Mission of Easter Seals - givingindependence.org

Michelle Yuen Co-director of Paws Giving Independence Physical Therapist [email protected] Assistance Animals Service Dogs Hearing Dogs Guide Dogs

Facilitated Companion Dogs Psychiatric Assist Dogs Allergy Alert Dogs Seizure Response Dogs GENERAL AAT INFORMATOIN Facility Dogs vs Therapy Dogs Pet Therapy (Therapy Dog) o This dog belongs to a member of the community and is used to visit patients in many hospitals or nursing home settings. o A therapy dog can provide Animal Assisted Activities (AAA) Facility Dog o A facility dog is specifically trained (often by a service dog organization) and works at a specific facility multiple times a week. Interventions with the dog are performed with a

therapist, counselor or other trained professional as part of their treatment plan. o A facility dog can provide Animal Assisted Therapy (AAT) o Can also be referred to as a Therapy Dog for a facility The Difference between AAA and AAT Animal-assisted activities (AAA) provide opportunities for education, motivation and/or recreation to improve a patients quality of life. Animal-assisted therapy (AAT) is a goal directed intervention. The animal is used to assist the patient in meeting specific criteria (goals). This animal is used as part of the treatment plan. AAA and AAT AAA

AAT Casual meet and greet activities that involve pets visiting people Significant part of treatment for many people who are physically, socially, emotionally or cognitively challenged No specific treatment goals Stated goals for each session

Same activity can be used Individual treatment for each patient with many people Detailed noted unnecessary Notes on patient progress taken at each session Visit content is spontaneous Visit scheduled, usually at set intervals Visit can be as long or short as desired

Length of visit is pre-determined to best fit needs of patient Chart from Delta Society: http://petpartners.org/page.aspx?pid=321 Areas of Intervention Two Key Points of AAT interventions Specific goals and objectives Measureable progress Two areas of Facility Dog are used in interventions Use of the dog as a modality Use of the dog as assistive technology Goals of AAT Program Animals can be incorporated into many different treatment

disciplines. The treatment team designs specific goals that are important to the family and child. Benefits to AAT Emotional and physical health benefits Effectively reduce a persons blood pressure Improve focus/ attention Serve as a diversion to anxiety

With proper training, animals can be taught to reinforce rehabilitative behaviors in patients, such as throwing a ball, walking, or verbal responses. Animals can be included in behavior modification Reducing caregiver stress Decreases communication barriers Where is AAT being used?

Schools Medical Field Prison Systems Court Systems Nursing homes Group homes More! How to use AAT in Physical Therapy (PT) Physical Therapy (PT): o A physical therapist uses the presence of a dog to motivate the client, build strength, improve range of motion, walk stairs,

walk on a variety of surfaces, and more. o The dog is used to motivate the patient. Sample PT Treatments Gross Motor Skills/ Range of Motion Standing Balance( CCI) Dynamic Balance Ambulation Ambulation on varied surfaces Motivation and Confidence Building Passive Stretching Stairs How to use AAT in Occupational Therapy

Occupational Therapy Goal to improve the clients fine motor skills, work with sensory processing difficulties, practice sequencing tasks impulse control, displaying compassion and empathy, and more. Sample OT Treatments Fine Motor Skills Sequencing Tasks

Sensory Processing Empathy/ Emotional Connections Motivation Impulse Control How to use AAT in Developmental Therapy DT : Goal to incorporate the dog into play. The therapist works to help the child walk the dog, feed the dog and more! How to use AAT in Counseling Counseling group therapy: teaching appropriate social skills, relaxation,

overcoming fears, incentives Independent or Group Therapy Traumatic Memories Improve self esteem Reducing Anxiety Attention Depression External Stimulus Social Skills How to use AAT in Speech Therapy Speech: Voice volume, articulation of words, non verbal communication, and improving breath control

Progre ss is our promis e. AAT at & Payton www.ci.easterseals.c om Meet Payton

6 yr old Black Lab mix Rescued dog Has been working for 3 years at Easter Seals Paws Giving Independence Program places service dogs, companion dogs and facility dogs For more information: o Http://givingindependence.org o PO Box 9572, Peoria IL 61612 o Donna Kosner, Board Member, Screens Applications, 309 839 2754 Progre

ss is our promis e. Dogs Training Extensive temperament testing 2 years of formal obedience and service dog work Passed multiple public access tests Worked in many different public settings Certified to work in all public settings as a service dog Worked with large groups of children

Worked with children with many different disabilities. www.ci.easterseals.c om Animal Assisted Therapy Requirements/Competencies Initial Attend Animal Workshop Presentation Watch dog training video with hand signals: http://www.youtube.com/watch?v=uPokkXAl4mQ &list=UUoHUdm-QFwmpN7y5r_ZZntA&index=1 8&feature=plcp Complete individual training with dog, 15-20 minutes Spend 1 hour independently with dog without clients in building working on basic skills (this

can be at different time segments) Complete a skills check off test with dog (Sit, down, stay, come, heel, leave it, retrieve, and taking a treat.) Show understanding of policies, and liability waiver Complete 1 therapy session with dog and assistance of therapist trained to handle the dog Complete 2 successful observed therapy sessions using the dog independently (one with EI and one 3+). Date Dogs in community vs AAT Dogs The dog working in AAT are trained and have

gone through extensive temperament tests yet most dogs in the community have not. It is important to educate children of proper ways to greet a dog and dog safety. o o o o Dont run up to a dog Ask owners permission before petting Dont take food from a dog while eating Dont put your face near the face of a dog www.ci.easterseals.c om

Progre ss is our promis e. Things to think about You do not have to use the dog for your whole session. If you no longer want to use the dog just put them in a down stay in the corner of the therapy room and call the dog to you as needed. www.ci.easterseals.c om Progre

ss is our promis e. Procedure to start AAT Parents have to sign a consent form Check schedule book for availability Fill in time in book to confirm Pick up Payton from my desk- If I am not available he will be sitting under my desk.

www.ci.easterseals.c om Progre ss is our promis e. How to introduce a dog to patient For children not in a wheelchair have dog sit or lay on floor and let child come up to the dog. If the child is fearful let them approach the dog from the back, often children are afraid of the head of the dog.

