing a long-term mental health condition. The aim of this study was to explore the extent, nature and quality of the evidence implicating the role and utility of pet ownership for people living with a mental health condition.
Methods
A systematic search for studies exploring the role of companion animals in the management of mental health conditions was undertaken by searching 9 databases and undertaking a scoping review of grey literature from the earliest record until March 2017. To be eligible for inclusion, studies had to be published in English and report on primary data related to the relationship between domestic animal ownership and the management of diagnosable mental health conditions. Synthesis of qualitative and quantitative data was undertaken in parallel using a narrative synthesis informed by an illness work theoretical framework.
Results
A total of 17 studies were included in the review. Quantitative evidence relating to the benefits of pet ownership was mixed with included studies demonstrating positive, negative and neutral impacts of pet ownership. Qualitative studies illuminated the intensiveness of connectivity people with companion animals reported, and the multi-faceted ways in which pets contributed to the work associated with managing a mental health condition, particularly in times of crisis. The negative aspects of pet ownership were also highlighted, including the practical and emotional burden of pet ownership and the psychological impact that losing a pet has.
Conclusion
This review suggests that pets provide benefits to those with mental health conditions. Further research is required to test the nature and extent of this relationship, incorporating outcomes that cover the range of roles and types of support pets confer in relation to mental health and the means by which these can be incorporated into the mainstay of support for people experiencing a mental health problem.
Background: With increasing frequency, service dogs are being placed with children with developmental disabilities (DDs). Occupational therapists and other professionals have advocated for the therapeutic use of service dog partnerships to facilitate greater independence and quality of life. There are no studies that examine service dog intervention with adolescents.
Method: This study focused on the effects of partnerships between service dogs and three participant dyads, each including an adolescent with DDs and a parent. A single-subject, alternating treatment design was used to compare the effects of two conditions (service dog present or not present). The effects were examined for adolescents’ anxiety behaviors during transitions and during grocery store shopping, for social interactions during grocery store shopping, and for parents’ reported levels of stress.
Results: Findings were that service dog partnerships reduced the presence of anxiety behaviors during transitions for one of the three adolescents; reduced the presence of anxiety behaviors during grocery store visits for two of the three adolescents; increased social interactions for all three of the participant dyads; and had no meaningful impact on self-reported parental stress level.
Conclusion: For adolescents with DDs, professionals may want to consider service dog partnerships to decrease anxiety behaviors and increase social interactions in the community.
This chapter first reviews the research-based information about the benefits of pets, especially for the most vulnerable people, and then addresses the practical implementation of this expanding research. The positive psychosocial effects of human/animal relationships engage interest, arising from firsthand experiences with pet animals and scientific curiosity, as well as the practical questions concerning how best to include pets as an adjunct for treatment for an autistic child or a paraplegic veteran, or to enhance the quality of life of an elderly person in an assisted-living facility. Despite the ever-growing research literature on the psychosocial effects of animals, a significant gap remains between that knowledge base and implementing it into treatment or support services for psychosocially vulnerable people. This chapter suggests that to enjoy the positive effects, a relationship with an animal should be individually tailored to the psychosocial characteristics of the person. Epidemiological studies of entire communities identify subcultures where certain individual circumstances, neighborhoods, geographical features, or special situations are associated with beneficial or adverse health parameters. Employing epidemiological methods with statistical representation of the entire community offers a view of the context, including the community’s affluence, geography, age, gender, and ethnicity of pet-owning participants. The new development will spearhead the creation and availability of curricular resources and enhance the number of people prepared to provide leadership in the area of human/animal interaction, bringing research into practice.
There is growing evidence for trained assistance dogs promoting the health, wellbeing, and quality of life of people in a variety of circumstances, including for those with dementia. Little is known about people with younger (early)-onset dementia (YOD) and family carers. As part of a larger study involving 14 people with YOD matched with trained assistance dogs over a two-year period, we report analyses of interviews with 10 family carers conducted on multiple occasions investigating their experience with an assistance dog. Interviews were recorded, transcribed and subjected to inductive thematic analysis. They told a range of experiences; the good and the challenging. Findings fell into three areas: the human–animal bond; relationship dynamics; and responsibility for caring. Concerns were raised with respect to the resources required of carers together with the financial resources needed to support an assistance dog. The study concludes that trained assistance dogs can play an important role promoting the health and wellbeing of both people with YOD and of their family carers. However, support needs to be in place as the circumstances of the family member with YOD changes and the role of the assistance dog as part of the family also changes. Practical (financial) support of a scheme such as the Australian National Disability Insurance Scheme (NDIS) could be important to sustaining such support.
