An observational study of the relationship between Capacity for Care as an animal shelter management model and cat health, adoption and death in three animal shelters

Using institutional ethnography to analyse animal sheltering and protection II: Animal shelter work

Efficient adoption is an important aim of animal shelters, but it is not possible for all animals including those with serious behavioural problems. We used institutional ethnography to explore the everyday work of frontline shelter staff in a large animal sheltering and protection organisation and to examine how their work is organised by standardised institutional procedures. Shelter staff routinely conduct behavioural evaluations of dogs and review intake documents, in part to plan care for animals and inform potential adopters about animal characteristics as well as protect volunteers and community members from human-directed aggression. Staff were challenged and felt pressure, however, to find time to work with animals identified as having behavioural problems because much of their work is directed toward other goals such as facilitating efficient adoption for the majority and anticipating future demands for kennel space. This work is organised by management approaches that broadly aim to maintain a manageable shelter animal population based on available resources, decrease the length of time animals spend in shelters and house animals based on individual needs. However, this organisation limits the ability of staff to work closely with long-stay animals whose behavioural problems require modification and management. This also creates stress for staff who care for these animals and are emotionally invested in them. Further inquiry and improvements might involve supporting the work of behavioural modification and management where it is needed and expanding fostering programmes for animals with special needs.

Stray and Owner-Relinquished Cats in Australia-Estimation of Numbers Entering Municipal Pounds, Shelters and Rescue Groups and Their Outcomes

Access to comprehensive municipal pound, animal welfare shelters, and rescue group data for admissions and outcomes for stray and owner-relinquished cats in Australia is currently lacking. This hinders effective assessment of existing management strategies for domestic cats by animal management agencies. Our study aimed to estimate the numbers of cat admissions and intakes to Australian municipal council pounds, animal welfare organizations (excluding smaller animal welfare organizations thought to have annual cat intakes of less than 500), and animal rescue groups and their respective outcomes for 2018-2019 (pre-COVID). Unavailable municipal council data were imputed based on known data and council human populations. Only Victoria and New South Wales had publicly available municipal data, and only RSPCA had publicly available data in all states. We estimated a total of 179,615 (7.2/1000 human residents) admissions to pounds, shelters, and rescue groups in 2018-2019, with an estimated 5% reclaimed, 65% rehomed, and 28% euthanized. Reclaim rates were low across all the agencies. Councils operating their own pound had nearly double the euthanasia rate (estimated at 46%) compared to animal welfare organizations (25%). Rescue groups rehomed an estimated 35% of the total number of cats rehomed by all agencies. The upper quartiles of councils with intakes of >50 cats in Victoria and New South Wales had estimated euthanasia rates from 73% to 98%, and 67% to 100%, respectively. We recommend that comprehensive municipal pound, shelter, and rescue statistics be routinely calculated using standardized methods and made available publicly in a timely fashion. This would inform management strategies to optimize live outcomes and therefore reduce the negative mental health impacts on staff tasked with euthanizing healthy and treatable cats and kittens.

A review of evidence-based management of infectious ocular surface disease in shelter-housed domestic cats

Infectious ocular surface disease (IOSD) is a common problem in shelter-housed domestic cats and has a widespread negative impact on animal welfare. While the common etiological agents are well-described, addressing IOSD in large groups of animals presents a management challenge to the clinician and logistical challenges to shelter employees. Treatments, diagnostics, and prevention strategies that are effective in privately owned or experimental animals may be impractical or ineffective in the shelter environment. This review article focuses on the relative prevalence of etiological agents in feline IOSD, practical diagnostic testing protocols, prevention strategies, and treatment of IOSD in shelter-housed cats. Discrepancies between experimental laboratory-based studies and clinical trials assessing therapeutics for treatment of feline herpes virus are highlighted. Further high-quality clinical trials are necessary to determine optimal preventative and therapeutic protocols for IOSD in shelter-housed cats.

