Assistance dog placement in the pediatric population: Benefits, risks, and recommendations for future application

Abstract

Assistance animals have long been recognized for their value in enhancing the lives of adults with disabilities by increasing the physical independence, confidence, and social lives of their handlers. Recently, this concept has been applied to the growing population of children with physical disabilities and developmental impairments, though the benefits and risks of these placements have not been thoroughly assessed. Our study used interviews to evaluate the outcome of placing assistance dogs in the pediatric population, looking specifically at the unique advantages and disadvantages of this application of the human–animal bond. We administered a structured interview assessing risks and benefits of assistance dog relationships to 17 families with a child under 18 years who graduated from a single provider (NEADS) over a five-year time period. Benefits were found in 88% of families, and were overwhelmingly social and cognitive, with additional physical and medical benefits for the pediatric client. However, risks, including behavioral, financial, and time/cost issues were significant, becoming a burden in 53% of families. Perhaps more than with adult placements, we found that it was of prime importance to understand the assistance animal in the context of the family, rather than just in relation to the individual with a disability. It is hoped that results of this and future studies will enhance the welfare of both client and assistance animal, as well as the overall success of this unique human–animal relationship.