Comprehensive Combat and Complex Casualty Care (C5)

Facility Dogs – The Rodney Dangerfield Of The Canine Companions for Independence World

I’ve said for a long time that Facility Dogs are the Rodney Dangerfield of the Canine Companions for Independence world, and, in my experience, even most associated with CCI aren’t really aware of the wide variety of things they do.

I know I sure didn’t give them the respect they deserve initially, and that was largely because every time I heard them being brought up, it was as a means to an end, specifically in military hospitals, of educating patients about applying for service dogs. Now that’s certainly a great thing and very much a part of what they do, but they have a tremendous role to play all on their own, and there aren’t nearly enough of them out there.

That’s why I was so happy to see this great recent video with CCI Facility Dog Scully and his partner Elizabeth Penny – they are perhaps the best example I’ve seen of using the full range of a Facility Dog’s capabilities in a physical rehabilitation environment. Video is only 7 1/2 minutes, but if you don’t even have that much time, fast forward to 2:25 where Elizabeth explains and demonstrates what Scully does, and give me 5 minutes.

The video speaks for itself and says more than I ever could, but note the big things Elizabeth talks about having Scully help with:

  • articulation of speech – e.g., after strokes, aphasia, or brain injuries with the associated difficulty speaking
  • physical therapy – grooming, walking, feeding, teaching commands
  • education – patients who might benefit from a service dog get hands-on training and actually work with him
  • pure motivation – especially with pediatric patients, just to get them up and outta the bed (“Sometimes patients will say ‘I’ll come down for Scully, but I’m not coming down for therapy.’”)

You can see a whole list of rehabilitation goals Scully helps with at his WakeMed page:

  • Improve memory
  • Improve word retrieval
  • Improve sequencing skills
  • Improve socialization
  • Increase auditory comprehension
  • Increase verbal spontaneous speech
  • Increase motivation for participation
  • Increase attention
  • Improve use of upper extremities
  • Improve ability to interact with dog
  • Improve use of gestures in language
  • Improve articulation
  • Improve sitting balance
  • Improve gait training
  • Decrease situational depression

(By the way, Scully, as you some of you may have wondered about, was named for Vin Scully, the legendary Dodgers broadcaster. Very cool story about how that happened – I don’t know that Vin himself even knows there is a dog named after him.)

There are several CCI Facility Dogs involved in military settings, most notably Tommy at the Naval Medical Center San Diego Comprehensive Combat Casualty Care Center (C5); and Ascot and Bhadra at the Oklahoma City VA Medical Center. Based on numerous conversations I’ve had over the years, though, I’m firmly convinced that the vast majority of occupational therapists have no idea what a Facility Dog can do, and if they did, they’d be pounding on CCI’s door to get one.

Elizabeth said it best: “I don’t know if I could go without having a dog in rehab. The impact that it has made on my patients, and my coworkers… I just don’t know that I could go without one.”

“After Severe War Injuries, A New Battlefield”

U.S. Marine Juan Dominguez lies still while Peter Harsch, chief of prosthetics at Naval Medical Center San Diego, wraps a plaster mold on his leg stump.“After Severe War Injuries, A New Battlefield”

Saw this one via Soldiers’ Angels Germany yesterday. Nothing about service dogs in it, but there are two service dog-related things I wanna mention.

First, I always like to remind people whenever I see stories about troops rehabbing at Naval Medical Center San Diego (a.k.a. Balboa Naval Hospital) that Canine Companions for Independence Facility Dog Tommy is there. That’s because, even in the wounded warrior world, most don’t know that CCI Facility Dogs exist, much less that there’s one at NMCSD Comprehensive Combat and Complex Casualty Care (C5) and has been for two years now (“CCI Places First Facility Dog At A Major Wounded Warrior Medical Care Center”).

Second, note this key phrase: “The number and rate of double- and triple-amputees have risen dramatically in the last 18 months. “

More confirmation of what I’ve been saying here for some time. Namely, we already weren’t effectively reaching the existing population of physically injured veterans from all eras about service dogs and what they can do for them, and that population continues to grow daily. In addition, while the ongoing focus on “the invisible wounds of war” (i.e., post-traumatic stress) is very definitely appropriate and needed, and I mean no disrespect to anyone living with it, let’s not forget that we still have plenty of troops coming home with very visible wounds as well.

Canine Companions for Independence Assistance Dogs On-Duty For Veterans

Great picture of two Canine Companions for Independence assistance dogs and their humans taken during the recent US Paralympics Military Sports Camp that was held at Naval Medical Center San Diego (NMCSD) Oct 14-17:

Buddy Hayes, Canine Companions for Independence service dog Ellie, Kristin Valent, CCI facility dog Tommy.


