FACILITY DOG PROGRAM

Incorporating the Facility Dog Program at Magee

Kirsten Ondich, MS OTR/L

Christina Rinehimer, OTR/L

Vision

To use highly educated canines to enhance human health and facilitate the rehabilitation process for patients of Magee.

This program will:

Improve functional outcomes for patients Enhance patient participation by reducing anxiety and stress

Increase patient and employee satisfaction and morale

Facility Dogs

Facility dogs work side by side with health and human service professionals to engage patients in activities designed to improve

functional outcomes, stimulate healing and recovery, and provide comfort and

unconditional love.

Animal Assisted Therapy

1. Health and Human Service Professionals

2. Goal-directed sessions3. Document functional outcomes4. Intensive Professional training

Animal Assisted Activity

1. Volunteers2. Spontaneous visits3. Documentation not necessary 4. Temperament test

Animal Assisted Therapy in Collaboration with OT

Working together towards the same goal

“Animals whose sole function is to provide emotional support, comfort, therapy, companionship, therapeutic benefits, or to promote emotional well-being are not service animals”

Meet Joey

Full Name: Jovana Life: January 26,

2011-August 4, 2017 Hometown: Santa

Rosa, California Breed: Black Labrador

and Golden Retriever Favorite toys: tennis

ball, any stuffed animal

Favorite Command: Tugging socks off

Meet Kentucky

Birthday: October 18, 2014

Hometown: Santa Rosa, California

Breed: Yellow Labrador and Golden Retriever

Education: 18 months of Basic training, 6 months of Advanced training

Hobbies: collecting plush toys, going on runs, napping

Facility Dog CommandsHere Behind Lap Visit

Jump Bed Push Kennel

Turn Watch Back Get Your Leash

Stand Hold Car Quiet

Wait Give Under Step

Let’s Go Drop Out This Way

Dress Tap Don’t Up

Heel Through Push Tug

Shake Move Side Leave it

Enough Hug Wave Down

Step Off Side Roll

Sit Fix Hurry Speak

Release Get OK Under

Therapeutic Interventions

Facility dogs are part of the rehab team.

• Physical Therapists• Occupational

Therapists• Speech and

Language Therapists• Nurses• Respiratory Therapists• Psychology• Recreational

Therapists• Wound Care Team

• Positive Staff Interactions

• Improved Interdisciplinary Collaboration

• Decreased Stress• Increased Employee

Satisfaction

Benefits: Staff

• Increased Participation• Decreased Length of

Stay• Improved Satisfaction• Family Impressions

Benefits: Patient Outcomes

Impact

“[Animal- assisted therapy] provides effects, such as adapting to stressful situations and hospital environments; decreasing anxiety, stress, pain and blood pressure; and increasing mobility and muscle activity.”

“…animals increase physical activity, help prevent mental states such as loneliness and depression, improve daily life activities and provide social support by increasing quality of life.”

Tunçay et al. (2015)

Physical

“…increased awareness of the extremity.” “… performing active movements immediately after

this gain…eased motor learning.”Tunçay et al. (2015)

“less stress evidenced by lower cortisol levels.”Muñoz et al. (2012)

Communication & Social Interactions

“…dog increased patients’ social behaviors, including smiling, laughing, looking, touching, and verbalizing.”

Kongable et al. (1989)

“Social interaction is less complicated when there is an external focus for the conversation.”

Velde et al. (2005)

Cognition

Facility dog was used to motivate child to organize birthday party and bake a cake for the facility dog.

Tunçay et al. (2015)

“The animal is able to help the client focus and remain attentive for longer periods of time.”

Velde et al. (2005)

Psychological

“...significant reduction in pain and emotional distress for chronic pain patients”

Pain Medicine, Marcus, Berstein, et al. (2012)

“…reduction in depression symptoms…” O’Haire et al. (2015)

“participants were more motivated, enjoyed the therapy sessions more, and felt that the atmosphere of the sessions was lighter and less stressed...”

Macauley BL (2006)

“…help patients focus on pleasurable activities and less on stressors of being in hospital setting”

Snipeliski and Burton (2014)

Expanding Through the Continuum of Care

Main Hospital Inpatient Riverfront Outpatient Wellness Gaspar Lifetime Follow up

Clinic Watermark Oxford Valley Community Outreach Support Groups

Kentucky in Action

Questions?

References

Canine Companions for Independence, www.cci.org

Zsoldos, A., Satori, A., & Zana, A. (2014, September 28). Impact of animal-assisted intervention on rehabilitation of patients with spinal cord injury. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25240877

DeCourcey, M., Russell, A.C., & Keister, K.J. (2010). Animal-assisted therapy: evaluation and implementation of a complementary therapy to improve the psychological and physiological health of critically ill patients. Dimensions of Critical Care Nursing, 29(5), 211-214.

Velde, B.P., Cipriani, J., & Fisher, G. (2005). Resident and therapist views of animal- assisted therapy: implications for occupational therapy practice. Australian Occupational Therapy Journal,52(1), 43-50. http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1630.2004.00442.x/full

Tunçay Elmacı, D., & Cevizci, S. (2015). Dog-Assisted Therapies and Activities in Rehabilitation of Children with Cerebral Palsy and Physical and Mental Disabilities. International Journal of Environmental Research and Public Health, 12(5), 5046–5060. http://doi.org/10.3390/ijerph120505046

Greene, M. (2015). Animal- Assisted Therapy: Mental, Physical, and Emotional Benefits Provided through Occupational Therapy(Unpublished master's thesis). Northern Illinois University. Retrieved from https://commons.lib.niu.edu/bitstream/handle/10843/13665/capstone%20pdf%20submission.pdf?sequence=1&isAllowed=y

Lopez-Cepero, J., Rodriguez Franco, L., Perea Mediavilla, M., Blanco Pinero, N., Tejada Roldan, A., & Blanco Picabia, A. (2014). Animal-assisted Interventions: Review of Current Status and Future Challenges. International Journal of Psychology and Psychological Therapy,14(1), 85-101. Retrieved from http://www.ijpsy.com/volumen14/num1/376/animal-assisted-interventions-review-of-EN.pdf

McCullough, A., Ruehrdanz, A., & Jenkins, M. (2016, January 18). The Use of Dogs in Hospital Settings. HABRI Central Briefs. Retrieved from https://habricentral.org/resources/54871/download/hc_brief_dogsinhospitals20160115Access.pdf

O’Haire ME, Guérin NA and Kirkham AC (2015). Animal-Assisted Intervention for trauma: a systematic literature review. Front. Psychol. 6(1121). doi: 10.3389/fpsyg.2015.01121

Braun, Carie; Stangler, T.; Narveson, J.; and Pettingel, S., "Animal-assisted Therapy as a Pain Relief Intervention for Children" (2009). Nursing Faculty Publications. Paper 9. http://digitalcommons.csbsju.edu/nursing_pubs/9.

Mu˜noz Lasa S, Máximo Bocanegra N, Valero Alcaide R, Atín Arratibel MA, Varela Donoso E, Ferriero G. (2015). Animal assisted interventions in neurorehabilitation: a review of the most recent literature. Neurología. 30(1), 1—7.