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Recovery from substance use disorder (SUD) is a personal journey that includes connection with self and others, including animals – known as the human-animal bond (HAB). Research shows that canines are the most common type of animal integrated into animal-assisted interventions to support people with SUD. Yet, to our knowledge, there has been no review of the evidence on the role of canines in SUD recovery. The scoping review’s objective was to examine the literature on the human-canine bond’s role in recovery from SUD among adolescents and adults, including how the bond may help or hinder recovery. The review considered records that described the human-canine bond with respect to recovery in any recovery- or therapy-related setting globally. Eleven databases were searched, and 32 sources met inclusion criteria that involved companion dogs, therapy dogs, service/assistance, dogs and others. The thematic analysis across records identified three key benefits of the human-canine bond in SUD recovery: (1) a source of social connection and a conduit for human-to-human social connection, (2) a calming and comforting effect on individuals with SUD that can reduce stress and anxiety, and (3) the human-canine bond as a motivating factor for positive change. Through these themes, the bond may help divert substance use-related thoughts and reduce cravings, bolster engagement in treatment and recovery, and help to decrease and prevent substance use. However, a few articles found no role or a limited role of the human-canine bond in recovery, and challenges and considerations were reported, particularly for marginalized populations (e.g., related to obtaining and maintaining housing, employment, and SUD treatment). Most of the records discussed canine welfare in some capacity. Calls were also made for improved policy, public awareness, and animal welfare.

Assistance and companion dogs have numerous positive effects for family of autistic children, such as supporting their rehabilitation and improving their quality of life. To date, very few studies have compared the effects of both types of dogs. This comparison, considering the limited access to assistance dogs, could be helpful for families wanting to adopt a dog. An explanatory sequential design with a mixed-method approach was used. First, 85 parents (nassistance dogs = 57; ncompanion dogs = 28) of children aged between 3 and 17 years old (M = 10.73, SD = 3.67) completed an online questionnaire including sociodemographic questions and the Treatment Acceptability Rating Form-Revised (TARF-R). Then, 17 of these participants (nassistance dogs = 14; ncompanion dogs = 3) completed a semi-structured interview. The quantitative data analyses showed that parents with assistance dogs were significantly more satisfied: t (83) = −2.12, p =.037, d = 0.49. Significant associations between some sociodemographic variables (e.g., number of children, comorbid condition, reasons for acquiring a dog) and acceptability/satisfaction (TARF-R total scores) were found. The qualitative analysis revealed that families with both dog types observed positive effects. In brief, having an assistance dog constitutes a significant added value; nevertheless, both types of dogs are appreciated. Parents of children on the autism spectrum show significantly higher levels of satisfaction with having an assistance dog to assist the rehabilitation of their child on the autism spectrum when compared to a companion dog. Assistance and companion dogs are both perceived as beneficial by parents and as an important source of support for the rehabilitation of children on the autism spectrum and other members of their family. Companion dogs trained specifically to assist the rehabilitation of children on the autism spectrum should be offered to families in the context of limited access to assistance dogs. [ABSTRACT FROM AUTHOR]

• Lack of policies to protect dogs in hot weather. • High number of client owned dogs being trained. • Limited number of organizations undertake training in risk of zoonotic disease. Assistance and therapy dogs play a key role in providing support to humans. There have been limited studies of the health, ethics, and welfare of the dogs involved in these programs. This study sought to identify the current practices relating to the care and management of assistance and therapy dogs within Australia. Online surveys with a focus on dog welfare, behavior, training, and education standards were developed for Australian organizations that train or provide assistance dogs or have an allied health professional working with a therapy dog. Responses were received from 29 assistance dog organizations surveys and 28 therapy dogs in allied health organizations. While there were areas of strong practice, such as requiring health clearances from veterinarians, providing vaccinations, and training in understanding dog body language, there were inconsistencies in requirements for rest times and regular behavioral and health checks. Just over half of the respondent assistance dog organizations have a policy for dogs working in hot weather. Few organizations recommended the avoidance of raw meat diets, and most did not require a negative fecal parasite result. This study identified a range of gaps in the current service provision in relation to dog welfare and highlighted the lack of consistency in current practice. The identified gaps can be used to develop best practice guidelines to ensure the sustainability of the assistance and therapy dog industry. [ABSTRACT FROM AUTHOR]

Introduction: Service dogs are an increasingly popular complementary intervention for children with autism spectrum disorder. However, despite increasing demand, there remains a lack of empirical research on their potential benefits. The purpose of this study was to evaluate the effects of service dogs on children with autism and their caregivers. Methods: A total of N = 75 families of children with autism were recruited from a non-profit service dog provider in the US, including n = 39 families previously placed with a service dog and n = 36 families engaging in usual care while on the waitlist. Caregivers completed an online survey containing both self- and proxy-report standardized measures of child, caregiver, and family functioning. Linear regressions modeled the relationship between service dog presence and survey outcomes, controlling for relevant child and caregiver covariates. Results: Results indicated that having a service dog was associated with significantly better child sleep behaviors, including better sleep initiation and duration and less sleep anxiety/co-sleeping with medium effect sizes. However, service dog presence was not significantly related to child withdrawal, negative emotionality, emotional self-control, hyperactivity, irritability, and lethargy with small effect sizes. For caregivers, having a service dog was not significantly related to standardized measures of caregiver strain, sleep disturbance, depression, or the impact of the child's condition on family functioning with small effect sizes. Supplemental matched case-control analyses confirmed these findings. Discussion: In conclusion, service dogs were found to positively impact sleep behaviors among children with autism, but may not uniformly relate to other areas of child and caregiver wellbeing. Prospective longitudinal designs, larger sample sizes able to detect small effects, and studies that measure sleep using objective methods are needed to build on these findings. [ABSTRACT FROM AUTHOR]

Partners of veterans diagnosed with posttraumatic stress disorder (PTSD) are at risk of a variety of challenges, and it is unknown whether psychiatric service dogs are disruptive to their sleep or provide similar benefits that are seen in the limited literature on veterans. As part of a larger clinical trial examining the efficacy of psychiatric service dogs for veterans with PTSD and their families, this study focused on sleep patterns of veterans' partners (n = 88), incorporating both subjective (clinically validated self-report surveys) and objective sleep measures (actigraphy). Linear regression was used to analyze differences in relation to group (intervention versus control) at follow-up, controlling for baseline score. Results revealed no significant differences between groups for both the subjective surveys (p = 0.15; p = 0.75) and the objective actigraphy measures (p = 0.06–0.98). This suggests that psychiatric service dogs are not disruptive, nor do they provide any benefits to partner sleep. Partners had sleep patterns on par with national norms at baseline and remained at such levels at follow up. Ultimately, using both subjective and objective measures, we found no impact of psychiatric service dogs on the sleep of veterans' partners. Trial registration: ClinicalTrials.gov identifier: NCT03245814. [ABSTRACT FROM AUTHOR]

