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    Warriors receive therapy through service dog training program

    Warriors receive therapy through service dog training program

    Photo By Sgt. 1st Class Jon Cupp | Queens, N.Y., native Army Staff Sgt. Steven Betancourt, a patient and Soldier in...... read more read more

    BETHESDA, MD, UNITED STATES

    09.08.2015

    Story by Sgt. 1st Class Jon Cupp 

    U.S. Army Medical Readiness Command, East

    NAVAL SUPPORT ACTIVITY BETHESDA, Md. – Wounded, ill and injured warriors seeking to treat many of the unseen symptoms of stress have an internship at their disposal designed to help them face those challenges through interaction with a few eager canine companions.

    The Walter Reed Wounded Warrior Service Dog Training Program (WWSDTP) internship provides therapy while allowing military service members on NSAB and Fort Belvoir, Virginia to train dogs which will later be given to other disabled warriors.

    “What’s unique about the service dog training program is that we work with clinicians here from occupational therapists to recreational therapists and social workers to set goals with the service members. The goals will help them, as they train the service dogs, to eventually transition back to the civilian world,” said Carolyn Ford, a service dog training instructor for the program, who hails from Lawrence, Massachusetts.

    “Some of the specific goals that we help them with include socialization, emotional regulation and reduction of isolation, because a lot of times {wounded warriors} will go to appointments and then go back to their rooms, isolating themselves, so we want to get them out and get them active.”

    “The program can help people who have trauma, depression, anxiety and stress {among other conditions},” said Portsmouth, New Hampshire native, Col. Matthew St. Laurent, chief of occupational therapy/department of rehabilitation for the Walter Reed National Military Medical Center who oversees the program.

    “We all know that through the human-animal bond there is an endocrine hormonal production going on called oxytocin which is a “feel good” hormone. So training a service dog can help someone who may be going through PTSD or depression. We know that it relaxes them and calms their nerves.”

    Military service members are recommended for the program by people on their care team to include nurse case managers, primary care managers, occupational therapists, recreational therapists or social workers among others.
    Once they are accepted into the program, the service member goes to work with service dog trainers during train-the-trainer sessions. For the first sessions, the service members spend time developing a bond with the dogs they’re training.

    Over the course of the program, participants learn how to groom the animals, brush their teeth, clip their nails, check for any possible health issues, train the dogs to ignore distractions and teach the dogs various tasks that will allow them to assist veterans who have physical disabilities.

    Service dogs learn as many as 90 tasks during the training to include picking up dropped keys, retrieving things from the refrigerator, helping people undress, open doors and turn off light switches among a host of other duties.

    One of the biggest aspects of therapy with regard to training the dogs on commands involves emotional regulation, a complex process which includes the ability to regulate one’s state or behavior, according to Emily Mittelman, a clinical service dog instructor for the program whose family hails from Ambler, Pennsylvania.

    “There’s more to the program than just the socialization piece, the participant in the program can learn emotional regulation by being able to shift their voice to do the correct tones for commands or praise,” said Mittelman. “They are essentially re-training the way they think about talking to people and dogs.”

    The emotional regulation, which can help ease stress and depression through mood adjustment, has been compared to giving commands to the dogs in the strong intonation of someone like Arnold Schwarzenegger but then giving praise in a lighter, happy sounding intonation like that of Mickey Mouse.

    The program utilizes a positive tone as the dog’s reward which instructors say keeps the dogs engaged to continue training.

    “We want to make sure that whatever task we are training the dog to do that we’re giving positive reinforcement so we are rewarding the dog for good behavior,” said Mittelman. “Which means the dog is going to want to do it over and over again.”

    “The dog in training may not respond to you if you display a depressive tone,” added St. Laurent. “A dog attends to affection and loves when you cheer it on.”

    Service dogs trained in the program are mainly mobility dogs—those trained to help people who have some form of physical disability such as an amputation.

    According to St. Laurent, with many service members suffering from survivor’s guilt, making it back from combat when others didn’t, the program offers a way for them to give back to fellow veterans.

    “A lot of service members leave the battlefield with a feeling of so much guilt that they may develop Post Traumatic Stress reactions,” St. Laurent explained. “I can tell them that I can’t erase their past experiences, but maybe I can provide them some tools for living by inviting them to train a dog for a fellow vet.”

    The dogs used for the WWSDTP are loaned to the program by a local non-profit organization which breeds the dogs specifically to be service animals. The program receives Golden Retrievers or Labrador Retrievers from the organization when the dogs are about 16 weeks old.
    Once the dogs complete the program at about the age of two years old, they are returned to the non-profit organization and partake in a graduation ceremony where they are placed with a wounded, ill or injured veteran.

    For Brooklyn, New York native, Spc. Stephone Carmichael, an infantryman who is now a patient assigned to the Warrior Transition Brigade-National Capital Region (WTB-NCR), the program was a way to help him deal with a traumatic brain injury (TBI) suffered after being injured in an IED blast July 2014 in Afghanistan.

    “It definitely helps me in terms of my TBI as it helps me to recall things better, especially when giving and reciting commands to the service dogs,” said Carmichael. “It’s also a pretty relaxing atmosphere and I like working with the animals.”

    “I’ve definitely benefited from the program. It gives me a sense of accomplishment that I’m helping someone else while also helping myself with my TBI,” he added.

    When Queens, New York, native, Staff Sgt. Steven Betancourt, a logistics specialist now assigned as a patient with the WTB-NCR, was severely injured in an accident at Kandahar, Afghanistan in early 2014, he suffered through the stress of a nearly debilitating spine injury which left him with hip problems and other major issues.

    “Learning how to adapt when you’re healing is a whole complicated process, dealing with changes and how to go on with your future. It’s not easy but whenever I get [stressed], I set up times to work with the dogs,” said Betancourt. “When I leave [after working with the dogs], I’m happy, smiling and I have a great time. When you come to work with the dogs your frame of mind changes and everything becomes very calm.”

    Having a mobility issue himself, said Betancourt, has allowed him to be uniquely qualified to assist in training a mobility service dog.

    “I’m not able to walk like the average person anymore because I have a limp, and due to the spine injury, I’m limited and will never run again,” said Betancourt. “So when I come here, I have the dog walk at my pace, which is not the average person’s pace. The dog has to learn how to adjust to me.”

    “So once I leave, this dog will now be able to help someone else with my condition because he’s programmed to walk at a certain pace. It’s great to be able to help a wounded warrior in that way.”

    Currently, there are about 12 dogs being trained in the WWSDTP by wounded, ill or injured warriors at both NSAB and Fort Belvoir, Va.

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    NEWS INFO

    Date Taken: 09.08.2015
    Date Posted: 09.08.2015 11:54
    Story ID: 175412
    Location: BETHESDA, MD, US
    Hometown: AMBLER, PA, US
    Hometown: BETHESDA, MD, US
    Hometown: FORT BELVOIR, VA, US
    Hometown: LAWRENCE, MA, US
    Hometown: NEW YORK, NY, US
    Hometown: PORTSMOUTH, NH, US
    Hometown: QUEENS, NY, US

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