What Disabilities Qualify for a Service Dog?

Service dogs are highly trained animals that function as specialized assistants, performing distinct tasks that directly mitigate the effects of a person’s disability. Qualification for a service dog is not based on a list of diagnoses. Instead, it relies on the dog’s ability to execute specific, measurable actions that the handler cannot perform independently. The focus is on the individual’s functional limitations and the defined work the dog is trained to provide. This distinction ensures the partnership is a necessity for independence and safety.

Defining the Legal Criteria for a Service Dog

Eligibility for a service dog is established by the Americans with Disabilities Act (ADA). The ADA defines a service animal as a dog individually trained to do work or perform tasks for an individual with a disability. This definition grants public access rights in facilities operated by state and local governments and businesses. The critical factor is the dog’s training to take a specific action to assist the person with a disability.

The law does not require certification or professional training; an individual may train their own service dog. The required work or task must be directly related to the person’s disability, which can be physical, sensory, psychiatric, or intellectual. A dog whose sole function is to provide comfort or emotional support does not qualify as a service animal under the ADA. This distinction separates a Service Dog, which has broad public access rights, from an Emotional Support Animal or a Therapy Dog.

Service Dogs for Mobility and Sensory Assistance

Service dogs assist individuals with physical limitations and sensory impairments by performing tasks that increase autonomy and security. Mobility assistance dogs often work with handlers who use wheelchairs or have conditions affecting balance or coordination. These dogs can be trained to retrieve dropped items, open and close doors, or turn light switches on and off.

For those needing stability, the dogs provide bracing and counter-balance support, helping the handler maintain footing or change positions, such as moving from sitting to standing. Sensory assistance dogs address vision and hearing loss by acting as guides and sound interpreters. Guide dogs assist handlers with visual impairments by navigating obstacles and indicating curbs. Hearing dogs alert individuals to specific household and public sounds, including smoke alarms, doorbells, or a child crying, often by nudging the handler and leading them to the sound source.

Medical Alert and Response Tasks

Service dogs are increasingly trained for complex medical alerts, relying on their superior olfactory capabilities to detect subtle physiological changes in the human body. Diabetic Alert Dogs (DADs) sense compounds released in a person’s breath or sweat when blood sugar levels are dangerously high (hyperglycemia) or low (hypoglycemia). The dog alerts the handler 15 to 30 minutes before symptoms manifest, allowing time for intervention like taking glucose or insulin.

Seizure response dogs may be trained to alert family members, retrieve medication, or position their body to protect the person’s head during a seizure event. While predicting a seizure is possible in some cases, the primary function is the response task during or immediately following the event. Other specialized medical dogs are trained for allergy detection, identifying minute traces of severe allergens, or for cardiac alerts, signaling changes in heart rate or blood pressure associated with conditions like Postural Orthostatic Tachycardia Syndrome (POTS).

Psychiatric Service Dogs and Required Interventions

Psychiatric Service Dogs (PSDs) assist individuals with mental health conditions like Post-Traumatic Stress Disorder (PTSD), severe anxiety, and obsessive-compulsive disorder. Qualification hinges on performing a task that directly mitigates the effects of the psychiatric disability.

One common intervention is Deep Pressure Therapy (DPT), where the dog lies across the handler’s lap or chest to provide a calming, grounding sensation during an anxiety or panic attack. PSDs can also be trained to interrupt specific harmful or repetitive behaviors, such as skin picking or self-mutilation, by nudging the handler. Other crucial tasks include retrieving medication, performing room searches to alleviate hypervigilance in a person with PTSD, or guiding a disoriented handler to an exit. The dog’s training focuses on measurable actions, such as responding to a physical cue or an environmental trigger, to help the handler regain control or safety during a crisis.