Abstract

Animal-assisted Interventions (AAI) proliferated rapidly since clinicians and researchers first noted the positive effects animals have on people struggling with physical and mental health concerns. The intersection of AAI with the field of animal welfare evolved from considering animals’ basic needs, such as freedom from pain, to recognition that animals experience nuanced emotions. Current conceptualizations of the various roles of companion animals as an adjunct to treatments for humans emphasize not only the animals’ physical comfort and autonomy, but also their mental well-being and enjoyment of AAI activities. However, numerous challenges to effective monitoring of animals involved in AAI exist. This article focuses specifically on dogs, highlighting factors that may lead handlers and therapists to miss or ignore canine stress signals during human-animal interactions and offers strategies to recognize and ameliorate dogs’ distress more consistently. The primary goals of this discussion are to summarize the current thinking on canine well-being and to highlight practical applications of animal welfare principles in real-world AAI settings. The paper highlights contextual factors (e.g., physical setting, patient demand), human influences (e.g., desire to help), and intervention characteristics (e.g., presence or absence of a dog-specific advocate) that may promote or inhibit humans’ ability to advocate for therapy dogs during AAI activities. Deidentified examples of each of these factors are discussed, and recommendations are provided to mitigate factors that interfere with timely recognition and amelioration of canine distress.

Highlights

  • We describe the multiple contexts in which animal-assisted interventions (AAI) take place, as well as the numerous challenges to effective monitoring and response to canine stress that handlers and providers face

  • Interaction Organization (IAHAIO) defines Animal-Assisted Activities (AAA) as “informal interactions/visitations often conducted on a volunteer basis by the human-animal team for motivational, educational, and recreational purposes.”

  • While handlers can be expected to demonstrate greater knowledge of canine behavior given the training they receive through the therapy dog registration process [6,7], people vary in their background familiarity with dogs and their attitudes toward management of canine stress

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Summary

Introduction

We describe the multiple contexts in which animal-assisted interventions (AAI) take place, as well as the numerous challenges to effective monitoring and response to canine stress that handlers and providers face. We summarize current evidence regarding canine emotions, cognitions, and stress signaling, and highlight factors that inhibit timely detection of canine stress. We provide case examples that contextualize these factors in “real world” scenarios and provide practical strategies for alleviating canine stress and enhancing dogs’ enjoyment of animal-assisted interventions. Humans have long known the benefits animals can have on physical and psychological recovery. Animal-assisted interventions and research regarding their application and efficacy proliferated following Boris Levinson’s description of the beneficial effects of his dog, Jingles, on his therapeutic work with children [2]

Terminology and Settings
Advancements in Animal Welfare
Canine Stress Signals
Freezing
Aggression
Crowds
Classroom
Hospital
One-to-One Visit
Noise and Urgency Level
Fatigue
Physical Health
Workload
Trigger-Stacking
Diamond Model
Triangle Model
Intervention Complexity
Schedule and Frequency of Dog Involvement
Health Changes
Canine Variability in Stress Signaling
Level of Canine Behavior Knowledge and Willingness to Act on Knowledge
Urgency of Problem
Other Pressures
10. Specific Recommendations
10.1. LEAD Assessment
10.2. Case Examples with Specific Recommendations and Resources
11.1. One Health
11.2. Mutual Benefit and Canine Agency
12. Conclusions
Full Text
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