@article{schulz_retrospective_2023,
	title = {Retrospective {Examination} of {Service} {Dog} {Training} {Program} {Participation} and {Mental} {Healthcare} {Utilization}},
	volume = {104},
	doi = {10.1016/J.APMR.2022.07.009},
	abstract = {Objective: To investigate the association between Service Dog Training Program (SDTP) participation and mental health care utilization. Design: Retrospective cohort study. Setting: Outpatient rehabilitation clinic at a large military treatment facility. Participants: Military Health System beneficiaries who attended at least 1 SDTP session at a large military treatment facility (N=597). SDTP program enrollment records identified participants. Intervention: The SDTP, a unique application of animal-assisted therapy, is intended to improve the mental and cognitive health for individuals with war-related trauma. Main Outcome Measures: Negative binomial regression calculated the associations between the SDTP participation rate and 2 mental health care utilization outcomes: mental health encounter days and psychotropic medication months’ supply. Results: Most of the 597 participants were male, enlisted service members, and aged 25-34 years. Approximately 46\% had a posttraumatic stress disorder diagnosis, 21\% had a traumatic brain injury diagnosis, 47\% had an opioid prescription, and 58\% had a sleep aid prescription pre-SDTP participation. Participation was categorized into low (≤1 sessions), medium ({\textgreater}1 and ≤2 sessions), and high ({\textgreater}2 sessions) monthly participation. In adjusted analysis, high monthly SDTP participation was associated with 18\% fewer post-SDTP mental health encounter days (rate ratio [RR], 0.82; 95\% confidence interval [CI], 0.68-0.96) than low monthly SDTP participation. High monthly SDTP participation was also associated with a 22\% fewer post-SDTP psychotropic prescription months’ supply (RR, 0.78; 95\% CI, 0.64-0.95) than low monthly SDTP participation in adjusted analysis. Conclusions: Results suggest that participants who attend more than 2 SDTP sessions monthly encounter mental health care differently post SDTP than participants who attended 1 or fewer monthly sessions. Adjunct therapies, such as the SDTP, may offer patients a nonstigmatizing way to engage in mental health care.},
	number = {2},
	journal = {Archives of Physical Medicine and Rehabilitation},
	author = {Schulz, Rebecca N. and Jannace, Kalyn C. and Hisle-Gorman, Elizabeth J. and Pasquina, Paul F.},
	year = {2023},
	keywords = {Animal assisted therapy, Anxiety disorders, Military health, Mood disorders, Patient acceptance of health care, Psychotropic drugs, Rehabilitation, Service animals, Sleep disorders, circadian rhythm, Stress disorders, post-traumatic},
	pages = {237--244},
}

{"_id":"hdf3qGcwHaiEuBT2C","bibbaseid":"schulz-jannace-hislegorman-pasquina-retrospectiveexaminationofservicedogtrainingprogramparticipationandmentalhealthcareutilization-2023","author_short":["Schulz, R. N.","Jannace, K. C.","Hisle-Gorman, E. J.","Pasquina, P. F."],"bibdata":{"bibtype":"article","type":"article","title":"Retrospective Examination of Service Dog Training Program Participation and Mental Healthcare Utilization","volume":"104","doi":"10.1016/J.APMR.2022.07.009","abstract":"Objective: To investigate the association between Service Dog Training Program (SDTP) participation and mental health care utilization. Design: Retrospective cohort study. Setting: Outpatient rehabilitation clinic at a large military treatment facility. Participants: Military Health System beneficiaries who attended at least 1 SDTP session at a large military treatment facility (N=597). SDTP program enrollment records identified participants. Intervention: The SDTP, a unique application of animal-assisted therapy, is intended to improve the mental and cognitive health for individuals with war-related trauma. Main Outcome Measures: Negative binomial regression calculated the associations between the SDTP participation rate and 2 mental health care utilization outcomes: mental health encounter days and psychotropic medication months’ supply. Results: Most of the 597 participants were male, enlisted service members, and aged 25-34 years. Approximately 46% had a posttraumatic stress disorder diagnosis, 21% had a traumatic brain injury diagnosis, 47% had an opioid prescription, and 58% had a sleep aid prescription pre-SDTP participation. Participation was categorized into low (≤1 sessions), medium (\\textgreater1 and ≤2 sessions), and high (\\textgreater2 sessions) monthly participation. In adjusted analysis, high monthly SDTP participation was associated with 18% fewer post-SDTP mental health encounter days (rate ratio [RR], 0.82; 95% confidence interval [CI], 0.68-0.96) than low monthly SDTP participation. High monthly SDTP participation was also associated with a 22% fewer post-SDTP psychotropic prescription months’ supply (RR, 0.78; 95% CI, 0.64-0.95) than low monthly SDTP participation in adjusted analysis. Conclusions: Results suggest that participants who attend more than 2 