Improving Mental Health Through Animal-Assisted Therapy Liana Urichuk with Dennis Anderson Copyright © 2003 by The Chimo Project All Rights Reserved. The authors hereby grant permission to reproduce this publication in part or in whole for non-commercial purposes, only. Inquiries about The Chimo Project can be mailed to: The Chimo Project Suite 200A-10140-117 Street Edmonton, Alberta T5K 1X3 CANADA Or emailed to: [email protected] or [email protected] Canadian Cataloguing in Publication Data: Urichuk, Liana J. (Liana Joanne), 1969- Improving mental health through animal-assisted therapy/Liana J. Urichuk with Dennis Anderson. Includes bibliographical references. ISBN 0-9732944-0-X 1. Animals -- Therapeutic use. 2. Pets -- Therapeutic use. 3. Mental illness -- Treatment. I. Anderson, Dennis (Dennis L.), 1949- II. Chimo Project. III. Title. RC489.P47U74 2003 616.89’165 C2003-910710-8 Improving Mental Health Through Animal-Assisted Therapy Liana J. Urichuk, BSc, PhD with Dennis Anderson Dedication This manual is dedicated to my friend of friends “Chimo” who taught me of unqualified love, and to all other animal friends who have selflessly provided comfort, compassion, and unparalleled commitment to humans. This dedication is generally without measure of our right to such gifts or of our own commitment to reciprocate. It is this affection that has given me the ability to survive, with relative sanity, in an often difficult world. The healing power of this unqualified love has been the inspiration for this manual and the project that produced it. May this book bring the healing power of an animal's love to those who need it to better handle an increasingly complex world. May this manual also give us a better appreciation for those creatures with whom we share the earth. Dennis Anderson Acknowledgements xii Preface xiv 1 CHAPTER Introduction to Animal- Assisted Therapy 1.0 Chimo Project Overview 1.1 The Human-Animal Bond 1.2 The History of Animal-Assisted Therapy 1.3 Anecdotal and/or Case Studies of Animal-Assisted Therapy 1.4 Experimental Studies of Animal- Assisted Therapy 1.5 Current Use of Animal-Assisted Therapy 1.6 References 2 CHAPTER Approaches to Incorporating Animals Into Mental Health Therapy Interventions 2.1 Goals and Strategies 2.1.1 Rapport/Relationship Building 2.1.2 Bonding 2.1.3 A Catalyst for Emotion 2.1.4 Empathy 2.1.5 Self-Esteem Building 2.1.6 A Catalyst for Nurturing/Giving 2.1.7 Enhancing Personal Growth and Development 2.1.8 Providing a Sense of Control 2.1.9 Reducing Abusive Behaviors or Tendencies 2.1.10 Psychological Benefits 2.2 Valuable Roles Animals Can Play in Therapy 2.2.1 Assessment Tool 2.2.2 Projective Tool 2.2.3 Tool for Storytelling and Metaphor 2.2.4 Role Modeling Tool 2.2.5 Teaching Tool 2.3 Alternative Ways to Utilize the Human- Animal Bond 2.3.1 Have an Animal Present 2.3.2 Use the Person's Relationship With Their Own Pet 2.4 Summary 2.5 References 3 CHAPTER Guidance for Implementing Animal- Assisted Therapy Programs 3.0 Standards for Animal Selection 3.1.1 Problem or Unacceptable Behaviors 3.1.2 Age and Health Status 3.1.3 Socialization 3.2 Guidelines for Training and Orientation 3.2.1 Training in AAT Techniques 3.2.2 Administrative Support and Policy Development 3.2.3 Program Planning and Design 3.3 Liability Issues 3.3.1 Non-Profit Organizations 3.3.2 Homeowner's and Renter's Insurance 3.3.3 Professional Liability Insurance 3.4 The Chimo Project and the Future 3.5 Selected AAT Training Courses and/or Degree Programs 3.6 References 4 CHAPTER Monitoring and Evaluating Animal- Assisted Therapy Programs 4.1 Performance Indicators 4.2 Outcome Measures 4.3 Efficacy 4.4 Testimonials as Outcome Measures 4.5 Safety 4.5.1 Stress 4.5.2 Health and Infection Control 4.5.3 Preventing Accidents and Injuries 4.6 Ethical Issues 4.6.1 Animal Welfare 4.6.2 Animal Abuse 4.7 References 5 CHAPTER Experimental Research Studies on Animal-Assisted Therapy 5.1 Experimental Studies of Animal- Assisted Therapy 5.1.1 Ownership 5.1.2 Visitation Within the Home 5.1.3 Visitation in Institutional Settings 5.2 Summary of Experimental Studies 5.3 References APPENDICES Appendix A Canadian Canine Good Citizen Test Appendix B Canine Aptitude Test Appendix C Therapist Evaluation Questionnaires Appendix D Client Evaluation Questionnaires Appendix E Summary of Goals and Strategies for AAT in Mental Health Settings Acknowledgements There are not many times when your vision is so understood, so shared, that the end result is a product that is better than you imagined. This manual was my vision, but it is the work of the very qualified, capable, and committed Dr. Liana Urichuk, Chimo Project Coordinator. I will forever be grateful for her commitment to the Chimo Project and for her exceptional competence, which surpassed any expectations of her job responsibilities. I also wish to thank those others who worked with the Chimo Project and have been dedicated to its concept: Dr. Bonnie Dobbs, the Project Evaluator, who not only provided research for the manual, but also moral support; and to Sylvia Imbeault, Sherryl Husereau, and Anne Nield who have provided dedicated administrative assistance. The therapists and volunteers who have worked on the project, many of whom are contributors to the manual, deserve a great deal of credit for the success of this project. They have seen the results that are possible and they are proof that this manual is much more than fiction. Without the support of the Canadian Mental Health Association and Bosco Homes the project would have had difficulty proceeding. They have our thanks. The involvement of the Chimo Project volunteer advisory committee, the Edmonton SPCA, and the Pet Therapy Society of Northern Alberta are gratefully acknowledged. Last and definitely not least, we must thank profusely the Health Innovation Fund, an initiative of Alberta Health and Wellness, who believed in the vision and funded the project. In particular, we wish to acknowledge Blair MacKinnon and his co- workers for being the most helpful and cooperative funding agency staff that anyone could ask for. This made a world of difference in the making of the project and this manual. Dennis Anderson
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