Animal-assisted therapy (AAT) is an alternative or complementary type of
therapy that involves animals as a form of treatment. It falls under the
realm of Animal Assisted Interventions (AAI). AAI is general term that
encompasses any intervention or treatment that includes an animal in a
therapeutic context such as Emotional-Support Animals, Service/Assistance
Animals (i.e., trained animals that assist and support with daily
activities), and Animal Assisted Activity (AAA).
Animal-assisted therapy takes place in a variety of settings, including prisons, hospitals, nursing homes, therapeutic
boarding schools for teens and mental health facilities. This form of treatment can take place individually or in
groups, and is led by a qualified therapist or professional with specialized expertise.
AAT is much more than simply spending time with an animal, animal-assisted therapy involves specific therapeutic goals,
strategies and outcomes measures. Therapeutic experiences can include walking, brushing, petting and caring for an
animal, as well as processing the experience of trying to achieve a given task.
AAT contains sub-sections based on the type of animal, the targeted
population, and how the animal is being incorporated into the therapeutic
plan. The most commonly used types of AAT are canine-assisted therapy and
equine-assisted therapy.
The goal of AAT is to improve a patient's social,
emotional, or cognitive functioning and literature reviews state that
animals can be useful for educational and motivational effectiveness for
participants. Imagine you're in the hospital. Your doctor mentions the
hospital's animal-assisted therapy program and asks if you'd be
interested. You say yes, and your doctor arranges for someone to tell you
more about the program. Soon after that, an assistance dog and its handler
visit your hospital room. They stay for 10 or 15 minutes. You're invited
to pet the dog and ask the handler questions. After the visit, you realize
you're smiling. And you feel a little less tired and a bit more
optimistic. You can't wait to tell your family all about that charming
canine. In fact, you're already looking forward to the dog's next visit.
In recent decades, an increased number of research indicates the social,
psychological, and physiological benefits of animal assisted therapy in
health and education field. Although the effectiveness of AAT is still
unclear due to the lack of clarity regarding the degree to which the
canine itself contributes in the recovery process, there is a growing
awareness that AAT may be effective in treating attention deficit
hyperactivity disorder, post-traumatic stress disorder, autism spectrum
disorder, and dementia
Research has found animals can have an overall positive effect on health
and improve mood and quality of life.The positive effect has been linked
to the human-animal bond. In modern times animals are seen as "agents of socialization" and as providers of "social support and
relaxation".
The earliest reported use of AAT for the mentally ill took
place in the late 18th century at the York Retreat in England, led by
William Tuke. Patients at this facility were allowed to wander the grounds
which contained a population of small domestic animals. These were
believed to be effective tools for socialization. In 1860, the Bethlem
Hospital in England followed the same trend and added animals to the ward,
greatly influencing the morale of the patients living there. However,
in other pieces of literature it states that AAT was used as early as 1792
at the Quaker Society of Friends York Retreat in England. Velde, Cipriani
& Fisher also state "Florence Nightingale appreciated the benefits of pets
in the treatment of individuals with illness." The US military promoted
the use of dogs as a therapeutic intervention with psychiatric patients in
1919 at St Elizabeth's Hospital in Washington, DC. Sigmund Freud kept many
dogs and often had his chow Jofi present during his pioneering sessions of
psychoanalysis. He noticed that the presence of the dog was helpful
because the patient would find that their speech would not shock or
disturb the dog and this reassured them and so encouraged them to relax
and confide. This was most effective when the patient was a child or
adolescent. Increased recognition of the value of human–pet bonding was
noted by Dr. Boris Levinson in 1961. Dr. Boris Levinson accidentally used
animals in therapy with children when he left his dog alone with a
difficult child, and upon returning, found the child talking to the dog.