; (8) building relationship skills, including parenting skills; (9) relaxing the hyper-vigilant survival state; (10) improving sleep patterns; and (11) enabling members to decrease the use of pain medication. (i) Reports Each year the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the program under subsection (a). Each such report shall include— (1) the number of members of the Armed Forces participating in the program; (2) a description of the services carried out under the program; (3) the effects that participating in the program has on— (A) symptoms of post-traumatic stress disorder and post-deployment adjustment difficulties, including depression, maintenance of sobriety, suicidal ideations, and homelessness; (B) potentially relevant physiological markers that possibly relate to the interactions with the service dogs; (C) family dynamics; (D) insomnia and pain management; and (E) overall well-being; and (4) the recommendations of the Secretary with respect to the expansion of the program. (j) Service dog training instructor defined In this section, the term service dog training instructor means an instructor who provides the direct training of members of the Armed Forces with post-traumatic stress disorder and other post-deployment mental health conditions in the art and science of service dog training and handling.