In a Guide Dog population, there is a higher return rate of handlers' second dog compared with any prior or subsequent dog pairings. This phenomenon is called Second Dog Syndrome (SDS). Qualitative studies have identified defining features of this syndrome in Guide Dog handlers; however, there has been no peer-reviewed study into the experience of SDS in companion-dog owners or handlers of other assistance dogs. As such, this exploratory study aimed to define the SDS experience in companion-dog owners and assistance-dog handlers. Ten participants, all women, were recruited to participate in focus groups for companion-dog owners (n = 5) and assistance-dog handlers (n = 5). Transcripts were analyzed using thematic analysis. SDS was characterized by a strong bond with the previous dog, ongoing bereavement related to the previous dog loss, negative emotions related to the successor dog, and inability to bond with them. This appeared to be due to comparisons made between the successor and previous dog and unmet expectations of the new dog. For companion-dog owners it was also characterized by a fear of getting hurt again; for assistance-dog owners it was an inability to trust the successor dog, differences in work ability, and a threat to their independence. Time since the loss of the previous dog, awareness of the phenomenon of SDS, and support from the community also influenced the SDS experience. One unexpected finding was that SDS was not exclusively linked to second-paired dogs and that it may be more aptly named "Successor Dog Syndrome." Given that poor outcomes associated with unsuccessful dog–owner bonding may result in relinquishment, this study provides an important first step to being able to quantify the experience of SDS to develop interventions in the future. [ABSTRACT FROM AUTHOR]

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The goal of the present study was to examine how canine assistance may support family caregivers and persons with dementia and to document and compare two modalities of home care support. An exploratory comparative case study research design was conducted. Three cases correspond of dyads of a caregiver, a person with mild to moderate dementia, and either a neuro service dog (NSD), a companion dog or no dog. Hypotheses are formulated to capture differences between cases. Recruitment was done in a service dog organisation, through Canadian Alzheimer associations and in records of a hospital. Data were collected through 45–60 minutes telephone interviews that included completion of the Caregiver's Burden Scale and sociodemographic questions. We used an inductive approach with qualitative data. There were five caregivers (mean age 54.8 years) who had an NSD, 28 caregivers (63.6 years) who had a companion dog, and 23 caregivers (63.8 years) without dog. In the category of roles and usages of the dog, 'Socialisation' and 'Help with a sense of direction' were the most addressed roles for dyads with the NSD. For dyads with companion dog and without dog, 'Engagement-and-meaning of life' as well as 'Physical activity with the dog' were the most discussed roles. The 'Sleep or wake up' role was the least discussed role across three cases. In the other categories, they were seven advantages and 10 inconvenients that were mentioned for canine assistance. For home care support, the presence of NSD has more positive impacts on both the person with dementia and their caregiver compared to the presence of a companion dog; the presence of a NSD results in the person with dementia accessing more indoor and outdoor public sites than with a companion dog; and dyads with a dog are informally socially engaged more frequently than those with no dog. [ABSTRACT FROM AUTHOR]

Abstract Stigmatization of people with visible disabilities is a well-recognized concept, as is the knowledge that Assistance Dogs (ADs) may serve as social lubricants. This case study explored the interplay of these two concepts in the everyday life of a person (Mary) with a visible disability and her AD (Cino). This mixed methods study collected both quantitative observational data and qualitative interview data. Four episodes of Mary interacting in the community with and without Cino (AD) were observed using an observation checklist. These were complimented by four in-depth interviews with Mary and one with a close family member. Interview transcripts were used to construct a thematic understanding of the complex ways in which Mary’s life and experience of living with significant disability are impacted by having Cino to support her. Observational data identified that the presence of Mary’s AD considerably increased social acknowledgements of Mary from members of the public during community interactions. Two major themes (The dog makes a difference, and Lack of understanding, awareness, and support) each with four subthemes, emerged from the interviews. The complex mesh of experiences related to the support of her AD(s), both positive and negative, are mapped in the subthemes. While both positive and negative aspects of AD ownership were identified and explored, Mary assesses the net effect of having Cino, as ultimately positive, outweighing numerous complications and drawbacks in life lived with disability. The findings contribute to a more nuanced understanding of the way ADs can impact both positively and negatively in the lives of people living with disability. These insights provide points that can be used in discussing potential AD support with people exploring this option. They also caution against simplistic, “do ADs really work?” approaches in research as Mary’s lived experiences show that this is nuanced by multiple personal, clinical, social, physical, and broad environmental factors.

IntroductionService dogs are an increasingly popular complementary intervention for children with autism spectrum disorder. However, despite increasing demand, there remains a lack of empirical research on their potential benefits. The purpose of this study was to evaluate the effects of service dogs on children with autism and their caregivers.MethodsA total of N = 75 families of children with autism were recruited from a non-profit service dog provider in the US, including n = 39 families previously placed with a service dog and n = 36 families engaging in usual care while on the waitlist. Caregivers completed an online survey containing both self- and proxy-report standardized measures of child, caregiver, and family functioning. Linear regressions modeled the relationship between service dog presence and survey outcomes, controlling for relevant child and caregiver covariates.ResultsResults indicated that having a service dog was associated with significantly better child sleep behaviors, including better sleep initiation and duration and less sleep anxiety/co-sleeping with medium effect sizes. However, service dog presence was not significantly related to child withdrawal, negative emotionality, emotional self-control, hyperactivity, irritability, and lethargy with small effect sizes. For caregivers, having a service dog was not significantly related to standardized measures of caregiver strain, sleep disturbance, depression, or the impact of the child’s condition on family functioning with small effect sizes. Supplemental matched case-control analyses confirmed these findings.DiscussionIn conclusion, service dogs were found to positively impact sleep behaviors among children with autism, but may not uniformly relate to other areas of child and caregiver wellbeing. Prospective longitudinal designs, larger sample sizes able to detect small effects, and studies that measure sleep using objective methods are needed to build on these findings.