Service dogs are sanctioned by the Americans with Disabilities Act as having protected rights allowing them to assist owners with disabilities. These dogs are appearing with increasing frequency in healthcare settings, and it is important for healthcare providers to understand the rules and regulations given to service animals and owners. We discuss processes that transpired when a service dog was brought into a psychodynamic psychotherapy group. The purpose of this paper is to highlight the unintended consequences of the Americans with Disabilities Act of 2010 as it concerns service dogs and the impact on the group process. Problems resulting from the introduction of service dogs into therapy groups should be anticipated and explicitly discussed in the course of the group’s transactions.
Patients with Tourette syndrome have difficulty maintaining a good quality of life because of motor or vocal tics. Therefore, a review of current and novel interventions is needed to help clinicians and patients when choosing the best interventions for the patient’s specific situation. This case study looks at the effects of a service animal on the impairment level and quality of life of a patient with Tourette syndrome. In this case, evidence-based practice includes patient perspectives, clinical expertise and a literature search. The methods used in this case study include quantitative clinician rating scales, qualitative observation and patient reporting. The patient has reported fewer vocal tics when the service dog is within the patient’s vicinity and the patient can cue her kinaesthetically. In this case, there are very clear benefits to using a service dog in the treatment of Tourette syndrome.
The goal of the present study was to examine how canine assistance may support family caregivers and persons with dementia and to document and compare two modalities of home care support. An exploratory comparative case study research design was conducted. Three cases correspond of dyads of a caregiver, a person with mild to moderate dementia, and either a neuro service dog (NSD), a companion dog or no dog. Hypotheses are formulated to capture differences between cases. Recruitment was done in a service dog organisation, through Canadian Alzheimer associations and in records of a hospital. Data were collected through 45–60 minutes telephone interviews that included completion of the Caregiver’s Burden Scale and sociodemographic questions. We used an inductive approach with qualitative data. There were five caregivers (mean age 54.8 years) who had an NSD, 28 caregivers (63.6 years) who had a companion dog, and 23 caregivers (63.8 years) without dog. In the category of roles and usages of the dog, ‘Socialisation’ and ‘Help with a sense of direction’ were the most addressed roles for dyads with the NSD. For dyads with companion dog and without dog, ‘Engagement-and-meaning of life’ as well as ‘Physical activity with the dog’ were the most discussed roles. The ‘Sleep or wake up’ role was the least discussed role across three cases. In the other categories, they were seven advantages and 10 inconvenients that were mentioned for canine assistance. For home care support, the presence of NSD has more positive impacts on both the person with dementia and their caregiver compared to the presence of a companion dog; the presence of a NSD results in the person with dementia accessing more indoor and outdoor public sites than with a companion dog; and dyads with a dog are informally socially engaged more frequently than those with no dog.
Emerging human/animal interaction therapies and applications call for re-definition in the field of assistance animals and a re-examination of previous conceptualization of use, terminology, training guidelines and formal designations. This chapter explores the participation of specialized assistance, service and support animals in their application to social, emotional, and psychiatric issues. There are three types of assistance applications as identified by organizations such as Assistance Dog International. They include: guide dogs for the blind and individuals with seeing impairments, hearing dogs for the deaf and individuals with hearing impairments, and service dogs specially trained for persons with other recognized disabilities. Studies show that simply interacting with animals, and interacting with dogs in particular, has a strongly ameliorative effect on people with a range of psychiatric disorders, increasing evidence that despite differing designations, all assistance dogs convey psychosocial benefits. The most striking issue in exploring the role of psychiatric service dogs is the profound and positive change in refractory symptoms expression, decreased medication usage, and restored functionality of the handler. The future for the application and utilization of psychiatric service animals continues to evolve.
Psychiatric service dogs (PSDs) and emotional support animals (ESAs) play important roles for people with mental disabilities and their use is increasing dramatically in the US. However, there is little research on the effects of these newer types of working animals compared to the traditional service dogs, such as guide dogs, hearing dogs, and mobility service dogs. In addition, the increased use of inadequately trained service dogs and ESAs makes it difficult for people to simply appreciate the benefits of these animals and even people with disabilities who are accompanied by appropriate animals can be questioned and viewed with doubt. Although there are challenges and more research needs to be conducted on PSDs and ESAs, the reported benefits of companion animals, especially for vulnerable people, extend to PSDs and ESAs. Some studies on PSDs and traditional service dogs (SDs) have shown that both having dogs trained to perform tasks and providing them public access increase the benefits experienced by people living with such dogs. The US laws for people with disabilities that provide access to people with their animals to alleviate mental symptoms are revolutionary in the world. By providing guidance, mental health professionals can play a central role in improving the lives of people who are highly likely to benefit from these animals.