Outbreak management of multidrug-resistant Bordetella bronchiseptica in 16 shelter-housed cats

CASE SERIES SUMMARY

This case series describes an outbreak of multidrug-resistant (MDR) Bordetella bronchiseptica in 16 shelter-housed cats with infectious respiratory disease. Four cats presented with acute dyspnea on the same day, each with a history of previous upper respiratory disease that had resolved with treatment. Early diagnostic testing and culture and sensitivity allowed for targeted antimicrobial therapy and environmental interventions. A case definition based on exposure and clinical signs identified 12 additional presumptive cases, including the likely index case. Comprehensive outbreak management included diagnostic testing, risk assessment, vaccination, use of isolation and quarantine, increased surveillance and review of biosecurity practices. The outbreak resolved in 26 days.

RELEVANCE AND NOVEL INFORMATION

Management of an MDR B bronchiseptica outbreak in shelter-housed cats has not been previously described. Along with standard population and environmental measures, early and appropriate use of necropsy, PCR and bacterial culture allowed rapid and appropriate use of effective, second-line antibiotics. Shelters are resource-challenged population centers. Veterinarians working in animal shelters can play an important role in helping to develop cost-efficient and effective antimicrobial stewardship practices for companion animal settings. Outbreak management expertise and funding for diagnostic testing, as well as application of the principles of antimicrobial stewardship, are essential components of shelter medicine practice.

Animal sheltering: A scoping literature review grounded in institutional ethnography

A diverse research literature now exists on the animals, staff and organisations involved in animal sheltering. We reviewed this research through the lens of institutional ethnography, a method of inquiry that focuses on the actual work that people do within institutions. The main topics, identified through a larger ethnographic study of animal sheltering, were: (i) research about shelter staff and officers; (ii) the relinquishment of animals to shelters; and (iii) animals' length of stay in shelters. After reviewing the literature, we held focus groups with shelter personnel to explore how their work experiences are or are not represented in the research. The review showed that stress caused by performing euthanasia has attracted much research, but the decision-making that leads to euthanasia, which may involve multiple staff and potential conflict, has received little attention. Research on 'compassion fatigue' has also tended to focus on euthanasia but a granular description about the practical and emotional work that personnel undertake that generates such fatigue is missing. Published research on both relinquishment and length of stay is dominated by metrics (questionnaires) and often relies upon shelter records, despite their limitations. Less research has examined the actual work processes involved in managing relinquishment as well as monitoring and reducing animals' length of stay. Institutional ethnography's focus on people's work activities can provide a different and more nuanced understanding of what is happening in animal sheltering and how it might better serve the needs of the animals and staff.

Shelter Worker's Experiences and Perceptions of Capacity for Care (C4C)

Capacity for Care (C4C) is a shelter management strategy which utilizes managed intake to optimize in-shelter populations based on housing capacity and available resources. The purpose of this study was to 1) understand staff experiences using managed intake, 2) explore staff perceptions of how the C4C model has been regarded by other staff at their facility, and 3) explore the response of community members who are attempting to relinquish their cats, as perceived by the staff who are communicating with cat owners and scheduling relinquishment. Participants recruited from shelters who practiced C4C participated in a semi-structured interview and completed a written survey to share their experiences and perceptions of C4C. Based on the perceptions of the participants, evidence suggests the waitlist may decrease the admission of owned cats to the shelter as a result of advising cat owners about alternatives to relinquishment. The findings suggest that more research is needed to understand the potential impacts of managed intake, as an element of C4C, on the welfare of cats in the community who are waiting to be admitted to a shelter.

The impact of deferred intake as part of Capacity for Care (C4C) on shelter cat outcomes

Capacity for Care (C4C) is a shelter management strategy that is capable of improving the welfare of cats in a shelter's care. Managing shelter intake using intake waitlists and scheduled intake appointments is a key feature of C4C. The purpose of this study was to describe the population of owned cats whose owners contacted the Guelph Humane Society (GHS) to explore the option of relinquishing, and to report outcomes for this population. Data were collected retrospectively from shelter records created by the GHS from July 2017 to June 2018. This study further examined associations between cat outcome and rehoming options under consideration by owners at the initial point of contact with the shelter, cat source, and reason for relinquishment. A greater proportion of cats with veterinary issues reported as the primary reason for potential surrender were kept by their owners compared with being relinquished (p<0.01), rehomed (p<0.01), and having an unknown outcome (p<0.01). A greater proportion of cats whose owners had medical issues were surrendered, compared with being retained in their homes.The large number of cats whose outcomes were unknown suggests a need for future research in order to further understand the outcomes that are occurring for cats whose admission to a shelter are deferred.

