Guest Speaker – Dr Tiffani Howell, Senior Research Fellow in the School of Psychology and Public Health at La Trobe University.
Tiffini recently completed a four year study funded by the Commonwealth Department of Veterans’ Affairs, to understand the effectiveness of assistance dogs as an adjunct to treatment for veterans with PTSD.
Tiffani began by clarifying the definition of an assistance animal (usually a dog...there is one assistance cat on the books in Queensland!)
Guest Speaker – Dr Tiffani Howell, Senior Research Fellow in the School of Psychology and Public Health at La Trobe University.
Tiffini recently completed a four year study funded by the Commonwealth Department of Veterans’ Affairs, to understand the effectiveness of assistance dogs as an adjunct to treatment for veterans with PTSD.
Tiffani began by clarifying the definition of an assistance animal (usually a dog...there is one assistance cat on the books in Queensland!)
- An assistance dog is defined in the Commonwealth Disability Discrimination Act as a dog or other animal that is trained to help a person with a disability to mitigate the impacts of that disability on their lives and is also able to meet behaviour and hygiene standards that are essential to allow access to public spaces.
- Thus, the dogs have the legal right to access public spaces that are off limits to most other animals so they can go with their owner to the bank, cafe, restaurants the library and so on.
- Guide Dogs for people with visual impairments are very familiar. Dogs are now providing support to people with autism, those with epilepsy or diabetes who need alerts, people with mobility impairments to help them retrieve objects, people needing psychiatric assistance, including PTSD.
- Dogs can often sense a person’s need before that person can themselves. It isn’t known how this is done in most cases. They can be trained to do a number of tasks including:
- calming or comforting a person with anxiety
- waking people who may be having nightmares
- misbehaving so that the person needs to respond to the misbehaviour thus taking them out of their own troubled thoughts
- the dogs offer love and companionship, provide the person with a routine in their day (feeding, walking, etc) and give greater independence in many cases
- Tiffani’s team reviewed 34 previously published studies of the role of assistance animals is supporting those with PTSD
- Of those 28 had been published since 2018 which was when her own study began
- She noted an improvement in the quality of the research over time, with greater rigor, larger sample sizes, the use of control groups, greater use of validated measure, the use of physiological measures (eg, stress hormones) and the inclusion of measurements in before and after contexts.
- Overall the studies showed an improvement in the quality of life the of the people involved, reduced impact of PTSD symptoms and improved level of social interactions
- Tiffani stressed that in no case was the PTSD condition considered ‘cured’, that is, the individual still met the clinical threshold for PTSD, but their capacity to live with it was improved
- Several challenges with the approach of one dog/one person level of support were noted in the reviewed studies, in particular:
- the amount of adjusting that the person needed to do to accommodate an assistance dog in their lives
- difficulties with public access, ie, it is legal for these dogs to access all public spaces but not everyone realises that
- high cost
- long waiting lists
- Tiffani’s study which began in 2018, included 20 veterans and measured changes in quality of life and in carer burden. It was completed in 2022
- Tiffani worked with an assistance dog training provider (Centre for Service and Therapy Dogs Australia https://www.cstda.com.au/ ) to source the dogs for the study
- CSTDA has a detailed three year program that both trains the dog and supports the person needing the dog to varying degrees over the three year period. The dogs also need to be recertified for public access every year
- As in the pervious studies, Tiffani found that there were improvements in the PTSD symptoms and quality of life experienced by participants, it is a big commitment for many to include a dog in their lives especially if they have not had a dog before, universal public access remains a problem, eligibility for such a program remains challenging.
Next direction for her research?
- Tiffani is now looking at Animal Assisted Therapy (AAT) as an area for further investigation
- AAT is “the purposeful integration of an animal into a structured goal-directed therapeutic process”.
- the main difference would see the dog living with and being cared for by the clinician, not the veteran or patient
- thus, one dog would be able to provide support to multiple people, perhaps 10 patients per week
Q&A (a few dogs joined the meeting on zoom at this point)
· favourite breeds? – retrievers of all sorts, corgi, truffle-hunting lagotto Romagnolo, standard poodles. CSTDA picks the breed to suit the individual’s needs.
· what are they responding to when they pre-empt the person’s needs? – not known, could be olfactory, visual, electrical cues
· what if the bonding is not going well? – the relationship is given twice a day support initially to forestall that possibility
· ongoing funding? – DVA currently funding this arrangement, but it necessarily limits the number of people who can be assisted so eligibility requirements are high