Left to right – Buddy Hayes, her Service Dog Ellie, Kristin Valent, physical therapist at NMCSD Comprehensive Combat and Complex Casualty Care (C5), and Facility Dog Tommy who is assigned with her there. (Click the image for a larger version.)

I wrote about Tommy right after his graduation back in May (“CCI Places First Facility Dog At A Major Wounded Warrior Medical Care Center”), and you can read lots about Buddy and Ellie if you look around – they’ve been on Montel, among other things.

Not only a great picture, but a perfect example of something I mentioned just the other day about not confusing how much you hear about a service dog organization’s program (particularly where veterans are concerned) with how good that program is.

There are many cases of highly trained service dogs (CCI dogs being the prime example) helping veterans like this that happen every day without a lotta fanfare, hype, or drama. No big publicity push from the organization that placed the dog, no big screaming headline about how a veteran and his dog are being unfairly treated by (fill in the blank), no big pronouncement from a celebrity or legislator about yet another new dog program that will help veterans – all stuff that I see daily and, frankly, am worn out on.

No, none of that – just someone’s personal picture in a group of pictures linked on Facebook that caught my eye because I know everyone in it and that I asked if I could use.

And a coupla working dogs working.

CCI Places First Facility Dog At A Major Wounded Warrior Medical Care Center

I attended the Canine Companions for Independence Southwest Regional Center (SWR) graduation in Oceanside, CA last Saturday, and one of the graduating teams was a Facility Dog, Tommy III, along with therapists from the Naval Medical Center San Diego, Comprehensive Combat and Complex Casualty Care, better known as C5.

NMCSD C5 therapists April Walter, Jacque Moore, and Kristin Valent; Facility Dog Tommy III and his proud Puppy Raisers from Denver, Vanessa and Kevin O'Grady. Photo courtesy Carol-Ann DeMaio Goheen.
L to R: NMCSD C5 therapists April Walter, Jacque Moore, and Kristin Valent; Facility Dog Tommy III; and his proud Puppy Raisers from Denver, Vanessa and Kevin O’Grady. Photo courtesy Carol-Ann DeMaio Goheen.

This is a huge placement and a major milestone for assistance dogs in the military medical world that’s been two years in the making – how very appropriate that it happened a little over a week before Memorial Day! What makes it so special is a combination of two things:

First, C5 is one of only three major active duty military medical centers where our most severely wounded warriors, primarily amputees, do their rehabilitation – Walter Reed Army Medical Center (WRAMC) in Washington, DC for those living back East; Center for the Intrepid at Brooke Army Medical Center (BAMC/CFI) in San Antonio, TX for those living in the central US; and NMCSD/C5 in San Diego, CA for those living out West.

Second, CCI Facility Dogs are really a class unto themselves among dogs in the rehabilitative hospital environment. You can read more detail in the story I’ve provided in the links section below, but basically that’s because (1) Facility Dogs go through the same two-year process and learn all but three of the same commands as all other CCI assistance dogs, and (2) they are integrated into the ongoing daily rehab program and are trained to respond to the instructions of the therapists conducting that program.

(BTW, I realize that trying to differentiate Facility Dogs from other dogs can be very confusing for those not involved with assistance or therapy dogs, and can also seem disrespectful to those other dogs.  As someone with a Delta Society complex-qualified therapy dog who visits in a military hospital, that is definitely not my intent, but it’s essential to understand that difference – all the dogs are wonderful and do great things, but there’s really no comparison.)

Put those two things together and you have a truly one-of-a-kind combination.  Ideally, though, it won’t be that way much longer – I’m hoping that, on top of all the great work he is already doing, Tommy will be the breakthrough who will make it much easier to get this idea across now, and we will see CCI Facility Dogs in the other rehab centers as well.

Links:

Official website of Naval Medical Center San Diego, Comprehensive Combat and Complex Casualty Care:

http://www.med.navy.mil/sites/nmcsd/Patients/Pages/ComprehensiveCombatandComplexCasualtyCare.aspx

“Tommy Time” – fantastic interview with Tommy’s puppy raisers with many background details at Ross’ DogBlog:

http://www.thedenverchannel.com/family/19458606/detail.html

Short but detailed article about Scully, a CCI Facility Dog at WakeMed Rehab Hospital in Raleigh, NC, that will tell you everything you need to know about Facility Dogs:

http://www.wakemed.org/body.cfm?id=832

Pictures from the graduation:

Ken Sergi: 

http://www.shutterfly.com/pro/KenSergi/ccigrad051609

Carol-Ann DeMaio Goheen:

http://share.shutterfly.com/action/welcome?sid=0AZN2jJq4YtGLCWg