Animal-assisted Interventions (AAIs) are becoming increasingly popular. To date, information on the extent of AAIs in Germany is limited. With a focus on infection control measures in health care facilities (HCFs), two studies were conducted in Lower Saxony to gain knowledge about the structure, characteristics and frequency of AAIs. An online survey among AAI providers identified dogs as the most important animal species in AAI, which mainly operated in educational facilities (53%) and/or on own property (46%). Twenty-nine percent offered their services in HCFs. The majority (55%) of the animal handlers was highly trained in AAI, but their awareness of hygiene and infection control measures to prevent zoonotic disease transmission was limited. Nineteen percent of animal handlers dewormed dogs only when faecal examinations were positive and 13% of dogs received ectoparasiticides only when infestations were present. Raw meat diets were frequent (82%). There was little awareness among animal handlers about the possibility of a zoonotic transmission from the client to the animal. Thus, handling of therapy dogs often reflected that of a “normal” pet ownership and did not always account for the special situation in HCFs. A telephone survey in 148 hospitals showed that 28% of the hospitals had experiences with animal-assisted therapies or animal visits, but 22% of these were lacking regulations on handling these animal contacts. While 28% of all hospitals had regulations for assistance dogs only 5% were aware of a new law that grants people accompanied by an assistance dog broad admission rights to public spaces, including HCFs. With an expected further increase in popularity of AAIs high quality standards which include infection control measures and animal welfare should be adopted by all AAI providers and recipients. This will ensure a safe implementation of this complementary medicine, where both sides – the human and the animal – can benefit.

Assistance dogs for people with Posttraumatic Stress Disorder (PTSD) support their handlers by performing tasks that are supposed to mitigate the effects of their mental disability. This study examined the Quality of Life (QoL) of PTSD-assistance dogs’ handlers in Austria and Germany using a qualitative online questionnaire based on the Capability Approach. To correspondingly explore whether the involved assistance dogs experience distress triggered by their daily schedules, we measured their salivary cortisol values. These were compared to the cortisol levels of companion dogs without special tasks, as well as diabetic-signal dogs that have a similar workload. Our results showed that people suffering from PTSD-symptoms can improve their QoL with the aid of their assistance dog. However, being accompanied by an assistance dog creates new social barriers. Surprisingly, we found significantly lower salivary cortisol levels in PTSD-assistance dogs compared to the control groups. We conclude that a positive relationship between PTSD-assistance dogs and their handlers can reduce stress on both sides, and that training well tuned to the requirements of an assistance dog can prevent stress in their daily lives. [ABSTRACT FROM AUTHOR]

Animal geographies is going through methodological change, moving towards a variety of methodological approaches that enliven inquiry into nonhuman animals' lives. Despite this move, there is still a clear need to develop approaches to explore human–animal interaction that centre animals in geographical inquiry. This paper aims to build on lively debates in animal geographies to offer ethnomethodology as one such approach. Ethnomethodology, an approach rather than a method, has had only brief engagement with human geography, but this paper will argue that ethnomethodology has various characteristics that align with traditional geographical enquiry and that can help grapple with the many ontological and epistemological challenges animal geographers face. These characteristics: an attention to place‐based practices; a focus on agency and subjectivity; and an understanding of practices as a relational, offer points of interest for geography and ethnomethodology to converge. I expand on these facets and outline ethnomethodological engagement with animals before turning to my own example of human‐assistance‐dog training to illustrate how an ethnomethodological approach is useful to animal geographers. Overall, this paper suggests that ethnomethodology offers animal geographers: a focus on embodied senses; a concern with forms of agency and subjectivity within space and place; and a rich descriptive approach to practical detail. The paper concludes with a discussion towards geographical ethnomethodological futures. [ABSTRACT FROM AUTHOR]

This study aimed to explore perceptions and experiences about how owning a hearing dog can influence the functioning and the autonomy of people with hearing loss. Three adults participated in a semi-structured interview. The interviews were video recorded, transcribed, and coded. A procedure combining qualitative content analysis and interpretative phenomenological analysis was used. The study shows how specific aspects of hearing dogs are associated with increased autonomy and sense of security among owners. The attentive dog-owner pairing, the outstanding training and the companion role of the hearing dog are the main elements supporting the high satisfaction related by all the participants. In regard of the location context (Quebec, Canada), ongoing challenges for owners are reflected in the lack of visibility of this rehabilitation means and its poor recognition from the society, resulting in the constant burden to explain the dog’s work to others. For adults with hearing loss, the hearing dog is a relevant way of offering both the benefits of functional assistance and the psychosocial support of a pet. The association between owning a hearing dog and improved overall well-being suggests that this form of rehabilitation should be considered as a pertinent option by hearing health professionals.

This study aimed to explore perceptions and experiences about how owning a hearing dog can influence the functioning and the autonomy of people with hearing loss. Three adults participated in a semi-structured interview. The interviews were video recorded, transcribed, and coded. A procedure combining qualitative content analysis and interpretative phenomenological analysis was used. The study shows how specific aspects of hearing dogs are associated with increased autonomy and sense of security among owners. The attentive dog-owner pairing, the outstanding training and the companion role of the hearing dog are the main elements supporting the high satisfaction related by all the participants. In regard of the location context (Quebec, Canada), ongoing challenges for owners are reflected in the lack of visibility of this rehabilitation means and its poor recognition from the society, resulting in the constant burden to explain the dog's work to others. For adults with hearing loss, the hearing dog is a relevant way of offering both the benefits of functional assistance and the psychosocial support of a pet. The association between owning a hearing dog and improved overall well-being suggests that this form of rehabilitation should be considered as a pertinent option by hearing health professionals. [ABSTRACT FROM AUTHOR]

Despite increasing information on enhancing client communication and compliance/adherence in veterinary medicine, literature focusing on special cases remains limited: working with clients with special needs, challenges or disabilities, or when the patient is an assistance or emotional support animal. This paper summarizes current recommendations on how best to build successful working relationships with these clients, including action items to implement in practice. In addition, this paper reviews current literature on important considerations for care of assistance dogs as patients.

