1. Animal-Assisted Therapy Does it Really Work?

2. MEMORIAL HEALTHCARE SYSTEM  3 rd largest public healthcare system in the nation  Comprised of 6 distinct hospitals with a total of 1900 beds  11,000+ employees  Level I Trauma Center – Adult and Pediatrics  1 Comprehensive & 2 Primary Stroke Centers  Memorial Cancer Institute  Memorial Cardiac and Vascular Institute  Memorial Manor Skilled Nursing  Memorial Home Health –Adults and Pediatrics  South Broward Community Health Services  Office of Human Research

3. In the Beginning…. Volunteer Pet Therapy Program Meeting the needs of the patients Planetree Model A Vision…..

4. Memorial Healing Experience Holistic Approach to Healing Healing Environment – sight/smell/feel Therapy Dog Program Waiting List Can we do it?

5. History of Animal-Assisted Therapy York Retreat – England – 1792 Florence Nightingale – 1860 Boris Levinson – Child Psychology – 1962 Definition: goal-directed intervention in which an animal that meets specific criteria is an integral part of the treatment process (Delta Society).

6. What Does the Research Say?  Odendaal Study – Neurochemicals (2003) 18 people and 18 dogs Measured neurochemicals associated with decreasing blood pressure and increasing attention-seeking behaviors Neurochemicals increased in both the humans and dogs following the treatment sessions (endorphin, oxytocin, prolactin) Stress hormones (cortisol) decreased in humans but not in the dogs  Macauley Study – Aphasia (2006) 3 males with left hemisphere CVA and aphasia Performed traditional Speech Therapy then AAT Noted a decrease in the amount of effort when speaking to the dog vs the clinician More spontaneous speech with the dog More emotion when speaking with the dog Patients reported sessions with dogs more enjoyable and less stressful

7. What Does the Research Say?  Sobo Study – Pain in Children (2006) 25 children ages 5-18 Participants reported acute post-operative pain 10–20 min Therapy dog visits performed 0-10 pain scale and FACES scale used to measure pain Physical pain decreased from 3.8 to 1.6 (P=0.001) Emotional pain decreased from 3.9 to 1.2 (P<0.001)  Marcus Study – Adult Fibromyalgia (2012) N=230 Therapy Dog visits vs 49 waiting room controls Waiting before appointment with Therapy Dog for 12 mins Control = Traditional waiting room with TV and magazines for 17 mins 0-10 pain scale used Mean pain scores decreased significantly from 7.1 to 6.0 with dog (P<0.001) No change in pain with control group (7.0 to 7.3)

8. What Does the CDC Say? Animals must be in good health Updated immunizations On prophylactic medications Free of fleas and ticks No sutures/open wounds or dermatologic lesions No behavior or elimination control issues No young animals (< 1 year) due to immature immune systems Animal should be supervised at all times Restrict access to kitchens, medication prep areas and clean supplies storage Handler should be in good health AAT with an immunocompromised patient should be handled on a case-by-case basis No animals in isolation rooms  Most important preventative measure is handwashing!

9. What Does the CDC Say? Summary: Although there is potential for cross- contamination of pathogens the risk is minimal if proper adherence to guidelines is followed Currently no reports have been published regarding infectious diseases originating from service/therapy dogs *Centers for Disease Control, Guidelines for Environmental Infection Control in healthcare facilities, 2003

10. ECAD Educated Canines Assisting with Disabilities THE MISSION: to enable people with disabilities to gain greater independence and mobility through the use of specially educated dogs.  Unique approach using at-risk youth  Special breeding  Combat Veterans Program  Willing to place a dog in a facility  Long-term relationship with Memorial

11. Why Golden Retrievers? Temperament Intelligence Personality Strength and Resilience Beauty and Grace Soft Fur

12. Seven week old Golden Retriever fluff balls have been named after Rock Stars….  (Marshall) Tucker  Blondie  Tina (Turner)  (Janice) Joplin  Stevie (Nicks)!

13. The Training……

14. Placing a Dog in a Facility ECAD matches dog’s temperament to the needs of the facility Home Handlers Trained handlers only work with the dogs/patients Keeping the dogs healthy, well trained and groomed Community Events /Marketing Bark Lines LIZ

15. A Day in the Life of a Therapy Dog…

18. Compass – Speech Therapy http://www.youtube.com/watch?v=_YNSVp0A wVo

19. Therapy for the Staff….

21. Halloween

22. Having Fun at Work……

23. St. Francis Day- Blessing of MHS Dogs

24. Off the Clock……….

25. A Special Patient

26. The Memorial Therapy Dog Team

27. QUESTIONS?