Advocating for Inclusive Language in Mental Health

Introduction: The Power of Language in Shaping Perceptions

Language is more than just a means of communication; it shapes our perceptions, fosters understanding, and promotes inclusivity. In the realm of mental health care, the words we use carry immense weight. As the profound impact of assistance dogs in supporting individuals with mental health conditions gains wider recognition, it's imperative that we engage in a meaningful conversation about the language we use to describe these invaluable companions.

At Veterans With Dogs, we've seen first-hand how the right language can empower individuals, reduce stigma, and promote a more supportive environment. That's why we're advocating for the adoption of more inclusive and contemporary language to enhance public awareness, education, and support for mental health assistance dogs. We believe that the time has come to move away from outdated terms and embrace a vocabulary that reflects the true essence of these incredible animals and the people they support.

The Current Landscape: A Muddle of Terms

Currently, a variety of labels are used to describe dogs that provide support and assistance to individuals with mental health conditions. You might hear terms like "psychiatric service dog," "PTSD service dog," or "mental health assistance dog," amongst others. This inconsistent use of language can lead to confusion and may not accurately reflect the full spectrum of assistance these dogs provide.

Why Updated Language Is Essential

Inclusivity

Using different labels can inadvertently create divisions or hierarchies amongst assistance dogs based on the specific mental health condition they are trained to support. However, the reality is that many of these dogs are remarkably versatile. They can offer support to individuals with a wide range of mental health conditions, from anxiety and depression to trauma and other challenges. Updated language can encompass the full range of their abilities and ensure that all individuals feel included and represented. We believe it is key to creating a more comprehensive and equitable approach to assistance dog support.

A Person‑Centred Approach

Person-centered language puts the individual's needs and preferences first, rather than focusing solely on their diagnosis. Using labels that emphasise the individual's mental health condition (e.g., "psychiatric" or "PTSD") may inadvertently define them primarily by their diagnosis, rather than acknowledging their unique qualities and strengths. A shift towards person-centered language recognises the individual as a whole, fostering a sense of dignity and respect.

Reducing Stigma

Outdated or stigmatising language can contribute to negative perceptions of mental health conditions and the individuals who experience them. By adopting more sensitive and empowering language, we can actively combat stigma and promote understanding and acceptance. This shift in language reflects a broader societal commitment to destigmatising mental health and creating a more compassionate world.

Standardisation

The lack of standardised terminology leads to confusion and inconsistencies in public perception and policymaking. Updated and uniform language can create a clearer understanding of the roles and capabilities of assistance dogs in mental health care. By establishing a common language, we can ensure that policies are consistently applied, and that the public has a clear understanding of the vital role these dogs play.

Evolving Awareness

As awareness of mental health issues and the benefits of assistance dogs continues to grow, so too should the language we use to describe their role. Updated language can accurately reflect the evolving knowledge and understanding of mental health care and the contributions of assistance dogs. This adaptability ensures that our language remains relevant and respectful as our understanding of mental health deepens.

The Rationale Behind Our Advocacy

Let's delve deeper into the specific reasons why we believe this change is so crucial.

The term "psychiatric service dog" simply isn't reflective of modern language used within the mental health community. It carries echoes of a bygone era and can perpetuate stigma and misconceptions surrounding mental health conditions. Language evolves, and it's our responsibility to use terminology that aligns with current societal attitudes, fostering open dialogue and reducing the potential for discrimination.

Language is a powerful tool in shaping public perceptions. Using contemporary and inclusive terminology for assistance dogs can facilitate better understanding and acceptance of the vital role they play in supporting individuals with mental health conditions. Replacing "psychiatric service dog" with more inclusive terms such as "mental health assistance dog" can help destigmatise mental health and emphasise the valuable support and assistance provided by these remarkable animals.

When assistance dog organisations do continue to use outdated terminology, it can lead to inconsistencies and confusion when interacting with government agencies, regulatory bodies and service providers. By advocating for more inclusive language, we can work towards a unified approach in addressing the needs and rights of individuals who rely on assistance dogs. Encouraging collaboration will enhance educational efforts and raise awareness of the unique contributions these dogs offer in mental health care.

Educational resources are vital for promoting a deeper understanding of mental health assistance dogs and their role in health care. By using up-to-date terminology, educational materials can accurately represent the essential services these dogs provide, enabling better dissemination of information to the public, businesses, and institutions. This, in turn, can lead to increased acceptance and support for individuals with mental health conditions who rely on assistance dogs for support and assistance.

On the term “psychiatric” — context and impact

Historical associations

The term "psychiatric" has been historically associated with negative connotations due to the stigma surrounding mental health and mental health care, including memories of institutions and poor treatment. These associations can perpetuate stereotypes and stigma.

Diagnosis‑centric framing

Emphasising diagnosis can overshadow strengths, identity, and holistic wellbeing. A person‑centred vocabulary better supports dignity, autonomy, and recovery‑focused practice.