Simple Summary: Accounting for the global rise in mental health disorders, sustainable therapeutic strategies are urgently needed. However, despite the increasing interest in dogs that support their owners with a mental illness such as post-traumatic stress disorder, depression or autism, some issues including inconsistent use of terminology and the variability or lack of certification procedures across countries have remained unresolved. Moreover, to date, only few studies have addressed the tasks these dogs accomplish and there is only little information available on the canine welfare status related to the performance in human mental health support. This scoping review stresses the need for stringent procedures in legislation, certification, training of desired tasks and animal welfare management practices. Considering the challenges associated with a mental health diagnosis, collaborations of dog provider organizations and health care professionals would be desirable to continuously assess the efficiency of the human-dog dyad regarding their overall compatibility, general satisfaction and mutual well-being. The prevalence of mental health disorders, driven by current global crises, is notably high. During the past decades, the popularity of dogs assisting humans with a wide spectrum of mental health disorders has significantly increased. Notwithstanding these dogs' doubtless value, research on their legal status, certification processes, training and management practices, as well as their welfare status, has been scarce. This scoping review highlights that in contrast to other assistance dogs such as guide dogs, there exists no consistent terminology to mark dogs that assist humans with impaired mental health. Legal authorities monitoring the accreditation process, training and tracking of mental health supporting dogs are broadly lacking, with only few exceptions. This review emphasizes the need to address several topics in the promotion of progress in legal and welfare issues related to assistance dogs as well as emotional support dogs for humans with a mental health disorder. The current body of knowledge was assessed in three different areas of focus: (1) the legal dimension including definitions and certification processes; (2) the dimension of performed tasks; and (3) the dog welfare dimension including aspects of the relationship with the handler and risks associated with children recipients. Considering the challenges associated with a mental health diagnosis, collaborations of dog provider organizations and health care professionals would be desirable to continuously assess the efficiency of the human-dog dyad regarding their overall compatibility, general satisfaction and mutual well-being. [ABSTRACT FROM AUTHOR]

This exploratory case study using a mixed analytic approach aimed to assess the assistance dog's effects on social behaviors (SB) of a child with ASD. The first objective was to examine the frequency of 26 SB. The second objective aimed to assess symptoms of ASD. The third objective was to describe the mother's experience. One family participated in 17 sessions of direct observations. The mother completed the Social Communication Questionnaire (SCQ), the Gilliam Autism Rating Scale-Second Edition (GARS-2), and a semi-structured interview. The findings showed a discrepancy between the effects measured by direct observations and the parent's perceived benefits. [ABSTRACT FROM AUTHOR]

Assistance dogs are a potential intervention for families of children on the autism spectrum to support participation. However, the lived experience of families with new assistance dogs has not previously been explored. This study described the expectations, benefits, and challenges of assistance dog ownership for families of children on the autism spectrum. Data were collected from four mothers through semi-structured interviews and photovoice prior to assistance dog placement and following 6 months of ownership. Findings indicated assistance dog ownership enhanced the child's self-regulation and socialization, and increased participation in daily routines. Having an assistance dog also enhanced participation in family outings and activities. Challenges included the adjustment period and the lack of public awareness of autism assistance dogs. [ABSTRACT FROM AUTHOR]

Introduction: Assistance dogs are trained to support persons living with disability and mitigate limitations that hinder their participation in everyday activities. Despite participation being a frequent challenge for people with disabilities, evidence linking assistance dog provision to improved participation outcomes is underdeveloped. This scoping review aimed to improve understanding by mapping the participation outcomes claimed in research on assistance dogs using the International Classification of Functioning (ICF), Disability and Health framework. Methods: Using the Arksey and O′Malley's six‐step framework, this scoping review searched six databases. Data were collected, mapped and summarised in accordance with the domains outlined in the ICF. Results: In total, 38 studies across 41 papers met the inclusion criteria. Included studies investigated assistance dogs who were partnered with people living with physical disabilities, mental illness, autism and chronic conditions that require alerting (e.g., epilepsy and diabetes). Mapping of participation outcomes suggested that assistance dogs can have a positive impact on participation in many areas of daily life. Conclusion: Findings can assist practitioners, funders and policymakers to recognise the value of assistance dogs as a support for people with disability. However, further research is needed to address limitations regarding study designs, for example, the outcome measures used. [ABSTRACT FROM AUTHOR]

Background: Assistance dogs, considered a form of assistive technology within Australia's National Disability Insurance Scheme (NDIS), can support scheme participants to achieve greater independence. To receive funding, an allied health assessment report (most often from occupational therapists) is required to justify the animal as a reasonable and necessary support. Objectives: Examine Australian occupational therapists' knowledge and perceptions of assistance dogs; NDIS funding of animal supports; and resources considered useful to guide occupational therapy assessment and report writing. Method: An online anonymous survey was developed and distributed via social media channels, an email listserv, and professional association newsletters to Australian occupational therapists. Data were analysed using descriptive and inferential statistics. Inductive content analysis of open‐ended question responses provided additional insights regarding occupational therapists' knowledge, experiences, and information needs in relation to animal supports. Results: One hundred forty‐five completed surveys were received. A majority of participants had limited knowledge regarding the purpose, scope, and funding of assistance dogs. Only 14 participants had made a referral for an assistance dog for an NDIS participant. For the 36 participants who self‐identified as having good or excellent knowledge of one or more types of assistance dogs, benefits included increasing users' independence, confidence, and quality of life. Although participants agreed they had suitable skills to prescribe assistance dogs, greater clarification regarding their role in the NDIS assessment, advisory, and application process was seen as necessary. Conclusion: This research highlighted the need for increased information for occupational therapists regarding the various types of assistance dogs and NDIS funding rules. The provision of NDIS reporting templates, practice guidance, and professional development resources—as well as occupational therapy curriculum for near‐graduate therapists—could enhance knowledge, clinical reasoning, and practice when considering the most appropriate support and whether an assistance dog is both reasonable and necessary based on the person's goals and needs. [ABSTRACT FROM AUTHOR]

The prevalence of mental health disorders, driven by current global crises, is notably high. During the past decades, the popularity of dogs assisting humans with a wide spectrum of mental health disorders has significantly increased. Notwithstanding these dogs’ doubtless value, research on their legal status, certification processes, training and management practices, as well as their welfare status, has been scarce. This scoping review highlights that in contrast to other assistance dogs such as guide dogs, there exists no consistent terminology to mark dogs that assist humans with impaired mental health. Legal authorities monitoring the accreditation process, training and tracking of mental health supporting dogs are broadly lacking, with only few exceptions. This review emphasizes the need to address several topics in the promotion of progress in legal and welfare issues related to assistance dogs as well as emotional support dogs for humans with a mental health disorder. The current body of knowledge was assessed in three different areas of focus: (1) the legal dimension including definitions and certification processes; (2) the dimension of performed tasks; and (3) the dog welfare dimension including aspects of the relationship with the handler and risks associated with children recipients. Considering the challenges associated with a mental health diagnosis, collaborations of dog provider organizations and health care professionals would be desirable to continuously assess the efficiency of the human-dog dyad regarding their overall compatibility, general satisfaction and mutual well-being.

