Animal Assisted
BY
Nicole Klimas
Using
animals in the therapy process adds another dimension to what can be done during
a half-hour therapy session. Animals,
particularly dogs and horses, heighten motivation and relaxation and are a great
reinforcer. Dogs are an
excellent example of the value that an animal adds to therapy In the Speech and
Hearing Center at the University of Alabama-Tuscaloosa, Beth Macauley, PhD CCC‑SLP,
uses her therapy dog in sessions with clients. Dr. Macauley and her dog are
certified pet partners from the Delta Society. They have worked together
visiting hospitals and nursing homes and providing therapy for over a year.
When
working with children on location words and prepositions, Dr. Macauley uses the
dog to illustrate those words. She may have a child tell the dog to go under a
chair while she makes the dog sit beside the chair. She then asks whether or not
the dog did what he was supposed to do, thus fostering
communication. Dr. Macauley also may read a book with a child and have the child act out the
story with the dog. For
those children who are more reticent about talking or have problems with
expressive language, she has them address the dog, telling him things and giving
him commands. There is nothing more motivating o a child than when the dog
responds, according to Dr. Macauley.
High‑functioning
children with autism benefit from the use of a dog in speech and language
therapy as well. For instance, the goal of one of her young patients is to
increase his eye contact and expressive speech output.
"When
we brought the dog in, the boy's goal was to first gain eye contact with him and
give him commands," she told ADVANCE.
"He couldn't give the dog commands unless he had eye contact. Once he
had eye contact and said the commands, the dog would do it. That was a great
reinforcer for him.” Dr. Macauley then began to work on the child's expressive
output".
"He
had to talk to us about the dog and describe the dog to us, such as what the dog
likes to do and what he did with the dog that day," she said. "He
would tell other people or his mom what he did with the dog during the session,
which got him to initiate interaction with other people."
Hippotherapy
describes therapy done with a horse. Dr. Macauley is in the process of working
out an agreement with a riding stable in Tuscaloosa to run a hippotherapy
program.
"The
fun thing about hippotherapy is that you can use the three‑dimensional
movements of the horse to actually stimulate the neuromuscular system of the
person who's on it," she said. "It relaxes spastic muscles and allows
greater range of movement and more normalization of movement for physical
therapy It does that with the respiratory and speech muscles so we can get
better vocalizations, sometimes improved articulation, better breath support and
better voice quality."
In addition, "the use of horses in therapy adds a motivating factor to
the sessions," Dr. Macauley said. Clients are "much more motivated to
come. They're more on task and more attentive to the session."
Other animals can be introduced into the therapy process as well. For
instance, cats are a relaxing component and encourage discussion in a therapy
session.

Four legged assistants provide added motivation
Dr. Macauley has used cats in
the nursing home environment with patients.' e did a lot of reminiscing, going
through picture books and talking about their own animals," she said of the
residents. "They may not have been as open to talk about it if the cat
wasn't there. "Animals can be used in a variety of environments and with
varying disorders. "It's just a matter of being creative, sitting down and
looking at your client's goals, and saying, 'OK, how can I incorporate the dog,
the horse or the cat?"' she said. the first step in introducing animals
into therapy is to obtain certification through the Delta Society, an
organization based in Renton, WA, with the mission of improving human health
through the use of therapy animals. Certification is achieved by completing a
home study course.
"You
learn the rules and regulations for using animals with disabled people as well
as how to maintain quality assurance and strict safety," Dr. Macauley
explained. Clinicians should take the information they learned through the
certification process, present it to their supervisor or facility; and ask for
approval to use a certified animal with clients. In making this request, it
should be emphasized that animals are not used for play but are integrated into
the therapy session.
Beth Macauley, PhD, Department of Communicative Disorders, University of
Alabama‑Tuscaloosa, Box 870242; Tuscaloosa, AL 35487; (205)
348‑0453; e‑mail: bmacaule@woodsquad.as.ua.edu
Nicole
Klimas is assistant editor of ADVANCE.
April
2, 2001 O advance for
Speech‑Language Pathologists & Audiologists