a therapy dog providing comfort to a patient in a hospital setting.

Why Emotional Support Animals in Healthcare Are Gaining Popularity

Introduction

Emotional support animals in healthcare are becoming an integral part of patient-centered care. From hospitals and nursing homes to mental health clinics, therapy animals are helping patients cope with stress, anxiety, and chronic illnesses. These animals provide comfort, companionship, and emotional stability, improving both mental and physical well-being.

Unlike service animals trained for specific tasks, emotional support animals (ESAs) offer therapeutic companionship without requiring specialized training. Their presence can significantly reduce anxiety, alleviate symptoms of depression, and enhance overall patient satisfaction in healthcare environments.

In this blog, we will explore the benefits of emotional support animals in healthcare, how they are used in different medical settings, and the challenges associated with their implementation. As the healthcare industry increasingly recognizes the importance of holistic patient care, ESAs are playing a crucial role in improving health outcomes.

Interested in learning more about patient-centered care in nursing? WGU nursing program offers flexible learning paths to help nurses develop holistic patient care skills.

Learn more about therapy animals from The American Kennel Club (AKC), which discusses the benefits of animal-assisted therapy.

Understanding Therapy Animals in Healthcare

Therapy animals play a vital role in healthcare settings by providing comfort, emotional stability, and companionship to patients. Whether they are emotional support animals (ESAs), therapy animals, or service animals, these animals improve patient well-being and enhance the healing process.

1. Emotional Support Animals (ESAs)

Emotional support animals are companion animals that help individuals cope with emotional or mental health challenges. Unlike therapy or service animals, ESAs do not require specific training but must be prescribed by a licensed mental health professional. Their presence alone can provide significant emotional relief to people struggling with anxiety, depression, PTSD, or other psychological disorders.

Key Characteristics of Emotional Support Animals:

  • Reduce stress and anxiety – Studies show that petting or interacting with an ESA can lower blood pressure, heart rate, and cortisol levels, creating a calming effect.
  • Offer emotional stability – ESAs help individuals manage conditions like depression, PTSD, and social anxiety by providing unconditional companionship and reducing feelings of isolation.
  • Legal protections – Under the Fair Housing Act (FHA), ESAs are allowed in no-pet housing, and some airlines may allow ESAs on flights under specific conditions. However, they do not have public access rights like service animals.

Common Emotional Support Animals:

  • Dogs – Often chosen for their loyalty and ability to provide comfort during anxiety episodes.
  • Cats – Great companions for those needing emotional support in quieter environments.
  • Rabbits – Gentle and easy to care for, making them ideal for individuals in apartments or smaller living spaces.
  • Birds – Some birds, like parrots, can interact with their owners by mimicking speech, providing a unique form of companionship.

While ESAs do not receive specialized training, their presence significantly benefits individuals struggling with mental health conditions by offering a constant source of emotional reassurance.

2. Therapy Animals

Therapy animals undergo specialized training to provide emotional and psychological support to patients in hospitals, nursing homes, rehabilitation centers, and schools. These animals work alongside healthcare professionals to improve patient outcomes and create a more comforting environment in medical settings.

The Role of Therapy Animals in Healthcare:

  • Reduce patient anxiety before medical procedures – Many hospitals use therapy dogs to calm patients before surgery or chemotherapy treatments.
  • Enhance emotional well-being – Interaction with therapy animals can boost serotonin and dopamine levels, improving mood and reducing symptoms of depression.
  • Aid in physical rehabilitation – Patients recovering from strokes or injuries often engage in therapy sessions involving animals to encourage movement and motivation.
  • Help children and seniors cope with hospitalization – Therapy animals help pediatric and geriatric patients feel more at ease during extended hospital stays.

Examples of Therapy Animals in Hospitals:

  • Therapy Dogs – Commonly used in pediatric and geriatric wards to provide companionship and alleviate stress.
  • Cats – Often used in nursing homes to comfort individuals with dementia or Alzheimer’s.
  • Miniature Horses – Used in therapy programs for children with autism or developmental disabilities due to their gentle nature.