Studies have investigated the kinematics of the healthy canine thoracic limb (TL), but there is currently no research to the authors' knowledge investigating the influence of the working harness on TL kinematics. The aim of this study was to compare the TL stride length (SL) and shoulder, elbow and carpal joint range of movement (ROM) of assistance dogs when wearing three different harnesses (H1 and H2 Y-shaped harnesses; H3 the dog's original harness) with differing handle designs (A and B type handles; all dogs used an A type handle with H3, their original harness), in comparison to a standard collar at walk. Thirteen dogs were analyzed at walk in each condition: Harness 1, H1 (B-handle); Harness 2, H2 (A-handle); Harness 3, H3 (A-handle, and the dog's original working harness); and the Collar with the lead held between 20 and 40cm. A series of Friedman's analyses with post-hoc Wilcoxon Signed Rank tests compared SL and joint ROM at peak protraction and retraction of the TL. Results: The results show significant TL kinematic changes in H1 (B-handle): SL in H1 was significantly reduced in comparison to the Collar (6%; P = 0.008). In TL protraction, a significant reduction in shoulder extension was recorded for H1 in comparison to H3 (6%; P = 0.005). In TL retraction, a significant reduction in carpal extension was observed in H1 in comparison to the collar (4%; P = 0.008), H2 (2%; P = 0.005), and H3 (4%; P = 0.005). Conclusions: Differences in canine locomotion were observed between conditions in comparison to when the dog was at walk in the collar. Our findings suggest the harness handle type may result in the TL kinematic changes observed. Significant TL SL and ROM restrictions were noted in H1, the only harness in the study with a specific handle design (B-handle type). The increase in proximal TL joint ROM and a subsequent reduction in distal TL joint ROM suggests an alteration to the energy efficiency of locomotion when compared to previous literature. These results were seen only in H1 and not H2, a similar design of harness, therefore suggesting the B-handle type may be the key factor in the kinematic changes observed. [ABSTRACT FROM AUTHOR]

This study explored the bacterial transmission between patients and dogs during dog-assisted therapy (DAT). Twenty children (55% girls) with a median age of 7 years (range 3-17 years) were included. Two dogs assisted and the conditions were more restricted hygienically with dog 2. Samples from child and dog were collected and cultured before and after each DAT visit. The results showed that dog 1 transmitted bacteria repeatedly to the children. No bacteria were transmitted with dog 2. In conclusion, exchange of bacteria can occur between dog and child during DAT, but it can be reduced by simple infection control measures. [ABSTRACT FROM AUTHOR]

Individuals who have a functional or health impairment, are often in great need of conventional healthcare, social care and support, as well as help from family and friends. The use of dogs may be an important assistive support for this population. Assistance dogs are trained to assist with their owners' specific needs. The aim of this study is to explore service and hearing dog ownership from the owner´s perspective, by examining the owner's expectations before training a dog, and experiences after having a certified dog. This study was designed as a longitudinal intervention study with pre‐post design. The participants included in the study trained their own dogs to become service or hearing dogs. A number of open‐ended questions were answered by the participants before the training of the dog started, three months after the dog was certified, and 1–3 years after the first follow‐up. Data were analysed using thematic content analysis. The participants' expectations of what the dog would contribute after being certified was high. Their perceived experiences in many ways reflected their expectations. For example, they perceived that the dog contributed to improved health status, a more active lifestyle, improved ability to feel secure, and that they had become more independent. They also felt that the dog had strengthened their social relationships. Negative experiences were also identified. Not being allowed to bring their dog into public places and negative attitudes from other people were examples of this. This study shows that individuals being supported by an assistance dog experience the dog as an invaluable help in their everyday life. By improving the owners' lives in many ways, a certified service or hearing dog is a novel and important assistive support for people with a functional or health impairment. [ABSTRACT FROM AUTHOR]

Guide dogs are mobility aids that facilitate independent travel of people who are blind or visually impaired. Additional benefits imparted to the guide dog handler include companionship, and increased: social-function, self-esteem and confidence. Some evidence shows that the end of the guide dog partnership can result in reduced mobility, and may have profound psychosocial effects on the handler due to feelings of bereavement and loss of self-esteem. However, this evidence is limited. This study examined the experiences and feelings of 36 people across New Zealand, who experienced the ending of at least one partnership with a guide dog (77 pairings), to explore issues arising at the end of the partnership and how this may impact on relationships with subsequent dogs. Results indicate that the majority of handlers experienced a reduction in their quality of life due to a decrease in independent mobility followed by the loss of a friend and companion, curtailment of social interactions, and loss of self-esteem/confidence. The end of the partnership affected people in different ways. Most handlers “accepted” the partnership had ended, but some felt guilty or angry with the guide dog school. Most applied for another dog immediately, as the need for mobility was high, while others preferred to wait and a smaller number did not reapply. Feelings at this time also affected the handlers' relationships with subsequent guide dogs, with over a quarter expressing a negative effect. Retiring a guide dog (for whatever reason) is not only difficult for the handler, but also for the handler's family, friends, co-workers, and doubtlessly, the dog. The majority of handlers expressed feelings of extreme grief when the partnership ended, whether it was successful or not. Feelings of extreme grief were more common for first than subsequent dogs. The depth of emotion was compared to losing a family member or other loved one, which has been reported in some person and pet relationships. A better understanding of issues surrounding the end of the partnership, including the human-animal bond, will help inform the guide dog industry of how best to support their clients during this time and when transitioning to another dog. Findings may be applied to other service/assistance dog users and the pet owning community.

While our understanding of adult dog cognition has grown considerably over the past 20 years, relatively little is known about the ontogeny of dog cognition. To assess the development and longitudinal stability of cognitive traits in dogs, we administered a battery of tasks to 160 candidate assistance dogs at 2 timepoints. The tasks were designed to measure diverse aspects of cognition, ranging from executive function (e.g., inhibitory control, reversal learning, memory) to sensory discrimination (e.g., vision, audition, olfaction) to social interaction with humans. Subjects first participated as 8–10-week-old puppies, and then were retested on the same tasks at ~ 21 months of age. With few exceptions, task performance improved with age, with the largest effects observed for measures of executive function and social gaze. Results also indicated that individual differences were both early emerging and enduring; for example, social attention to humans, use of human communicative signals, independent persistence at a problem, odor discrimination, and inhibitory control all exhibited moderate levels of rank-order stability between the two timepoints. Using multiple regression, we found that young adult performance on many cognitive tasks could be predicted from a set of cognitive measures collected in early development. Our findings contribute to knowledge about changes in dog cognition across early development as well as the origins and developmental stability of individual differences. [ABSTRACT FROM AUTHOR]