Direct and Indirect Factors Influencing Cat Outcomes at an Animal Shelter

Animal shelters play a vital role for pets, such as transitioning animals between homes, from outdoor communities into homes, caring for unadoptable and community animals, and providing a breadth of veterinary and welfare services. The goal of shelters is to move cats to their appropriate outcome as quickly as possible, which for many animals, is to rehome them as quickly as possible through adoption. Therefore, the ability to identify pre-existing factors, particularly those occurring outside the walls of the shelter, which result in specific outcomes is vital. In this study, we used structural equation modeling to test four hypotheses addressing how to predict cat outcome from a shelter in Washington, D.C. We developed four hypotheses that described how cat outcomes could be predicted, based on four general factors: (1) The characteristics of the cats; (2) The location of origin; (3) The type and date of intake; (4) The length of stay. Using 4 years of data from the Humane Rescue Alliance in Washington, D.C., we found support for each of our hypotheses. Additionally, we tested and found support for a global model, which comprised an amalgamation of our all our predictors. From the global model, we can conclude that many factors are at play in predicting cat outcomes in this shelter and very likely in many others as well. Critically, these factors are interconnected, indicating, for example, that cat characteristics mediate the influence of intake location on outcome type. Furthermore, our study highlights the importance of incorporating influences beyond the shelter when attempting to understand cat outcomes. Therefore, to modify cat outcomes most efficiently, such as increasing adoption probabilities, our results show that efforts may be most effective when incorporating multiple factors.

The Evolving Role of Triage and Appointment-Based Admission to Improve Service, Care and Outcomes in Animal Shelters

The historical norm for many animal shelters has been to admit animals on an unscheduled basis, without prior assessment of animal or client need or regard to the shelter's ability to deliver humane care or ensure appropriate outcomes. This approach allows little opportunity to provide finders or owners with alternatives to keep pets safe in their homes or community rather than being impounded. In addition to needlessly impounding animals and separating pets from families, unmanaged/unscheduled admission frequently results in animal influx exceeding shelter capacity, leading to crowding, stress, disease, and euthanasia of animals, as well as poor customer experience, compromised staffing efficiency and decreased organizational effectiveness. Many of these harmful consequences disproportionately impact vulnerable community members and their pets. Triage and appointment-based services have been well developed in healthcare and other service sectors allowing organizations to prioritize the most urgent cases, align services with organizational resources and provide situation-specific solutions that may include virtual support or referral as appropriate. This article discusses the trend in animal sheltering toward triage and appointment-based services that parallels the use of these practices in human healthcare. Reported positive results of this approach are detailed including improved staff morale, reduced disease rates and substantially reduced euthanasia. These positive outcomes support the endorsement of triage and appointment-based services by multiple North American animal welfare professional and academic organizations, recognizing that it better realizes the goals of shelters to serve the common good of animals and people in the most humane, equitable and effective possible way.

Inequitable Flow of Animals in and Out of Shelters: Comparison of Community-Level Vulnerability for Owner-Surrendered and Subsequently Adopted Animals

There is increasing awareness among animal shelter professionals regarding the role of shelters in perpetuating inequities in pet ownership, although the relationship between owner vulnerabilities and animal shelter services is largely understudied. Currently, there is no literature comparing the sociodemographic conditions of communities where surrendered animals originate and communities where they are adopted. The present study compared the "flow" of surrendered animals between originating communities (incoming) and communities where they were adopted (outgoing; n = 21,270). To analyze community-level vulnerability, we used the Canadian Index of Multiple Deprivation (CIMD), which has four dimensions of social vulnerability. We found that three of the four CIMD dimensions were significantly different between surrendering and adopting communities (Ethnocultural Composition, Situational Vulnerability (SV), Economic Dependency, but not Residential Instability). For further investigation, we also grouped our analysis by intake groups (small animal n = 2,682; puppy n = 973; dog n = 3,446; kitten n = 6,436; cat n= 7,733) and found multiple relationships for which the incoming and outgoing CIMD quintiles were different. For example, for both puppies and kittens, the median outgoing SV quintile ranks were statistically significantly lower (less vulnerable) than incoming quintile ranks, with the effect size being moderate (puppy r = 0.31, kitten r = 0.30; p ≤ 0.0025), supporting the concern of the flow of certain animals from more vulnerable to less vulnerable communities. The results of this research provide a basis for understanding potential inequities in the use of shelter services to surrender or adopt an animal. Furthermore, these methods allow animal shelters to assess community needs and create interventions to reduce intake and increase adoption of animals. Finally, these data provide further support that animal sheltering is best considered from a One Welfare perspective.

