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C4C SuccessYes We Can!
Maddie’s Shelter Medicine Fellowship Program A partnership between University of Wisconsin Shelter Medicine and UC Davis Koret Shelter Medicine programs
Dr. Elizabeth RobertsDirector Shelter MedicineSan Francisco SPCAUW/UCD Eslinger Shelter Medicine Fellow
Dr. Anthea SmithHead Shelter VeterinarianEdmonton Humane SocietyUW/UCD Maddie’s Shelter Medicine Fellow
San Francisco SPCA
Founded 1868
Mission
Save and protect animals, provide care and treatment, advocate for their welfare and enhance the human-animal bond.
Adoption goal 5500/yr
Edmonton Humane Society
Founded 1907
Mission
The Edmonton Humane Society enriches the lives of people and companion animals through animal sheltering, programs and services, and community engagement
Intake 6380 / yr
How are we similar?
• Annual intake, high live release rate• Animal Control right next door• Large modern buildings• Well-resourced
How are we different?
• EHS - stray holding facility for areas surrounding Edmonton
• EHS - Animal Protection department• Community cats / TNR still a radical concept in
Alberta• Main challenge to C4C in Edmonton is cats, at
SFSPCA, dogs.• SF SPCA- 2 public facing hospitals
2 Shelters - Real World Challenges and SolutionsWhat is C4C?
4 Pillars of C4C
Before C4C
Starting C4C
Challenges and Solutions
in C4C
What is C4C?
Staffing Shortages –all shelters
• Do what you can. Staying within your capacity for animal numbers will help when short staffed
• Focus on what is most important
• Recognize limitations, set realistic goals
• Capacity for care is fluid – drops when staffing levels drop
• Train workers to recognize the early signs of stress, burn out and compassion fatigue and provide resources and flexible scheduling
What is C4C?Daily Population = LOS x Intake
Managed Intake
PopulationManagement
Removing Barriers to Outcomes
Pathway Planning
Before C4C:
Capacity based on housing
Struggling kennel staff
High disease occurrence
Long LOS
Absence of natural
behaviors
How did C4C get started? SF SPCA
Starting C4C
Starting C4C2010 – Guidelines for Standards of Care in Animal Shelters
2014 – Million Cat Challenge- First Shelter in Western Canada
2016 – Grant from CFHS: Capacity for Care Consult KoretShelter Medicine Program
2016-2017 – Implementation
2018 – C4C Bootcamp mentor shelter
“Every sheltering organization has a maximum capacity for care, and the population in their care must not exceed that level.”
It’s a journey
Managed Intake
Managed Intake
Daily Population = LOS x IntakeOR
Daily Population = LOSIntake
Intake = Outcomes
MANAGED INTAKE -BASIC MATHIf an average of 5 cats get adopted per day, and the shelter is housing 250 cats, how long will on average each cat stay before getting adopted?
50 days (250 cats / 5 cats adopted per day)
If the shelter has 50 cats and adopts out on average 5 per day, how long will each cat stay on average?
10 days (50 cats / 5 cats per day)
Result: same number of cats helped!
Intake Management
Our stake in the ground
MAGI C NUMBER
Beautiful Cycle
Lower population
More efficient
processes
Lower LOS
Beautiful Cycle
Magic number calculation
Pathway planningSN kittens @ 700g
Stop healthy quarantine
Lower Population Lower LOSMore efficient processes
Updated medical protocols
Update SN scheduling
Update PP stages
Intake timing
0
20
40
60
80
100
120
July 2016-May 2018
Dog census Dog intake Dog adopt Linear (Dog census) Linear (Dog intake) Linear (Dog adopt)
Start of C4C
0
50
100
150
200
250
300
July 2016-May 2018
Cat census Cat intake Cat adopt Linear (Cat intake) Linear (Cat adopt)
“Please call to schedule an appointment for all pets and stray animals. We advise you to leave healthy stray cats found outside the city limits where they are. If the animal is injured or out in extreme conditions, please call the Edmonton Humane Society. For strays within the city limits, call the city at 311.”
Wait!Its says to call
first
Managed IntakeSolutions
Managed Intake Solutions - EHS
Kitten co-op program
• Being honest about the risks of underage kittens growing up in the shelter is most successful at engaging finder for help
• Supplies freely handed out
• This year program expanding
• Non – urgent healthy stray cats admitted by appointment
• Change in admitting hours – focus on adoptions on weekends
• Make easy the type of behavior you want to encourage
Managed Intake Solutions - EHS
Relief ValvesIf an organization cannot completely control their intake, must have timely and efficient strategies to get back to manageable numbers
Intake =Outcomes
Transfers out
Offsite adoptions
Adoption Events
Pet Store Seizure
• 500+ animals abandoned and seized under the Animal Protection Act February 2018 and brought to shelter
• Many exotic animals requiring specialized care
Although the “Clear Our Shelter” event started at noon Friday, people were lining up outside as early as 7:30 a.m.