Abstract Background Individuals with severe disability often require personal assistance and help from informal caregivers, in addition to conventional health care. The utilization of assistance dogs may decrease the need for health and social care and increase the independence of these individuals. Service and hearing dogs are trained to assist specific individuals and can be specialized to meet individual needs. The aim of this study was to describe and explore potential consequences for health-related quality of life, well-being and activity level, of having a certified service or hearing dog. Methods A longitudinal interventional study with a pre-post design was conducted. At inclusion, all participants in the study had a regular (untrained) companion dog. Data were collected before training of the dog started and three months after certification of the dog. Health-related quality of life was assessed with EQ-5D-3L, EQ-VAS and RAND-36. Well-being was measured with WHO-5 and self-esteem with the Rosenberg Self-Esteem Scale. In addition, questions were asked about physical activity and time spent away from home and on social activities. Subgroups were analyzed for physical service and diabetes alert dogs. Results Fifty-five owner-and-dog pairs completed the study (30 physical service dogs, 20 diabetes alert dogs, 2 epilepsy alert dogs, and 3 hearing dogs). Initially, study participants reported low health-related quality of life compared with the general population. At follow-up, health-related quality of life measured with the EQ-VAS, well-being and level of physical activity had improved significantly. In the subgroup analysis, physical service dog owners had lower health-related quality of life than diabetes alert dog owners. The improvement from baseline to follow-up measured with EQ-5D statistically differed between the subgroups. Conclusions The target population for service and hearing dogs has an overall low health-related quality of life. Our study indicates that having a certified service or hearing dog may have positive impact on health-related quality of life, well-being and activity level. Service and hearing dogs are a potentially important “wagging tail aid” for this vulnerable population, able to alleviate strain, increase independence, and decrease the risk of social isolation. Trial Registration The trial was retrospectively registered in http://clinicaltrial.gov, NCT03270592. September, 2017.

This research aimed to explore the experiences of handlers and trainers of disability assistance dogs in terms of the types of interactions they had with members of the Aotearoa NZ (NZ) public and how these interactions were perceived, interpreted, and managed. A qualitative method, guided by an interpretive approach and social constructionism, was utilised to collect data via semi-structured interviews with six handlers and six trainers of assistance dogs. Data were analysed using thematic analysis with the social model of disability as the theoretical base. Findings indicated that participants regularly faced a complex range of unique interactions due to various factors such as the public’s lack of knowledge and understanding of the dog’s role and right of access to public places. While participants encountered brief friendly comments about the dog and its role, other encounters involved long conversations, invasive personal questions, interference with their dogs, and denied access to businesses, cafés, restaurants, and public transport. These findings underpin the need to provide more education to the public on the etiquette of engaging with handlers and their assistance dogs and more support for businesses to understand the legal rights of handlers. Through education and support to change societal attitudes and remove structural barriers, disabled people using assistance dogs may be able to independently participate in community life and be fully included without hindrance.

To characterize the early ontogeny of dog cognition, we tested 168 domestic dog, Canis familiaris , puppies (97 females, 71 males; mean age = 9.2 weeks) in a novel test battery based on previous tasks developed and employed with adolescent and adult dogs. Our sample consisted of Labrador retrievers, golden retrievers and Labrador × golden retriever crosses from 65 different litters at Canine Companions for Independence, an organization that breeds, trains and places assistance dogs for people with disabilities. Puppies participated in a 3-day cognitive battery that consisted of 14 tasks measuring different cognitive abilities and temperament traits such as executive function (e.g. inhibitory control, reversal learning, working memory), use of social cues, sensory discriminations and reactivity to and recovery from novel situations. At 8–10 weeks of age, and despite minimal experience with humans, puppies reliably used a variety of cooperative-communicative gestures from humans. Puppies accurately remembered the location of hidden food for delays of up to 20 s, and succeeded in a variety of visual, olfactory and auditory discrimination problems. They also showed some skill at executive function tasks requiring inhibitory control and reversal learning, although they scored lower on these tasks than is typical in adulthood. Taken together, our results confirm the early emergence of sensitivity to human communication in dogs and contextualize these skills within a broad array of other cognitive abilities measured at the same stage of ontogeny. • We assessed cognitive and temperament traits in 8- to 10-week-old puppies. • Puppies reliably used cooperative-communicative gestures. • Puppies differentiated between choices using visual, auditory and olfactory cues. • Puppies exhibited executive function skills, but at lower levels than adults. • Sensitivity to human communication emerges early in dog ontogeny. [ABSTRACT FROM AUTHOR]

Purpose: Given the scarcity of service dogs to help individuals with mobility impairments in the community, it is crucial to identify facilitators and obstacles to the acquisition and use of service dogs in order to optimize their use and have a positive impact on the lives of individuals with disabilities. The goal of this study was to describe perceived facilitators and barriers influencing the acquisition and use of service dog by owners and rehabilitation providers, including those who had and had not recommended service dogs. Method: We conducted a phenomenological qualitative study involving in-depth interviews with nine service dog owners and 13 rehabilitation professionals in Canada. Our questionnaires were based on the Theoretical Domains Framework and the data were analyzed using a thematic content approach. Results: Knowledge, beliefs about consequences, and environmental context and resources were the domains most frequently mentioned by both dog owners and rehabilitation professionals. While service dog owners placed greater importance on their belief in their capacity to get and use service dogs, rehabilitation professionals focussed more on their role and identity within the process. Conclusion: Improving the knowledge of the availability and process of acquiring service dogs would be important for rehabilitation professions to improve the quality of life and functional capabilities of persons with disabilities. Identifying determinants of service dog acquisition and use can support proposed strategies to optimize the use of this assistive technology; Determinants of service dog acquisition and use are are different for dog owners and rehabilitation professionals, which suggest the need of tailored knowledge translation strategies; Knowledge, beliefs about consequences, and environmental context and resources were the categories of determinants perceived as being more influential on the process. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the effects of service dogs on psychosocial health and indicators of wellbeing among individuals with physical disabilities or chronic conditions. Materials and methods: A total of 154 individuals participated in a cross-sectional survey including 97 placed with a mobility or medical service dog and 57 on the waitlist to receive one. Hierarchical regression evaluated the effect of having a service dog on standardized measures of psychosocial health (Pediatric Quality of Life Inventory) as well as anger, companionship, and sleep disturbance (Patient Reported Outcome Measurement Information System). Among those with a service dog, the Monash Dog–Owner Relationship Scale quantified the human–animal bond. Results: Results indicated that compared to those on the waitlist, individuals with a service dog exhibited significantly better psychosocial health including higher social, emotional, and work/school functioning. There was no significant effect of having a service dog on anger, companionship, or sleep disturbance. Among those with a service dog, emotional closeness, dog–owner interaction, and amount of time since the service dog was placed were weak correlates of outcomes. Conclusions: Findings suggest that service dogs may have measurable effects on specific aspects of psychosocial health for individuals with physical disabilities or chronic conditions. Health care providers should recognize that in addition to the functional benefits service dogs are trained to provide, they can also provide their handlers with psychosocial benefits from their assistance and companionship. Results indicate that having a service dog was related to better emotional functioning, social functioning, and work/school functioning. Areas with no significant relationship with having a service dog included social companionship, sleep, and anger. Although findings are from a large and representative sample of mobility and medical service dogs, there may be individual differences in how service dogs affect the psychosocial health of their handlers. [ABSTRACT FROM AUTHOR]

