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More than a best friend

Although we usually associate assistance dogs with people with visual impairment, they are also an invaluable help in many other cases, such as autism and epilepsy

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ASSISTANCE DOGS MUST BE STABLE FROM AN EMOTIONAL POINT OF VIEW

He’s help­ing the whole fam­ily.” It is dif­fi­cult to bet­ter ex­press the role played by Bruno, the as­sis­tance dog who cares for Paula, an 8-year-old girl who suf­fers from an autis­tic dis­or­der as a re­sult of Phe­lan Mc­Der­mid syn­drome. When they re­ceived the di­ag­no­sis, her par­ents, Nuria and Enric, started what they see as “an ob­sta­cle course”. After learn­ing about cases they had seen in news and doc­u­men­taries or had known first­hand, they de­cided to get an as­sis­tance dog for Paula. They did it through Dis­can, one of six ap­proved en­ti­ties in Cat­alo­nia. The process, still on­go­ing, is a long one. “You want him right away,” Núria says, but “it has to be trained, basic train­ing specif­i­cally for chil­dren with autism, and then it has to adapt to its new en­vi­ron­ment.” They tried to speed up the process be­cause their daugh­ter has had to be ad­mit­ted to hos­pi­tal three times in re­cent months. They have been in the final phase for a year and seven months now. At first, Bruno stayed as a com­pan­ion dog, but two weeks later the cou­pling process began with the in­struc­tors to adapt Bruno to Paula’s moods.

Since the end of July, Bruno has lived with them and has be­come an­other mem­ber of the fam­ily, to the point that he not only helps Paula calm down more quickly or pre­vent her re­cur­ring for­ays onto the streets, but he also in­ter­acts with the rest of the fam­ily. On the one hand, he is “help­ing Paula’s brother, Marc, who’s five, to process the sit­u­a­tion he’s ex­pe­ri­enc­ing”. For now, Bruno plays with him, but Marc is be­gin­ning to learn that Paula is the pri­or­ity. Bruno also in­ter­acts with Paula’s grand­mother, who has Alzheimer’s and lives with them: “Some morn­ings, when gran hasn’t got up on time, Bruno goes into her room and doesn’t leave until she touches him and he knows that every­thing’s fine. He’s very in­tu­itive and super in­tel­li­gent,” ex­plains Núria. Their opin­ion of Bruno leaves no room for doubt: “It’s not just a mat­ter of work­ing with Paula and being there for her. It’s about help­ing us all to live through the sit­u­a­tion bet­ter to­gether.”

There are 283 as­sis­tance dogs in Cat­alo­nia, ac­cord­ing to the De­part­ment of So­cial Rights. Many (212) are guide dogs, help­ing peo­ple with vi­sual dis­abil­i­ties. That is the most com­mon image we have of them, quickly iden­ti­fied on the streets of our cities or towns, but there are also some, like Bruno, who work with autis­tic peo­ple (31). Or with sound sig­nalling, that is, they are trained to warn peo­ple with hear­ing im­pair­ments of dif­fer­ent sounds and in­di­cate their source of ori­gin; or ser­vice dogs (25), which as­sist peo­ple with mo­bil­ity dif­fi­cul­ties; or warn­ing dogs (12), which give med­ical alerts for peo­ple who suf­fer from seizures due to epilepsy, di­a­betes or cere­bral syn­cope, such as Vir­ginia, who fre­quently faints.

Vir­ginia, who suf­fers from ago­ra­pho­bia as a re­sult of her ill­ness, got her as­sis­tance dog by chance, in a very atyp­i­cal way. A few years ago, her dog died and she de­cided to adopt a Labrador, Lucky, to have a com­pan­ion dog. After three months, how­ever, she began to re­alise that, with­out hav­ing trained him, the dog would in­di­cate when one of her episodes was be­gin­ning. She soon con­tacted Dis­can and sent Lucky to com­plete the train­ing on how to send out cer­tain warn­ing signs. Thus her com­pan­ion dog be­came an as­sis­tance dog and an in­sep­a­ra­ble helper. Aside from warn­ing, Lucky has other abil­i­ties, such as pick­ing things up with his mouth or help­ing Vir­ginia go out­side. The most pre­cious ben­e­fit he gives her is the “con­fi­dence to go out”; Vir­ginia went a year and a half with­out leav­ing home be­fore Lucky ar­rived. “When he warns me, I know I’m going to faint im­me­di­ately. So I can pre­pare. I sit on the floor, stretch my legs and pass out for a few sec­onds. Dur­ing this process, Lucky stays by my side.”