Many hospitals and healthcare facilities partner with organizations like Pet Partners and Therapy Dogs International to ensure therapy animals are well-trained and certified to interact with patients safely. Nursing students interested in holistic patient care can benefit from expert guidance. Learn effective study tips for nursing students to excel in their studies.

3. Service Animals vs. ESAs

Many people confuse emotional support animals with service animals, but they serve different purposes. While ESAs provide comfort and companionship, service animals are trained to perform specific tasks related to their owner’s disability.

FeatureEmotional Support Animals (ESAs)Therapy AnimalsService Animals
Training RequiredNoYesExtensive
Legal Access (Public Places)LimitedLimitedFull Access
PurposeEmotional ComfortTherapeutic VisitsDisability Assistance
ExamplesDogs, Cats, Rabbits, BirdsDogs, Cats, HorsesGuide Dogs for the Blind, Mobility Assistance Dogs

Key Differences:

  • Service animals have full public access rights under the Americans with Disabilities Act (ADA) and are allowed in restaurants, stores, and other public places.
  • ESAs and therapy animals do not have public access rights, but they play essential roles in providing emotional and psychological support.

By understanding these distinctions, healthcare providers can better accommodate therapy and emotional support animals while ensuring compliance with hospital policies and legal regulations.

How Therapy Animals Improve Patient Outcomes

Therapy animals have proven benefits for patients facing medical, emotional, and psychological challenges. Their presence can reduce stress, improve social interactions, and enhance overall patient satisfaction.

1. Reducing Anxiety and Stress in Patients

Research indicates that interacting with animals can significantly lower cortisol levels, a stress hormone linked to anxiety, high blood pressure, and poor immune function.

  • Therapy dogs are used in cancer treatment centers to provide emotional relief to patients undergoing chemotherapy.
  • Hospitals utilize therapy animals to calm preoperative patients, helping them feel more relaxed before surgery.
  • In intensive care units (ICUs), therapy animals can reduce patient distress, leading to better recovery outcomes.

According to a study by the American Heart Association, pet therapy has been linked to:
Lower heart rate and blood pressure.
Reduced stress hormone levels.
Improved mood and emotional well-being.

By lowering stress responses, therapy animals create a calming effect in medical environments, making them valuable partners in patient care. Read more about the science behind pet therapy from the National Institutes of Health (NIH), which explores the benefits of human-animal interaction in healthcare.

2. Helping Patients Cope with Mental Health Conditions

Animal-assisted therapy in healthcare has shown significant benefits for individuals struggling with depression, PTSD, and anxiety disorders.

  • Veterans with PTSD – Therapy dogs help military veterans reduce nightmares, panic attacks, and hypervigilance.
  • Psychiatric hospitals – Therapy animals provide a non-judgmental presence, helping patients open up during counseling sessions.
  • Anxiety disorders – Patients experiencing social anxiety often find it easier to communicate in the presence of therapy animals.

A study published by the National Institutes of Health (NIH) found that therapy dogs in psychiatric units helped reduce anxiety symptoms by 50% in patients with severe anxiety disorders.

Therapy animals are increasingly used in mental health clinics to complement traditional treatment approaches, providing a comforting alternative to medication-based therapies.

3. Providing Comfort in Pediatric and Geriatric Care

Children and elderly patients often experience loneliness, fear, or distress in medical settings. Therapy animals help create a warm and supportive environment that improves emotional well-being.

  • Pediatric Hospitals: Therapy dogs help reduce pain perception in children undergoing medical treatments.
  • ESA in nursing homes: Therapy animals provide seniors with companionship, reducing feelings of isolation and depression.
  • Dementia patients: Studies show that interacting with therapy animals can improve memory recall, communication skills, and emotional stability.

Many nursing homes and assisted living facilities now incorporate pet therapy programs to improve the quality of life for residents.

4. Improving Social Interaction and Communication

Patients with autism, dementia, or speech impairments often struggle with communication and social interaction. Therapy animals help break these barriers by creating a safe and non-judgmental space.

  • Autistic children demonstrate improved verbal skills and emotional expression when interacting with therapy dogs.
  • Stroke patients recovering from speech impairments show faster rehabilitation progress when therapy animals are involved in their treatment.
  • Elderly individuals with cognitive impairments are more likely to engage in social activities when therapy animals are present.