Japan learnt how to promote assistance dogs effectively by deliberating the issues and challenges that surrounded assistance dogs in the USA and Europe and the Act on Assistance Dogs for Physically Disabled Persons was issued in 2002. The aim of this paper is to provide information that may be useful for countries and areas that are seeking ways to regulate assistance dogs, especially in the context of the global problem in which dogs are falsely claimed to assist their partners. First, there is a description of the process through which Japan, where pet dogs have not been accepted in society, established the Act, which overcame the shortcomings of the previous situation. Second, it is shown the ways in which people living with assistance dogs have gained the right to have their dogs accompany them in public. Third, the current challenges faced by people with assistance dogs are documented. Finally, pictures of an example of an assistance dog certificate and of an assistance dog sign reveal how far the regulation of assistance dogs is achieved in Japan.

Despite increasing information on enhancing client communication and compliance/adherence in veterinary medicine, literature focusing on special cases remains limited: working with clients with special needs, challenges or disabilities, or when the patient is an assistance or emotional support animal. This paper summarizes current recommendations on how best to build successful working relationships with these clients, including action items to implement in practice. In addition, this paper reviews current literature on important considerations for care of assistance dogs as patients.

The unpredictability of epileptic seizures is considered an important threat to the quality of life of a person with epilepsy. Currently, however, there are no tools for seizure prediction that can be applied to the domestic setting. Although the information about seizure-alert dogs – dogs that display changes in behavior before a seizure that are interpreted by the owner as an alert – is mostly anecdotal; living with an alerting dog (AD) has been reported to improve quality of life of the owner by reducing the stress originating from the unpredictability of epileptic seizures and, sometimes, diminishing the seizure frequency. The aim of the study was to investigate, at an international level, the behaviors displayed by trained and untrained dogs that are able to anticipate seizures and to identify patient- and dog-related factors associated with the presence or absence of alerting behavior. An online questionnaire for dog owners with seizures was designed. Information about the participants (demographics, seizure type, presence of preictal symptoms) and their dogs (demographics, behavior around the time of seizures) was collected. In addition, two validated scales were included to measure the human–dog relationship (Monash Dog–Owner Relationship scale (MDORS)) and five different traits of the dogs' personality (Monash Canine Personality Questionnaire refined (MCPQ-R)). Two hundred and twenty-seven responses of people experiencing seizures were received from six participant countries: 132 from people with dogs that had started alerting spontaneously, 10 from owners of trained AD, and the rest from owners of dogs that did not display any alerting behavior (nonalerting dog (NAD)). Individuals' gender, age, or seizure type did not predict the presence of alerting behavior in their dogs. People who indicated that they experience preictal symptoms were more likely to have a spontaneously AD. The owner–dog bond was significantly higher with ADs compared with NADs, and ADs scored significantly higher than NADs in the personality traits "Amicability", "Motivation", and "Training focus". This study collected a large group of dog owners with seizures reporting behavioral changes in their dogs before their seizures occurred. This was associated with the presence of preictal symptoms. The seizure-alerting behavior of the dog may have a positive influence on the bond between the owner and the dog. • Most of the participants identified behavioural changes in their dogs before their perceived onset of seizures. • Having an alerting dog was frequently associated with the owners experiencing pre-ictal symptoms. • Standing next to the owners and licking their faces and wrists were the most frequent alerting behaviours described. • According to the respondents, some dog personality traits were more frequent in alerting dogs. • The presence of seizure alerting behaviour may have a positive influence on the bond between the owner and the dog [ABSTRACT FROM AUTHOR]

Assistance dogs have long been used to help with physical disabilities and are now increasingly being used by patients suffering from a host of psychological ailments. As assistance dogs enter the physical space of the psychotherapist's office, we should consider their effect on the psychological space. Psychoanalytic theory and technique have evolved to address the ways that the participants' subjectivity may influence each other. The presence of an assistance dog in the consulting room inevitably contributes to the treatment process, especially affecting the subjective experience of both patient and therapist. In this paper, a clinical example is used to describe the intersubjective experience of the therapist, the patient and the assistance dog. [ABSTRACT FROM AUTHOR]

Purpose: To assess the effects of a mobility service dog (MSD) on pain, fatigue, wheelchair-related functional tasks, participation and satisfaction among manual wheelchair users over a nine-month period. Method: A longitudinal study with repeated assessment times before and three, six and nine months after intervention was achieved. Intervention consisted in partnering each participant with a MSD. The setting is a well-established provincial service dog training school and participants homes. A convenience sample of 24 long-term manual wheelchair users with a spinal cord injury was involved. Outcome measures were: Wheelchair User's Shoulder Pain Index (WUSPI), Rate of Perceived Exertion (RPE), vitality scale from the SF-36, grip strength, Wheelchair Skills Test (WST), Canadian Occupational Performance Measure (COPM), Reintegration to Normal Living Index (RNLI), Life Space Assessment, Psychosocial Impact of Assistive Devices Scale (PIADS) and Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0). Results: Shoulder and wrist pain as well as fatigue decreased significantly over time with the use of a MSD as evidenced by scores from WUSPI, RPE and SF-36 (feeling less worn out). Manual wheelchair propulsion skills (steep slopes, soft surfaces and thresholds) improved significantly over time as confirmed by the WST. Participation increased significantly over time as revealed by the COPM (for five occupations) and the RNLI (for five items). Satisfaction with the MSD was high over time (QUEST: nine items) and with a high positive psychosocial impact (PIADS: 10 items). Conclusion: MSD represents a valuable mobility assistive technology option for manual wheelchair users. For manual wheelchair users partenered with mobility service dog • Shoulder pain and fatigue significantly decreased and continued to decrease between the third and sixth month and the ninth month. • Performance with propelling the wheelchair up steep slopes increased from 41 to 88% and on soft surfaces increased from 53 to 100% after 3 months, respectively. • Occupational performance satisfaction was significantly increased for mobility in relation with the transfers, navigating in a natural environment and picking up objects. • High satisfaction towards psychosocial competency, psychosocial adequacy and self-esteem were reported at months three, six and nine. [ABSTRACT FROM AUTHOR]

