PTSD Treatment Service Dogs, the ADA, and PTSD By Erin Maynard Erin Maynard Facebook Erin Maynard is a writer, president of PTSD Survivors of America, and a passionate advocate for people living with PTSD. Learn about our editorial process Updated on September 17, 2020 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Andrea Rice Fact checked by Andrea Rice Facebook LinkedIn Twitter Andrea Rice is an award-winning journalist and a freelance writer, editor, and fact-checker specializing in health and wellness. Learn about our editorial process Print ivanastar / Getty Images Table of Contents View All Table of Contents Service Animals Defined State and Federal Laws Legal Exclusions Proprietor Requests The Americans with Disabilities Act (ADA) is a comprehensive civil rights law that protects people with disabilities. It was signed into law in 1990, and its provisions were expanded under the ADA Amendments Act of 2008. In 2010, the Department of Justice released a revised set of regulations for service dogs with respect to title II (State and local government services) and title III (public accommodations and commercial facilities) of the ADA. These regulations address the rights of service dog handlers in almost all public spaces. There are certain other laws that are applicable in specific situations, such as the Air Carrier Access Act of 1986; the Fair Housing Act (amended in 1988); and the Rehabilitation Act of 1973 (which, in part, addresses service dog handler access to any program or activity receiving federal financial assistance). However, the ADA is the law that governs most public interactions with service dog teams. Service Animals Defined Specifically, the ADA currently defines service animals as “dogs that are individually trained to do work or perform tasks for people with disabilities.” (In certain circumstances, miniature horses are also considered service animals, but that is beyond the scope of this article.) The ADA definition also provides examples of tasks that a service dog can perform, including “calming a person with post-traumatic stress disorder (PTSD) during an anxiety attack.” And yet, service dogs for people with PTSD are often mislabeled as “emotional support animals” (ESAs), which are not covered by the ADA. The ADA expressly distinguishes between the two types of dogs, noting that ESAs only provide comfort or emotional support, whereas service dogs have been specifically trained to perform disability-mitigating tasks. While the public has become accustomed to seeing service dogs assist people with visual impairments, there remains much ignorance when it comes to service dogs that assist people with other disabilities, especially those with “invisible” health issues—including PTSD. PTSD Psychiatric Service Dogs PTSD service dogs are a type of psychiatric service dog. Psychiatric service dogs are as legitimate as any other type of service dog, such as a mobility assistance dog, seizure alert dog, or “seeing eye” dog. PTSD service dogs can be trained to perform any number of disability-mitigating tasks, including: Grounding their handler during a flashback Guiding their handler home during a dissociative episode Initiating tactile intervention when a handler experiences sensory overload Retrieving medication Searching the home to alleviate symptoms of hypervigilance Turning on lights and waking up their handler if they are having a night terror This list is only a sample. Each person’s experience with PTSD is different and therefore each service dog’s responsibilities are unique. State and Federal Laws for Service Dogs Regardless of what specific tasks a service dog performs, once it can reliably perform at least one disability-mitigating task, it is considered a service dog. That means the provisions of the ADA apply and need to be enforced. Any state or local law that attempts to countermand, or make more restrictive, any provision of the ADA is essentially unenforceable because when state or local laws do not align with federal law, federal law takes priority. However, state police officers are only charged with enforcing state, not federal, laws. Therefore, if an establishment refuses a service dog team entry, and the situation is not covered by existing state laws, the only recourse available is to file a complaint with the Department of Justice, or file a suit in federal court. If there are state laws in place to protect the rights of service dog teams, it is possible that the employee or establishment has in fact committed a misdemeanor and can be fined. This is why knowing applicable state laws, as well as the ADA, is imperative. Service Dogs in Training Service dogs in training (SDITs) are not covered by federal law, but many states mandate that SDITs be afforded the same protection as fully trained dogs. However, the laws sometimes only address specific disabilities, often excluding PTSD and other psychological conditions. And some laws only cover service dogs trained