Predictors of the Use of Enrichment Items in Colony Housed Shelter Cats

Colony rooms provide cats with many opportunities to use enrichment, but animal shelters usually have finite resources to provision items. This study examined how cats select enrichment items when given a variety of options. Our goal was to identify whether certain enrichment might be particularly beneficial for different cats. Enrichment was categorized into three categories based on function (soft surfaces for resting, enclosed spaces for security, and vertical surfaces for vantage points). Demographic (sex, source of intake) and non-demographic (length of stay, floor space per cat, people present) features of the cats were entered into models as predictors. For all enrichment categories, the presence of people in the room significantly decreased item use, males used vertical surfaces more, all cats used vertical surfaces more the longer they were at the shelter, and cats that were seized or signed over from hoarding or cruelty cases used enclosed spaces more. Identifying patterns of enrichment use can allow shelters to more effectively distribute limited resources and maximize the welfare of individual cats during their stay at the shelter.

Population Characteristics of Cats Adopted from an Urban Cat Shelter and the Influence of Physical Traits and Reason for Surrender on Length of Stay

Simple Summary

Every year, millions of cats are admitted to shelters around the world. Reducing the amount of time that cats stay in a shelter environment (length of stay, LOS) promotes animal welfare by reducing illness and stress, as well as supporting more efficient use of shelter resources. Understanding the factors that might influence LOS supports evidence-based interventions aimed at improving the flow of animals through shelters. Whether the same factors affect LOS in shelters of different types and from different geographic regions is poorly understood. We studied cats adopted from an urban shelter in Sydney, Australia, and found that stray cats have a longer LOS than owner-relinquished cats, supporting the results of previous studies. Surprisingly, in contrast to the widely held view that black cats stay in shelters longer than white cats, the opposite was true here—overall, white cats stayed longer than black cats in the shelter, even when other factors such as age were taken into consideration. Shelters might consider analyzing their own data, where possible, to inform strategies to reduce LOS.

Abstract

Measures aimed at reducing the length of stay (LOS) of cats in shelters can promote animal welfare and more efficient use of resources. The extent to which variables shown to impact LOS are broadly applicable is unclear. The aim of this study was to describe a population of cats adopted from an urban shelter, and to analyze the association between potential predictor variables and LOS. A study cohort was identified retrospectively from shelter records (n = 2584), 48.8% of which were < 12 weeks old at admission, and 80.7% were stray. Among 445 cats relinquished by owners, reasons for surrender were primarily owner-related (87.2%). Overall, reason for surrender and coat color were significantly associated with LOS. Hazard ratios showed that all reasons for surrender for owner-relinquished cats were associated with a shorter LOS than stray cats and this association was significant (p < 0.05) for all except cat behavioral or medical reasons. In contrast to previous reports, white cats had a significantly (p < 0.05) longer LOS than black cats. This study highlights an important role for shelter-specific baseline data to inform and measure the effect of interventional studies aimed at improving animal welfare by reducing LOS in shelter-housed cats

Preliminary analysis of post-adoption outcomes for kittens and adult cats rehomed through a New Zealand animal shelter

