Behavioural assessment is only valuable if the information collected is communicated accurately, objectively and appropriately. Clear documentation and effective communication support continuity of care, facilitate interdisciplinary collaboration and contribute to informed clinical decision-making. Behavioural observations often provide important evidence regarding an assistance animal’s health, welfare and occupational performance, but these observations must be presented in a manner that is objective, evidence-based and relevant to the intended audience.
Occupational Therapists frequently work alongside veterinarians, assistance animal trainers, veterinary nurses, animal behaviourists, general practitioners, psychologists, support coordinators, educators and disability support providers. Each profession contributes a unique perspective to the assessment and management of assistance animal partnerships. Effective collaboration depends upon timely sharing of accurate information while recognising the expertise and scope of practice of each professional.
Documentation should distinguish observable facts from professional interpretation. Behavioural records should describe what was seen, heard or measured rather than assumptions about an animal’s intentions or emotions. When interpretation is provided, it should be clearly identified as a clinical opinion based on available evidence and should acknowledge any limitations of the assessment.
Communication also extends beyond written documentation. Occupational Therapists regularly educate handlers, discuss concerns with families, contribute to interdisciplinary meetings and advocate for both handler participation and animal welfare. Effective communication therefore requires technical accuracy, professional judgement and the ability to adapt information for different audiences while maintaining confidentiality and ethical standards.
This chapter examines best practice principles for documenting behavioural observations, communicating findings within interdisciplinary teams and supporting collaborative, welfare-centred decision-making.
Clinical documentation should be:
Records should allow another practitioner to understand what was observed without requiring additional explanation or interpretation.
Good documentation contributes to continuity of care and provides a defensible record of clinical reasoning.
Behavioural documentation should describe observable actions rather than subjective opinions.
For example:
Less appropriate
“The dog was lazy and refused to work.”
More appropriate
“The dog paused three times during a familiar retrieval task, required additional verbal prompting and returned to the handler more slowly than observed during previous sessions.”
The second example describes observable behaviour and allows readers to consider multiple possible explanations.
Occupational Therapists should distinguish between:
For example:
Observation
“The dog repeatedly shifted weight from the left forelimb during standing.”
Clinical interpretation
“This behavioural change may indicate discomfort and warrants further investigation.”
Recommendation
“Recommend veterinary assessment prior to increasing workload or implementing behavioural intervention.”
Separating these components improves clarity and reduces the risk of unsupported conclusions.
Handlers are essential members of the interdisciplinary team.
When discussing behavioural observations, Occupational Therapists should:
Where behavioural concerns require specialist assessment, referral pathways should be explained collaboratively and respectfully.
Behavioural concerns often require collaboration between multiple professionals.
Occupational Therapists may communicate behavioural findings to:
Communication should remain focused on the Occupational Therapist’s observations and professional reasoning while respecting the expertise of other disciplines.
Recognising when referral is required is an essential component of safe practice.
Referral should be considered when behavioural observations suggest:
Timely referral protects both the assistance animal and the handler and supports coordinated interdisciplinary care.
Behavioural records often contain information relating to both the assistance animal and the handler.
Occupational Therapists should ensure that documentation:
Ethical communication also requires practitioners to avoid overstating certainty, making unsupported behavioural diagnoses or providing recommendations outside their professional competence.
High-quality behavioural communication contributes to:
By communicating observations clearly and objectively, Occupational Therapists support decisions that consider both human occupational outcomes and the wellbeing of the assistance animal.
Occupational Therapists play an important role in ensuring behavioural information is communicated accurately and professionally.
They should be able to:
Effective communication strengthens interdisciplinary collaboration and ensures behavioural information contributes meaningfully to safe, evidence-based assistance animal practice.
Behavioural assessment is a collaborative process grounded in objective observation, systematic recording and clear communication. Occupational Therapists contribute to safe and ethical assistance animal practice by documenting behavioural findings accurately, recognising indicators of compromised health and welfare, working within their professional scope, and collaborating effectively with interdisciplinary teams to support both human participation and animal wellbeing.