A 2019 study in the Journal of Autism and Developmental Disorders found that therapy dogs significantly enhanced social engagement in children with autism.

Hospitals, Nursing Homes, and Mental Health Centers Are Embracing Therapy Animals

The use of therapy animals in healthcare settings has grown significantly in recent years. As more hospitals, nursing homes, and mental health facilities recognize the therapeutic benefits of animal-assisted therapy in healthcare, therapy animals are becoming an essential part of patient-centered care. These animals provide comfort, reduce stress, and promote emotional well-being for patients facing serious illnesses, psychological conditions, and rehabilitation challenges.

1. Hospitals and Palliative Care Units

Many hospitals now incorporate therapy animal programs to support patients with chronic illnesses, post-surgical recovery, and palliative care. Therapy dogs, cats, and even miniature horses have been introduced to various hospital settings to provide comfort and companionship to patients undergoing difficult treatments.

How Therapy Animals Benefit Hospital Patients

  • Cancer patients receiving chemotherapy – Studies show that therapy animals can help reduce nausea, anxiety, and pain perception in chemotherapy patients. Many hospitals now invite therapy dogs to visit oncology wards to provide emotional relief.
  • Post-surgical patients – After surgery, therapy animals can encourage relaxation and reduce post-operative stress, which can aid in faster recovery.
  • Patients in intensive care and palliative care – Therapy cats are particularly soothing for patients in hospice care, helping them feel less isolated during their final days.

Example: Mayo Clinic’s Animal-Assisted Therapy Program

The Mayo Clinic, a world-renowned medical institution, has integrated animal-assisted therapy into its patient care programs. Their therapy dogs visit hospitalized patients to help them cope with pain, stress, and emotional distress. Studies from Mayo Clinic have shown that these visits significantly lower blood pressure, reduce pain levels, and improve overall mood.

Many other hospitals are now implementing similar programs, recognizing the immense psychological and physiological benefits therapy animals provide.

2. Nursing Homes and Assisted Living Facilities

The presence of ESA in nursing homes has been linked to lower rates of depression, increased social engagement, and improved overall well-being among senior residents. Therapy animals provide companionship and encourage physical activity, helping to enhance the quality of life for older adults.

How Therapy Animals Improve Life for Seniors

  • Combat loneliness and depression – Many seniors in nursing homes experience social isolation, which can lead to depression and declining mental health. Therapy dogs and cats offer companionship and warmth, reducing feelings of loneliness.
  • Encourage physical activity – Walking with a therapy dog or simply petting an animal can improve motor skills, circulation, and coordination in seniors.
  • Support dementia and Alzheimer’s patients – Animal-assisted therapy has been shown to reduce agitation, improve memory recall, and increase social interaction among dementia patients.

Example: Therapy Dogs in Dementia Care

A 2019 study published in the Journal of Geriatric Psychiatry found that dementia patients who interacted with therapy dogs showed improved cognitive function and reduced aggression compared to those who did not. Many nursing homes now incorporate weekly therapy dog visits to help residents feel more connected and engaged.

As ESA in nursing homes continues to gain popularity, more facilities are working to integrate therapy animals into their wellness programs to support aging populations.

3. Mental Health Clinics and PTSD Treatment Centers

Veterans with PTSD, trauma survivors, and individuals with severe anxiety disorders have shown significant improvement when therapy animals are included in their mental health treatment. These animals help build emotional resilience and foster a sense of security during therapy sessions.

How Therapy Animals Help Mental Health Patients

  • Reduce PTSD symptoms – Veterans and trauma survivors who engage with therapy dogs report fewer nightmares, panic attacks, and flashbacks.
  • Encourage emotional openness – Therapy animals create a non-judgmental environment, allowing patients to express emotions more freely during therapy sessions.
  • Provide a sense of security – Patients struggling with severe anxiety or depression find comfort in the presence of therapy animals, which helps reduce stress and negative thoughts.

Example: The Role of Therapy Dogs in PTSD Treatment for Veterans

Organizations like K9s For Warriors train therapy dogs to support veterans with PTSD. According to research, veterans paired with therapy dogs experience a 70% reduction in PTSD symptoms, including anxiety and hypervigilance.