Working dog organisations regularly assess the behaviour of puppies to monitor progression. Here, we tested the predictive validity (for predicting success in guide dog training) of a shortened version of a previously developed juvenile dog behaviour questionnaire (the refined puppy walker questionnaire, r-PWQ) and compared it with the Canine Behavioral Assessment and Research Questionnaire (C-BARQ). The r-PWQ is used by Guide Dogs UK, whereas the C-BARQ was designed for pet dogs and is used by some other guide dog schools internationally. A cohort of dogs aged eight months (n = 359) were scored concurrently on the r-PWQ and C-BARQ. Analogous traits between the questionnaires were evaluated for internal consistency and association with training outcome and compared for concurrent validity. The r-PWQ was associated with training outcome for five scales (r-Excitability, Trainability, Animal Chase, r-Attachment and attention seeking and Distractibility) and the C-BARQ for two scales (Excitability and Separation-related behaviour). There were significant correlations between analogous C-BARQ and r-PWQ trait scores (p < 0.001) except for Separation-related behaviour and questionnaire scales had similar internal consistencies. The r-PWQ may be more suitable to use with guide dog schools. However, due to the correlation between analogous scales (except for “Distractibility”) some scales could be substituted for one another when reviewing the behaviour of dogs between guide dog schools using different questionnaires.

Working dogs play a variety of important roles, ranging from assisting individuals with disabilities, to explosive and medical detection work. Despite widespread demand, only a subset of dogs bred and trained for these roles ultimately succeed, creating a need for objective measures that can predict working dog aptitude. Most previous research has focused on temperamental characteristics of successful dogs. However, working dogs also face diverse cognitive challenges both in training, and throughout their working lives. We conducted a series of studies investigating the relationships between individual differences in dog cognition, and success as an assistance or detection dog. Assistance dogs (N = 164) and detection dogs (N = 222) were tested in the Dog Cognition Test Battery, a 25-item instrument probing diverse aspects of dog cognition. Through exploratory analyses we identified a subset of tasks associated with success in each training program, and developed shorter test batteries including only these measures. We then used predictive modeling in a prospective study with an independent sample of assistance dogs (N = 180), and conducted a replication study with an independent sample of detection dogs (N = 90). In assistance dogs, models using data on individual differences in cognition predicted higher probabilities of success for dogs that ultimately succeeded in the program, than for those who did not. For the subset of dogs with predicted probabilities of success in the 4th quartile (highest predicted probability of success), model predictions were 86% accurate, on average. In both the exploratory and prospective studies, successful dogs were more likely to engage in eye contact with a human experimenter when faced with an unsolvable task, or when a joint social activity was disrupted. In detection dogs, we replicated our exploratory findings that the most successful dogs scored higher on measures of sensitivity to human communicative intentions, and two measures of short term memory. These findings suggest that that (1) individual differences in cognition contribute to variance in working dog success, and (2) that objective measures of dog cognition can be used to improve the processes through which working dogs are evaluated and selected.

Animal-assisted Interventions (AAIs) are becoming increasingly popular. To date, information on the extent of AAIs in Germany is limited. With a focus on infection control measures in health care facilities (HCFs), two studies were conducted in Lower Saxony to gain knowledge about the structure, characteristics and frequency of AAIs. An online survey among AAI providers identified dogs as the most important animal species in AAI, which mainly operated in educational facilities (53%) and/or on own property (46%). Twenty-nine percent offered their services in HCFs. The majority (55%) of the animal handlers was highly trained in AAI, but their awareness of hygiene and infection control measures to prevent zoonotic disease transmission was limited. Nineteen percent of animal handlers dewormed dogs only when faecal examinations were positive and 13% of dogs received ectoparasiticides only when infestations were present. Raw meat diets were frequent (82%). There was little awareness among animal handlers about the possibility of a zoonotic transmission from the client to the animal. Thus, handling of therapy dogs often reflected that of a "normal" pet ownership and did not always account for the special situation in HCFs. A telephone survey in 148 hospitals showed that 28% of the hospitals had experiences with animal-assisted therapies or animal visits, but 22% of these were lacking regulations on handling these animal contacts. While 28% of all hospitals had regulations for assistance dogs only 5% were aware of a new law that grants people accompanied by an assistance dog broad admission rights to public spaces, including HCFs. With an expected further increase in popularity of AAIs high quality standards which include infection control measures and animal welfare should be adopted by all AAI providers and recipients. This will ensure a safe implementation of this complementary medicine, where both sides - the human and the animal - can benefit., Competing Interests: None., (© 2023 The Authors.)

• After 3-months of partnering with an assistance dog there were statistically significant reductions in stress, anxiety, and PTSD (PCL-5). • The reductions in stress, anxiety, and PTSD (PCL-5) at the 3-month follow-up persisted at the 6-month and 12-month follow-up periods. The aim of this pilot study was to evaluate the effectiveness of two specialized Australian PTSD assistance dog programs in reducing PTSD and mental health symptoms over a one-year period. A total of 44 participants who were partnered with an assistance dog were analysed. Using an intent to treat analysis, compared to the baseline measures, all mental health outcomes exhibited statistically significant reductions in scores at the 3-month follow-up, and persisted at the 6-month, and 12-month follow-up. When comparing baseline to 3-month follow-up the effect size (Cohen's d) was strongest for stress (d = 0.993), followed by PTSD (d = 0.892), anxiety (d = 0.837). Analyses among those who also completed the waitlist-baseline assessment (n = 23) showed slight reductions in stress and depression prior to receiving their dog (whilst waiting for their dog). However, larger reductions were yielded across all mental health measures when comparing waitlist-baseline to 3-month follow-up. [ABSTRACT FROM AUTHOR]

Assistance dogs are a very diverse group of working dogs that are trained to assist humans with different types of disabilities in their daily lives. Despite these dogs’ value for humankind, research on their welfare status, cognitive and behavioural capacities, selection criteria for the best fitting individuals, effective training and management practices, and genetic issues are so far lacking. This review highlights the need to address these topics and to promote progress in legal issues around assistance dogs. The topic of assistance dogs is approached comprehensively by outlining the current status of knowledge in three different dimensions: (1) the legal dimension, outlining important legal issues in the EU and Australia; (2) the welfare dimension; and (3) the dimension of research, covering assistance dog selection and training. For each of these three dimensions, we discuss potential approaches that can be implemented in the future in order to support assistance dog working performance, to protect the dogs’ welfare, and to improve our knowledge about them. Additionally, there remain many legal issues, such as the presence of assistance dogs in public areas, the resolution of which would benefit both the assistance dog and the owner with disability.