All animals seized from pet store by Edmonton Humane Society find new homes in giant adoption event Edmonton Journal
All dogs and most cats on the adoption floor were
gone by 3pm Friday
Long-term Legal Holds:
• Nov 2016 36 dogs / puppies• Brought in by Animal Protection officers from breeding operation• Dirty conditions, injuries, malnourishment
Long-term Legal Holds:
The puppies grew up in our care and we were not allowed to adopt them out for over a year!
January 2018
Long-term Legal Holds – Solutions:
FOSTER
Playgroup
Flexible housing
Enrichment
Walks
Visits / time in offices
Population Management
Population Management- EHS
Portals
• Forced to keep shelter cat population to a more manageable numbers
• Had to have a firm rule no closing portals
Clear labelling of intended use of each ward extremely helpful
Portals with Curtailments
Wagner DC, Kass PH, Hurley KF (2018) Cage size, movement in and out of housing during daily care, and other environmental and population health risk factors for feline upper respiratory disease in nine North American animal shelters.
Population Management - EHS
Rabbits – EHS – Before C4C
• In the past: 50+ rabbits in the shelter
• 9 adopted per month
• LOS over 5 months!
C4C Solutions -Rabbits• Attractive rabbit housing for 6
rabbits built off cat adoption gallery
• Usually additional 1-3 rabbits in back
• Rabbits featured in a local pet store
• If 9 rabbits in shelter, LOS about 1 month
Our Shelter at C4C
Housing up to our noses
Kitten housing
Canine Infectious Housing
1
234
24 kennels for CIRD
Housing up to our noses
1234
20 kennels per room
Adoption housing
Closed to public and changed to intake housing
Transition housing, aim to use as first negative ringworm housing
Reduced stress housing
Now we can do more!
Pathway Planning
Pathway Planning
Adoptable IPE [AA] Available
Underweight kittens IPE Foster AA Available
Medical Rehabilitation IPE UAM [AA] Available
Behavioral Rehabilitation IPE [AA] UAB Available
Pathway Planning
Adoptable 40 total cats and kittens
Underweight kittens 150 kittens
Medical Rehabilitation Weekly assessment
Behavioral Rehabilitation Weekly assessment
Falling off the horse
Adult dogs40 total available and
unavailable
Puppies We don’t know!
Medical Rehabilitation Capacity to be determined
Behavioral Rehabilitation Capacity to be determined
Identifying Bottlenecks importantSpay / Neuter List - EHS
• Effects everything!• Keeping up is critical
Spay / Neuter List
LOS Disease Total Population Adoptions
Spay/Neuter Challenges- EHS
• Staffing challenges
• Cramped space
• Meeting additional extensive surgery needs of animals (non-spay neuter) in high season when demands on surgery vet is high
Spay/Neuter Solutions - EHS
• Focus on what is most important• Indemnities for elective / non urgent surgeries• Spay / neuterathons• Bring in extra contract vets, casual tech support• Outsourcing specialized surgeries.• Stopped teaching in high season• Low income spay / neuter surgeries integrated into
each surgery day to alleviate some of the overcrowding in our small surgery recovery area
Removing Barriers to Outcomes
Removing Barriers to OutcomesMy adoption took two hours!
I spent an hour working with a volunteer to find my best match, then spoke to an adoption counsellor and found out I couldn’t adopt the same dog!
It took half an hour for them to read me the medical record, I didn’t understand any of it!
I waited three hours to meet an animal.
I met an animal than found out they had already been adopted.
Removing Barriers to Outcomes
Long adoption process
Long wait times
Long application
Adoption holds
Reactive adoption
promotions
Removing Barriers to Outcomes
Free vet exam at
local clinics
Adoption satisfaction guarantee
Streamlined adoption process
Fee waived cats
Summary
• The payoff of working within your capacity is huge. More animal lives can be saved, all the while maintaining good animal health and welfare.
• Keep your destination postcard in mind and never give up!
Questions and Further Resources
“Ask an Expert” shelter medicine question response system sheltermedconsult@gmail.com.
evroberts@sfspca.orghttps://www.sfspca.org
asmith@edmontonhumanesociety.comhttp://www.edmontonhumanesociety.com
Maddie’s Shelter Medicine Fellowship Program A partnership between University of Wisconsin Shelter Medicine and UC Davis Koret Shelter Medicine programs
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