Aims: To determine the frequency of different types of health and behavioural problems observed in the first month after adoption in kittens and adult cats rehomed through an animal shelter in New Zealand, to assess satisfaction of adopters and to determine the preferences of adopters for provision of post-adoption support.Methods: The adopters of kittens and cats from an animal shelter in Auckland, New Zealand between 15 October 2016-4 December 2016 were invited to complete a survey 1 week and 1 month after adoption. Respondents were asked about how well the animal was settling into the household, whether they had observed any health or behavioural problems, and what their preferences were for receiving post-adoption support.Results: Data from at least one survey were available for 83/115 (72.2%) kittens and 70/155 (45.6%) adult cats, with 39/115 (34%) adopters of kittens and 35/155 (23%) adopters of adult cats completing surveys at both 1 week and 1 month after adoption. By 1 month after adoption 57/60 (95%) adopted kittens and 40/53 (75%) adopted adult cats had settled well into their new home. At 1 month after adoption 28/60 (47%) kittens and 26/53 (49%) cats had ≥1 reported behavioural problem, and 16/60 (27%) kittens and 18/53 (34%) cats had ≥1 reported health problem. The most common problem behaviours for kittens were episodes of hyperactivity and scratching household items, and for adult cats were spending most of the time hiding and scratching household items. The most common health problems for kittens were eye problems and sneezing or a runny nose, and for adult cats were sneezing or a runny nose. Amongst respondents, the most helpful support for recent adopters was considered to be an email or phone call 1 month after adoption from the animal shelter.Conclusions and clinical relevance: Although many adopters reported health and/or behavioural issues in their adopted kittens and adult cats, most issues were generally mild and the adopters were generally satisfied with their animals. Providing new adopters with advice about managing common health and behavioural issues such as upper respiratory disease and scratching household items may increase satisfaction with adoptions.

Shelter housing for cats: Principles of design for health, welfare and rehoming

Practical relevance: Shelters and rehoming centres are a valuable tool in the population management and rehoming of cats. However, housing large numbers of a relatively asocial species in close proximity poses significant challenges. Well-designed accommodation enables improved standards of husbandry, as well as a better working environment for staff. This can have a significant benefit in expediting rehoming, as cats are healthier, and more likely to display natural behaviors and have positive interactions with potential adopters. Global importance: As cat overpopulation is such a widespread issue, cat shelters are common in many countries. This review will be of interest to those involved in the design and construction of cat shelters, and to those caring for the cats within them. The principles discussed also apply to boarding, breeding, research and hospitalization facilities. Challenges: Shelter housing poses substantial challenges in terms of maintaining positive health and wellbeing while sustaining adoption at an optimum rate. Disease control and biosecurity are typically facilitated by having a relatively barren, easily cleanable environment. However, this must be weighed against the provision of opportunities for cats to perform natural behaviors such as hiding, perching and interacting if they wish. A more enriched environment has also been shown to expedite adoption.

AIMS

This review, the first in a two-part series, discusses practical aspects of housing and shelter design for the health, welfare and adoption of shelter cats. Evidence base: There is a relatively small body of empirical evidence to inform shelter design recommendations. The recommendations in this article are based on a careful review of the available evidence, some of which has come from allied fields such as the care of experimental animals. Where evidence is not yet available, recommendations have been based on field experience and collective expert opinion.

Shelter housing for cats: Practical aspects of design and construction, and adaptation of existing accommodation

Practical relevance: Not every cat shelter will have purpose-built accommodation but housing designed with the basic needs of cats in mind, whether purpose-built or adapted from existing housing, will improve the experience of cats passing through the facility. Challenges: Designing and building accommodation for cats in shelters should be a thoughtful process. There is a range of different housing types available. A variety of factors, such as expected length of stay, type of cat, cost and disease risk, will influence which design is most appropriate.

AIMS

This review, the second in a two-part series, provides an overview of some of the essential requirements for housing shelter cats, either singly or in groups. Specific practical aspects of housing, including design, space allowances, cage furnishings and suitable construction materials, are discussed, and suggestions made for upgrading existing housing where extensive rebuilding is not feasible or realistic. Evidence base: There is a relatively small body of empirical evidence to inform shelter design recommendations. The recommendations in this article are based on a careful review of the available evidence, some of which has come from allied fields such as the care of experimental animals. Where evidence is not yet available, recommendations have been based on field experience and collective expert opinion.