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Saturday, April 18, 2020

Healing through animals: An Introduction to Animal Assisted Therapy-online session

Summary Report on the AAT Online Session.
17 March 2019 
Speakers: Subhadra Cherukuri, Unnati Hunjan, Rachel Isaac 

The online session on Healing through animals was hosted by SERPA on 17 March 2019.
The aim was to provide an introduction to animal assisted therapy. 
The session was organized around five main topics: 
  1. Animal Assisted Intervention 
  2. The different perspectives of AAT
  3. Case Studies 
  4. Who comprises of the AAT team?
  5. Procedure/ Process 

Animal Assisted Intervention 
Animal assisted Intervention is the use of animals in improvement of general health and well-being of the individuals. It is especially effective in dealing with issues like depression, stress and anxiety. There are two types of intervention: 
Animal Assisted Activities: Activities for schools, corporates and other groups of individuals aimed at bringing about a sense of positivity and relaxation. 
It is very useful in dealing with issues like depression, anxiety, stress, learning delays. Research studies have pointed out that special educators observed an improvement in learning in students with learning difficulties when there were animals present in the room as it created a positive, non-judgmental environment for the students. 
Animal Assisted Therapy: Activities to help individuals with- Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Post- traumatic Stress Disorder, Cerebral Palsy, Multiple Sclerosis, Spinal Cord injuries, Strokes and Delayed development of motor skills. 
Some sample therapeutic goals in AAT include:
  • Activities to improve balance, endurance 
  • Fine motor and gross motor development 
  • Improvement in cognition, memory and problem solving, 
  • Sensory stimulation 
  • Improvement in speech and reading skills 
The different perspectives of AAT
The Psychological Angle 
  • Biological System
Brain imaging studies have shown that working with animals or being with animals lead to release of two important neuro-transmitters: Serotonin and Dopamine. Serotonin is associated with feelings of happiness and dopamine is associated with feelings of reward. This is not only beneficial to the humans but to the animals as well. 
  • Psychological System
Working with animals acts as a catalyst for emotions. It leads to cognitive development (improvement in the executive functioning of the brain), improved assertiveness. The presence of animals have also lead to decrease in abusive behavior, risky- suicidal behavior, reduces the feelings of boredom, worthlessness and guilt. 
  • Sociological System
It is based on the theory of Biophilia – which suggests that humans possess an innate tendency to seek connections with nature and other forms of life. Studies have shown that the presence of animals have made individuals move anxiety from oneself to other stimulus in the environment and regulate themselves in a better way. 
Animals have shown to act as a social mediator – Example, you may be someone who have social inhibitions and have difficulty interacting with others but the presence of the animal will make you more confident when someone approaches you to talk to the animal. It leads to improved outlook towards life, makes you confident, in control of the environment and contributes to the overall improvement in well-being. 

 The Physiological Angle 
Equine therapy/ Hippotherapy/ Canine therapy
·       It leads of better physical co-ordination and proprioception 
·       It leads to improvement in hand-eye awareness, balance, and muscle tone. 
·       It aids speech therapy 
·       Improvement in touch and tactile sensations 

Case Studies 
Case Study 1: 
An 11 year old boy with ASD, Non-verbal, Hyperactivity, Poor Eye contact 
Equine therapy was started with him and initially he would sleep on the horse, lie in one position but eventually he started sitting upright, holding the reins of the horse, walking the horse, getting off the horse. The movement of the horse improves vestibular sensation and at the end of 3 months the following were observed:
  • Hyperactivity was negligible
  • He responded well to instructions 
  • Improvement in eye contact and speech 
Case Study 2:
A 72 year old man with stroke, non-mobile, reduced motor skills and speech, signs of depression. 
Canine therapy was started with him and the main goals of the therapy were to improve his speech, range of motion and better psychological well-being. 
After 6 weeks of AAT the following were observed: 
  • Improvement in motor functioning - He could throw a ball; he was able to button his shirt, brush the dog, hold a tea cup.
  • He started enjoying his time in the park. 
  • He would whistle to call the dog which he was unable to do after the stroke.  

Who comprises of the AAT team?
Neurologists, Psychiatrists, Psychologists, Special Educators, Animal therapists/handlers, Therapy dog/horse trainers, Therapy dogs and horses 

Procedure/ Process 
Animals are assessed themselves for phobias at a very young age (fear of traffic, lights, certain sounds etc.). They are assessed for sensitivity to touch, presence of certain objects, to understand their level of response to human beings. 
They are further trained to follow instructions, sit in certain positions, and perform certain actions. Post- training, they are further assessed before starting therapy sessions. 
Horses are also assessed for their temperament; their reaction to human’s tantrums, sudden outbursts, people in wheelchairs etc. Horses are usually re-trained for therapeutic reasons as generally they are used for races. 

Question- Answer Session: 
  1. Is special training given to animals before doing therapy? 
·       Yes they are given specific training to handle different reactions from humans. 

2.                  Any particular breeds suit the best for therapy?
·       There is a misconception that only Labradors, Golden Retrievers are used for therapy but any breed can be used as long as they are trained.  

3.                  Is there minimum number of sessions required? 
·       Yes a minimum of 2 sessions per week is required. 

4.                  Any particular animals used for particular diagnosis? 
·       No. The diagnosis is broken down into individual symptoms and those are addressed in the session. 

5.                  What if the child has tactile hypersensitivity? 
·       The therapist need to ensure that certain parts of the animal doesn’t touch the child if they are uncomfortable. 

6.                  What are some precautions to be taken in the sessions?
·       Even though, for example, dogs are trained, it is important to have a constant eye on them. It is important to cut down on the sessions if there are too many continuous outbursts. With regard to equine therapy, it is important to take all the safety measures including using helmets, using the right kind of shoes, ensuring the straps and seat belts are working properly, measures to de-mount the child quickly if there are any incidents. 

7.                  Is there a retirement age for therapy animals? What happens post-retirement?
·       For dogs – 7-8 years 
Horses- 15 years 
Fortunately there are many families and organizations coming forward to take care of the retired animals. 

8.                  Can street dogs be trained to become therapy dogs?

·       Yes, street dogs can be trained after careful evaluation/assessment. 

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