If you would like the dog to go up to the child the command is visit. This can be used for a child in a wheelchair If you want the dog to put their front paws on the childs lap the command is up, visit. www.ci.easterseals.c om Progre ss is our promis e. Equipment to Use

Vest Collars Leashes Balls/ toys Water bowls I am open to any other ideas you have! www.ci.easterseals.c om Progre ss is

our promis e. Progre ss is our promis e. Leashes Have two leashes on the dog if a child is walking the dog. One for the child and one for therapist.

www.ci.easterseals.c om Progre ss is our promis e. Giving Treats Avoid having child give the dog a treat from hand. Have therapist give dog a treat. Have the child place treat on floor while therapist holds dog leash and give dog release word ok or take it to eat treat

www.ci.easterseals.c om Progre ss is our promis e. Allergy Rooms The rooms that have been tentatively identified as allergenic rooms that Payton will not go into are: o SLP 124 o PT 105

o OT 125 Staff should use the dust vac to get up any obvious hair after the dog has been used in a room. www.ci.easterseals.c om Infection Control Avoid patients with open wounds Avoid patients in isolation Have staff and patients wash hands before and after working with the dogs www.ci.easterseals.c

om Progre ss is our promis e. Signs of stress in a dog Refuses to take a Treat Paces or circles Tucks his tail and moves away from something Starts to whine Puts his hackles up, his tail is low or high, and his body is still Starts to growl

If you experience any of these signs remove the dog from the situation immediately www.ci.easterseals.c om Progre ss is our promis e. When to remove a dog from situation

If the child becomes abusive to the dogs If the dog shows signs of stress Dog is injured Emergency situation www.ci.easterseals.c om Progre ss is our promis e.

Progre ss is our promis e. Think Safety Guarding Child Positions (recall on ground and stairs, walking, fetch, water bowl) Dog positioning Know your environment Watch a loose leash, remove leash if dog is free in room Child and Therapist leash Control around birds, sometimes chases bugs Outside control

www.ci.easterseals.c om Progre ss is our promis e. Water/bathroom Command to have the dog go to the bathroom is hurry up. There are always bags in the vest if needed but I will pick it up if you are not comfortable.

Feel free to take the dog out and give water as you feel is needed but he really shouldnt need to go out. www.ci.easterseals.c om Progre ss is our promis e. Training Tips Dont get discouraged, it does take a dog time to bond with new people

Good Handler Qualities: Ability to get and maintain a dogs attention Uses a normal voice tone Praises the dog Able to read dogs body language Does not constantly repeat commands Stays calm Asks for help www.ci.easterseals.c om Dog Motivation Demo www.ci.easterseals.c om Progre

ss is our promis e. Commands: Verbal and Hand No!/ EAHH: Marks an error or inappropriate action Good/ Yes! Lets the dog know he or she has completed the task Sit: Tells the dog to put its hind end on the ground Down: Tells the dog to lower its entire body to the ground Hurry Up: Tells the dog that now is the time and place to go to bathroom Progre ss is

our promis e. Commands: Verbal and Hand Continued Wait: Tells the dog to pause in its current activity until given a new command or not to cross a designated threshold. Often used in doorways. Off: Tells the dog to have all four feet on the ground Heel: Tells the dog to position itself on your LEFT side facing forward with its shoulders approximately in line with your left leg Stay: Dog must remain in its physical posture and place Come: Dog should come and sit right in front of you Leave it: Tells the dog not to touch and ignore an item, person, or situation

www.ci.easterseals.c om Progre ss is our promis e. Commands: Verbal and Hand Continued Settle: Instruct dog to lie in a relaxed position Shake: Tells the dog to offer its paw in greeting Back : Tells the dog to backup (H)UP: Dog jumps onto or into a designated object (ex: car or couch)

Lap: Tells the dog to places it front paws on someones lap www.ci.easterseals.c om Progre ss is our promis e. Commands: Verbal and Hand Continued Progre ss is our

promis e. Visit: Instructs the dog to rest its chin in your lap and greet someone Front: Dog positions itself in front of you Behind (Heel): Dog follows behind you as you walk through a tight space area Touch: Dog uses nose to touch a surface (ex: door button) Tug: Dog takes a rope or cord in its mouth and pulls Take It: Instructs the dog to take and pick up an item on the floor Bring It: Dog brings item to you Drop It: Dog immediately releases item from its mouth and onto a surface www.ci.easterseals.c om Progre

ss is our promis e. When you are handling a dog you are responsible for correcting a child! Watch the dog for signs of stress. o Child correction Here is a review of commands o Basic Skills www.ci.easterseals.c om

Progre ss is our promis e. AAT at Work! Show Videos: https://www.youtube.com/watch?v=5biwRzeVnh4 www.ci.easterseals.c om Thank you!

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