It is important to recognise that language evolves. Many organisations and professionals now promote person‑first, inclusive, and empowering terminology in mental health care.

The Power of Advocacy: Creating a More Compassionate Society

The language used in mental health care has a profound impact on how individuals perceive themselves, seek help, and engage in treatment. By using respectful, non‑stigmatising, and empowering language, we can create a more compassionate and effective society that supports the well‑being of everyone.

Reduce barriers

Non‑judgemental language encourages help‑seeking and early support.

Empower people

Person‑centred terms emphasise strengths and agency, not labels.

Build trust

Respectful communication improves collaboration and outcomes.

Clarity in care

Accurate language supports the right interventions and plans.

Inclusion

Language that recognises diverse experiences supports equity.

Policy impact

Clear language underpins better policy and public understanding.

Moving Forward: A Call to Action

Efforts have already been made to move away from outdated and stigmatising language related to mental health. For instance, there has been a shift towards using person-centered language that emphasises the individual first, rather than their diagnosis. This person-first language aims to reduce stigma and foster a more respectful and inclusive approach to mental health care.

Language is a dynamic and ever-changing aspect of society. As awareness of mental health and the importance of compassionate care grows, so does the recognition of the significance of language in shaping attitudes and perceptions towards mental health issues. Here in the UK we have made good progress in adopting more inclusive and sensitive language in mental health care to foster a supportive and understanding environment for individuals seeking help and support, and this needs to be reflected within the language used across all domains.

Mental health organisations and related professionals play a crucial role in driving these positive changes. They recognise the impact that language has on mental health care, and they actively continuously engage in efforts to update terminology and communication approaches. But we must all work to address outdated language that may inadvertently perpetuate stigmatising beliefs or reinforce negative stereotypes about mental health conditions.

By promoting person-centered language, mental health professionals and organisations aim to put the individual's experience and identity at the forefront, rather than focusing solely on their diagnosis or condition. This approach recognises the unique challenges and strengths that each person brings to their mental health journey, fostering an environment of respect and empowerment.

All organisations working with dogs and disabilities have a duty to contribute to this positive change. Organisations in the field of assistance dogs have the opportunity to be at the forefront of language advocacy. By reviewing and updating terminology to reflect current societal attitudes and the preferences of the individuals they serve, they can lead the way in reducing stigma and promoting a more inclusive approach to mental health recovery.

Through educational initiatives, we can also influence public perception and understanding of the vital role that assistance dogs play in mental health care. By using language that is accurate, sensitive, and free from stigmatising connotations, we can help shape a more compassionate and empathetic narrative around mental health and the valuable contribution of assistance dogs.

Veterans With Dogs: Leading by Example

For a number of years, Veterans With Dogs has been actively engaged in assisting various stakeholders, including policymakers, government-appointed bodies, veterans organisations, educational establishments, and service providers. Our efforts have focused on clarifying the scope and terminology of assistance dogs, particularly in relation to mental health.

We have been required to give clarity on the types and roles of assistance dogs, where clear and accurate terminology is essential for policymakers and service providers to make informed decisions regarding the inclusion and accommodation of assistance dogs in various settings.

The lack of standardised terminology has led to confusion amongst stakeholders, resulting in inconsistent policies and practices concerning the acceptance and access of assistance dogs. Our efforts have been to combat this confusion and promote a more coherent and consistent approach to assistance dog support.

Furthermore, accurate language also plays a crucial role in reducing the stigma surrounding mental health conditions and the use of assistance dogs. By promoting clear and respectful terminology, we have been able to contribute to more understanding and public access for individuals with mental health conditions. Our organisation's engagement with policymakers has also significantly influenced the development of policies that better support individuals with mental health conditions and their assistance dogs. By advocating for a clear understanding of assistance dogs, Veterans With Dogs has contributed to more inclusive policies that recognise the unique roles these animals play in mental health care.

By educating stakeholders, this knowledge benefits not only individuals but also service providers and the general public, leading to a more supportive and inclusive society that values and supports the mental health and well-being of individuals with disabilities.

A Future of Inclusivity and Understanding

Language is a powerful tool in shaping attitudes and perceptions towards mental health. The ongoing efforts of mental health organisations and professionals to adopt more inclusive and sensitive language in mental health care are commendable. By taking the lead in updating terminology and promoting respectful communication, assistance dog organisations have the opportunity to contribute significantly to reducing stigma and fostering a more supportive and accepting environment for individuals with mental health conditions and the assistance dogs that support them.

Initiating a discussion about the importance of language in mental health care, specifically regarding the terminology used to describe assistance dogs, is an essential step towards fostering inclusivity and understanding. By advocating for the use of more contemporary and inclusive terms, we can contribute to a more supportive and accepting environment for individuals with mental health conditions and their indispensable dogs.

Through collective efforts, we can raise awareness, promote education, and cultivate a society that values the significant contributions of these remarkable companions in mental health care.

Veterans With Dogs, 2 Northleigh House, Thorverton Road, Exeter, Devon EX2 8HF (01626) 798030