Military Review English Edition November December 2016 | Page 97

DOG THERAPY be sent home early being able to complete a deployment. Dr. Heidi Squier Kraft, a Navy psychologist who deployed with the U.S. Marines, chronicled such an effect. She encountered a marine who was struggling with depression and PTSD during deployment. “She told me her future was hopeless,” wrote Kraft. “She spoke of falling asleep and never awakening.”26 Kraft worked with the marine, using both antidepressant medication and behavioral therapy, with only limited progress. She worried she would need to send the marine stateside, mid-deployment. However, a few weeks later, the marine came back to see Kraft, and the psychologist’s concerns disappeared. According to Kraft, the marine appeared happy: “Our unit has adopted this puppy,” she started as she sat down. I had heard about several groups of marines finding the orphaned puppies of wild dogs on base and making them unofficial mascots, feeding them with shipments of puppy chow sent from home …27 Kraft had tried all of the standard medical treatments for PTSD for this marine, but reached a point at which there were no other known medical options apart from removal from the location of the inciting event. Then, the marine got a dog, she got better, and she was able to finish her deployment. Kraft relates that since then, she has heard of other examples of marines adopting dogs, with similar therapeutic outcomes. These dogs apparently played an important role by helping comfort and facilitating psychological healing among other marines in the same way. In effect, the troops were self-medicating by bringing these dogs into the units.28 Additional data comes from the Army, where dogs have been useful in facilitating the mission of Combat and Operational Stress Control (COSC) teams. These teams “provide education and therapy in the theater of war.”29 The Army began attaching dogs to COSC teams in 2007 in an initiative that originally sent two dogs to Iraq.30 The dogs accompanied their handlers and were able to serve as icebreakers between the medical practitioner and the soldiers. In a U.S. Army Medical Department Journal article, William Kroll wrote, “Whether in a one-on-one or group setting, members of the COSC teams have reported that service members would talk to them for longer periods of time than if they were alone.”31 In another report, Lorie MILITARY REVIEW  November-December 2016 Fike, Cecilia Najera, and David Dougherty wrote of a Labrador retriever, Albert, which was a part of one of the COSC units. His handler was grateful to have the dog assist in therapy: [Albert] was able to ease tension of many of our clients in order to assist in their willingness to seek out the COSC unit for care and to openly discuss the issues that had troubled them … The ability to travel with Albert to each unit within our contingency operations base provided opportunities to engage our clients from a preventative standpoint … As we would visit a unit, news would travel to adjacently oriented units that would also request our services. This only further assisted our detachment in trying to reach all of the potentially at-risk [combat and operational stress reaction] casualties.32 The report observes that members of the COSC teams noted how the dogs provided multiple benefits across the entire mental health process, from setting up meetings to getting soldiers coming back for appointments: “The primary handlers noticed an increase in requests for unit visits and commands scheduled more commander briefs.”33 The dogs also helped to de-stigmatize the mental health intervention because the interaction now seemed to be about the dog and no longer as much about the psychologist or other care provider. As the report noted elsewhere, “The therapy dogs allowed the COSC units to market their services in a unique way, because they were able to post flyers and write stories about the therapy dogs.”34 An additional collateral impact was that unit commanders seemed more likely to allow the COSC prevention teams to meet with units when there was a dog involved: The dog’s presence helped the therapist seem more approachable and assisted with the flow of conversation. Senior officers and enlisted personnel took more time to listen to the mental health staff and find out what services were available for soldiers. The mental health team also walked through motor pools and aircraft hangars, and throughout the [forward operating base’s] work and living spaces to make contact with service members and to try to gauge the stress and morale levels. If the therapy dog was present, service members appeared more 95