SDTP sessions monthly encounter mental health care differently post SDTP than participants who attended 1 or fewer monthly sessions. Adjunct therapies, such as the SDTP, may offer patients a nonstigmatizing way to engage in mental health care.","number":"2","journal":"Archives of Physical Medicine and Rehabilitation","author":[{"propositions":[],"lastnames":["Schulz"],"firstnames":["Rebecca","N."],"suffixes":[]},{"propositions":[],"lastnames":["Jannace"],"firstnames":["Kalyn","C."],"suffixes":[]},{"propositions":[],"lastnames":["Hisle-Gorman"],"firstnames":["Elizabeth","J."],"suffixes":[]},{"propositions":[],"lastnames":["Pasquina"],"firstnames":["Paul","F."],"suffixes":[]}],"year":"2023","keywords":"Animal assisted therapy, Anxiety disorders, Military health, Mood disorders, Patient acceptance of health care, Psychotropic drugs, Rehabilitation, Service animals, Sleep disorders, circadian rhythm, Stress disorders, post-traumatic","pages":"237–244","bibtex":"@article{schulz_retrospective_2023,\n\ttitle = {Retrospective {Examination} of {Service} {Dog} {Training} {Program} {Participation} and {Mental} {Healthcare} {Utilization}},\n\tvolume = {104},\n\tdoi = {10.1016/J.APMR.2022.07.009},\n\tabstract = {Objective: To investigate the association between Service Dog Training Program (SDTP) participation and mental health care utilization. Design: Retrospective cohort study. Setting: Outpatient rehabilitation clinic at a large military treatment facility. Participants: Military Health System beneficiaries who attended at least 1 SDTP session at a large military treatment facility (N=597). SDTP program enrollment records identified participants. Intervention: The SDTP, a unique application of animal-assisted therapy, is intended to improve the mental and cognitive health for individuals with war-related trauma. Main Outcome Measures: Negative binomial regression calculated the associations between the SDTP participation rate and 2 mental health care utilization outcomes: mental health encounter days and psychotropic medication months’ supply. Results: Most of the 597 participants were male, enlisted service members, and aged 25-34 years. Approximately 46\\% had a posttraumatic stress disorder diagnosis, 21\\% had a traumatic brain injury diagnosis, 47\\% had an opioid prescription, and 58\\% had a sleep aid prescription pre-SDTP participation. Participation was categorized into low (≤1 sessions), medium ({\\textgreater}1 and ≤2 sessions), and high ({\\textgreater}2 sessions) monthly participation. In adjusted analysis, high monthly SDTP participation was associated with 18\\% fewer post-SDTP mental health encounter days (rate ratio [RR], 0.82; 95\\% confidence interval [CI], 0.68-0.96) than low monthly SDTP participation. High monthly SDTP participation was also associated with a 22\\% fewer post-SDTP psychotropic prescription months’ supply (RR, 0.78; 95\\% CI, 0.64-0.95) than low monthly SDTP participation in adjusted analysis. Conclusions: Results suggest that participants who attend more than 2 SDTP sessions monthly encounter mental health care differently post SDTP than participants who attended 1 or fewer monthly sessions. Adjunct therapies, such as the SDTP, may offer patients a nonstigmatizing way to engage in mental health care.},\n\tnumber = {2},\n\tjournal = {Archives of Physical Medicine and Rehabilitation},\n\tauthor = {Schulz, Rebecca N. and Jannace, Kalyn C. and Hisle-Gorman, Elizabeth J. and Pasquina, Paul F.},\n\tyear = {2023},\n\tkeywords = {Animal assisted therapy, Anxiety disorders, Military health, Mood disorders, Patient acceptance of health care, Psychotropic drugs, Rehabilitation, Service animals, Sleep disorders, circadian rhythm, Stress disorders, post-traumatic},\n\tpages = {237--244},\n}\n\n\n\n","author_short":["Schulz, R. N.","Jannace, K. C.","Hisle-Gorman, E. J.","Pasquina, P. F."],"key":"schulz_retrospective_2023","id":"schulz_retrospective_2023","bibbaseid":"schulz-jannace-hislegorman-pasquina-retrospectiveexaminationofservicedogtrainingprogramparticipationandmentalhealthcareutilization-2023","role":"author","urls":{},"keyword":["Animal assisted therapy","Anxiety disorders","Military health","Mood disorders","Patient acceptance of health care","Psychotropic drugs","Rehabilitation","Service animals","Sleep disorders","circadian rhythm","Stress disorders","post-traumatic"],"metadata":{"authorlinks":{}},"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/katiedillon","dataSources":["Qf74gub9z54CooHnE"],"keywords":["animal assisted therapy","anxiety disorders","military health","mood disorders","patient acceptance of health care","psychotropic drugs","rehabilitation","service animals","sleep disorders","circadian rhythm","stress disorders","post-traumatic"],"search_terms":["retrospective","examination","service","dog","training","program","participation","mental","healthcare","utilization","schulz","jannace","hisle-gorman","pasquina"],"title":"Retrospective Examination of Service Dog Training Program Participation and Mental Healthcare Utilization","year":2023}