By incorporating therapy animals in mental health clinics and PTSD treatment centers, therapists can provide an alternative, non-medication-based therapy that fosters emotional healing.

4. Schools and Rehabilitation Centers

Therapy dogs are increasingly used in schools, rehabilitation centers, and counseling programs to support students with anxiety, children with special needs, and individuals recovering from substance abuse.

How Therapy Animals Support Students and Patients in Rehab

  • Reduce anxiety in students – Schools use therapy dogs to help students who experience test anxiety, social stress, or trauma.
  • Assist children with autism and learning disabilities – Studies show that therapy animals help autistic children improve social skills, communication, and emotional regulation.
  • Aid in addiction recovery – Therapy animals provide emotional support for individuals overcoming substance abuse and withdrawal symptoms in rehabilitation centers.

Example: University Stress-Relief Programs

Many universities now offer “puppy therapy” during final exams, where therapy dogs visit students to reduce stress and promote relaxation. Research from Harvard University indicates that these sessions improve student mood and focus.

As schools and rehab centers continue to explore animal-assisted therapy in healthcare, more institutions are implementing therapy animal programs to support emotional and academic success.

Limitations and Considerations for Healthcare Settings

While therapy animals offer numerous benefits, there are important ethical and practical considerations that healthcare facilities must address before integrating them into patient care.

1. Allergies and Safety Concerns

Not all patients and healthcare workers are comfortable around animals. Some may have:

  • Pet allergies – Exposure to fur and dander can trigger allergic reactions in sensitive individuals.
  • Fear of animals – Some patients, particularly children or trauma survivors, may feel uncomfortable around therapy animals.

Solution:

Healthcare providers must screen patients and offer animal-free zones to accommodate those with allergies or phobias.

2. Infection Control in Hospitals

Hospitals must enforce strict hygiene protocols to prevent potential infections from therapy animals. This includes:

  • Ensuring all therapy animals are vaccinated and regularly groomed.
  • Restricting animals from operating rooms and intensive care units.
  • Training handlers to follow proper sanitation practices.

Organizations like Pet Partners provide certifications to ensure therapy animals meet health and cleanliness standards before visiting healthcare facilities.

3. Training and Certification Requirements

Not all animals qualify as therapy animals. To ensure safety, therapy animals must:

  • Pass temperament assessments – Aggressive or overly energetic animals are not suitable for therapy work.
  • Undergo specialized training – Programs like Therapy Dogs International certify therapy animals for healthcare settings.

Proper certification ensures that therapy animals remain calm, well-behaved, and responsive in medical environments.

4. Legal and Ethical Considerations

Hospitals and nursing homes must comply with ADA regulations and ensure that therapy animal programs do not interfere with patient rights. This includes:

  • Obtaining patient consent before therapy animal visits.
  • Ensuring therapy animals do not cause distress to other patients.
  • Following ethical guidelines for animal-assisted therapy in medical settings.

The Nurse’s Role in Animal-Assisted Therapy

Nurses play a critical role in advocating for and integrating therapy animals into patient care.

How Nurses Can Support Therapy Animal Programs

Advocate for therapy animal programs in hospitals, nursing homes, and mental health centers.
Educate patients and families about the benefits of therapy animals.
Collaborate with hospital administrators to establish pet therapy policies.
Ensure patient safety by monitoring therapy animal interactions.

Nurses play an essential role in integrating therapy animals into patient care. Nursing students looking to enhance their skills can learn about time management for students to balance their studies effectively.

Conclusion

Emotional support animals in healthcare are gaining popularity due to their ability to improve mental health, reduce stress, and enhance patient well-being. Hospitals, nursing homes, and mental health centers are increasingly adopting therapy animal programs to provide comfort and companionship to patients in need.

As a future nurse or healthcare provider, recognizing the benefits of therapy animals can help you provide holistic care to patients. Whether it’s reducing anxiety, supporting mental health recovery, or improving social interactions, ESAs are transforming patient care in medical settings.Want to learn more about holistic patient care and nursing? University of Phoenix nursing programs offer expert training for those looking to specialize in patient-centered healthcare.

TOO MANY ASSESSMENTS? Let our professionals help you!