by state-accredited organizations, not owner-trained service dogs (OTSDs). Where Service Dogs Can Be Excluded Per the ADA, service dogs are allowed to accompany their handlers into essentially any space that is open to the public, including restaurants and grocery stores (even if state or local health codes prohibit animals on the premises). Service dogs are even allowed into hospital exam rooms and patient rooms. The only exceptions to full public access would be areas that the dog’s presence would compromise the health and safety of others, such as hospital operating rooms and burn units where a sterile field might be negatively impacted by the dog’s presence. Service dogs may also be excluded from certain areas under the “fundamental alteration” clause of the ADA, which states that if a modification “would fundamentally alter the nature of the goods, services, facilities, privileges, advantages, or accommodations” provided by the business entity, the business does not need to change its policies. For example, a consistently barking dog would alter the services provided by a concert hall. At that point, an employee may ask that the dog be removed. However, an employee may not preemptively bar entry to a service dog team based on the concern that the dog might bark. Service dogs may also be required to leave if they are not housebroken or if they are “out of control” and the owner has not effectively gained control of the animal. Fear, Allergies, and Other Pet Limitations Neither fear of dogs nor allergies to dogs are acceptable reasons to bar a service dog team from an establishment. In the case of a severe allergy and a shared space, accommodations must be made for both parties, separating the two as much as possible. The “no pets” signs in establishments do not apply to service dogs as they are not pets. Establishments may not cite the “right to refuse service” as an excuse to refuse access to service dog teams any more than it could invoke it to refuse service to a person based on race or gender, as people with disabilities are considered a protected class. What a Proprietor May Request From a Handler If proprietors are unsure if a dog is a pet or a service dog, they may ask two specific questions—and nothing else: Is the dog a service animal required because of a disability?What work or task has the dog been trained to perform? Staff members are specifically prohibited from asking about the handler’s disability or demanding that the service dog perform any task it is trained to do. The handler is not required to provide an exhaustive list of all tasks that the service dog can perform; naming a single task is sufficient. Further, the ADA specifically states that employees cannot require “medical documentation,” “a special identification card,” or “training documentation.” That means that a service dog does not need a card, a tag issued by a state or local authority, a vest, or any other visibly identifying paraphernalia to be allowed access. Requiring any of these items is inconsistent with the ADA. Equipment Required for Use of a Service Dog The only equipment that is mentioned in the ADA is a leash, harness, or tether. And even that is dependent upon the handler’s specific needs. If a leash, harness, or tether interferes with the service dog’s ability to perform its tasks, a handler can control the dog through the use of voice or hand signals or other appropriate methods. A Word From Verywell While service dog handlers may anticipate encountering workers who are unfamiliar with the provisions of the ADA, ignorance of the law is not an excuse for discrimination. Service dog handlers have a responsibility to keep control of their well-behaved service dog; those who operate public accommodations have a responsibility to know the laws regarding service dog teams and to permit them access as outlined in the ADA. What to Do If Your Dog Ate an Antidepressant Pill 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. U.S. Department of Justice. ADA Requirements - Service Animals. U.S. Department of Justice. Frequently Asked Questions about Service Animals and the ADA. ADA National Network. Service Animals and Emotional Support Animals. Schoenfeld-Tacher R, Hellyer P, Cheung L, Kogan L. Public Perceptions of Service Dogs, Emotional Support Dogs, and Therapy Dogs. Int J Environ Res Public Health. 2017;14(6):642. doi:10.3390/ijerph14060642 Yarborough BJH, Stumbo SP, Yarborough MT, Owen-Smith A, Green CA. Benefits and challenges of using service dogs for veterans with posttraumatic stress disorder. Psychiatr Rehabil J. 2018;41(2):118-124. doi:10.1037/prj0000294 Americans with Disabilities Act Title III Technical Assistance Manual. III-4.2000 Reasonable modifications. By Erin Maynard Erin Maynard is a writer, president of PTSD Survivors of America, and a passionate advocate for people living with PTSD. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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