An­other case is that of Cristina, who was born with cere­bral palsy and has mo­bil­ity prob­lems. She never imag­ined shar­ing her life with a dog. In fact, both she and her hus­band were fear­ful of the idea. But in the sum­mer of 2019, while on hol­i­day in San Se­bastián, they came across a man ac­com­pa­nied by a labrador who was not even an as­sis­tance dog. That for­tu­itous en­counter was a rev­e­la­tion. Cristina told her hus­band and daugh­ter that she would like an as­sis­tance dog. On her re­turn she began to look for in­for­ma­tion and stum­bled upon Dis­can, which she con­tacted. The adap­ta­tion process with her as­sis­tance dog, Bai­leys, has been pro­gres­sive: first at the Dis­can fa­cil­i­ties and later at home. Two years on, Bai­leys has stayed for good, as an­other mem­ber of the fam­ily.

The dog does not have a har­ness, but it does have a lead, giv­ing her the as­sur­ance that she does not have to walk the streets, cross pedes­trian cross­ings or climb stairs alone. It also helps her if she falls. Al­though Bai­leys has be­come her travel com­pan­ion, Cristina tells us that he is not al­ways “in work mode” and is also a com­pan­ion dog like any other.

Guide dogs

The most com­mon as­sis­tance dogs are guide dogs, which sup­port peo­ple with vi­sual im­pair­ment. Many come from the Once or­gan­i­sa­tion, which tests po­ten­tial users, trains the dogs and car­ries out the adap­ta­tion and mon­i­tor­ing process. Isaac Padrós and David Abad are two of the 283 users in Cat­alo­nia. Isaac has a guide dog, Guilty, which has greatly in­creased his con­fi­dence and au­ton­omy, to the point that he now walks up to 10 kilo­me­tres a day in his home city of Girona: the dog goes with him to take his daugh­ter to school, to Girona Uni­ver­sity Law Fac­ulty, where he stud­ies, and also to the swim­ming pool. “A walk that used to make me very ner­vous, I can now enjoy from the mo­ment I say, ’let’s go Guilty!’” he says. David has had two guide dogs: Puka and Nit. He stresses their “abil­ity to find cross­ings and, above all, to dodge ob­sta­cles”.

Fea­ture An­i­mals

Fea­ture An­i­mals

MERITXELL ARIAS TEIXIDOR

“Labradors are ideal assistance dogs”

What is Discan and why was it founded?
It all started while I was working at the Guttmann Institute. I decided to throw myself fully into it, I left the Institute and dedicated myself a hundred percent to the association. From 2007 to 2009 we focused on training therapy dogs and the first assistance dog, looking at what programmes and organisations there were, and whether it was better to form an association or a company. Discan is a non-profit organisation that was initially founded to provide assisted intervention with dogs and assistance dogs for people with disabilities, which are the two areas we work most in. From there, the need arose to train professionals and also to educate in positive reinforcement, that is, without any type of punishment.
What are the different kinds of assistance dogs?
Apart from the guide dog, which is also an assistance dog, there is the service dog, which accompanies people with physical disabilities; the signal dog, which accompanies people with hearing disabilities; the warning dog, which accompanies people with diseases that cause recurrent seizures with subsensory disconnection, whether syncope, diabetes, epilepsy or others; and the dog for children with autism, which is now also being opened up to adults.
Tell us what the dogs can do in each of these cases. Autism, for example...
Each child with autism is different, and there’s a wide range of characteristics and symptoms. But there are some dog skills that can help with common problems, such as escapism, difficulty sleeping, nervousness at home or stereotypy and aggressiveness, either towards themselves or towards other people. In the case of escapism, for example, the dog is tied with two leashes and the moment it feels a pressure, it stands still. In the case of episodes or stereotypy, what we do is put the dog in the middle, so that it captures the attention of the child, who takes less time to wake up from the episode. In the case of sleeping, it is very typical for the child to wake up at night and find it difficult to sleep. When there’s a good bond with the dog, as time passes, the child can sleep without having to have their parents by their side, which allows the family considerable relief.
And in the case of the service dog, what exactly does it do?
It depends, it can range from picking things up off the floor to helping climb stairs or ramps, to crossing streets. With a dog, many people find they can walk much better, more safely and without a cane. In the case of a person in a wheelchair, it can allow access to some places where the user cannot normally reach. In the end, it’s about gaining autonomy, making it easier for people to go out safely.
You start with dogs over 10 months old rather than new-borns...
We look for dogs that are physically and physiologically healthy, because otherwise, they cannot do the service entrusted to them. They must also be stable from an emotional point of view. And you don’t know that with a puppy, no matter how many tests you do on it.
How long can the training process take and what does it consist of?
Including socialisation, basic work and specific training, we can be talking about a year and a half depending on the maturity and age of the dog. It’s true that training helps maturation, but even so, each dog is different and some find it much harder than others.
I imagine not all breeds are useful...
Labradors and Golden Retrievers are the most common. There’s a reason for that. These are breeds that were formerly selected to collect the hunter’s prey. All breeds are born according to the needs of humans. Labradors are ideal as assistance dogs: very willing to work and to change hands if necessary.
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