Teri Kennedy, PhD, MSW, LCSW, ACSW, FNAP, School of Social Work, Arizona State University
Melody Jordahl-Iafrato, MD, FAAFP, University of Arizona College of Medicine
TIPS TO SUPPORT THE BENEFITS OF THE ANIMAL-HUMAN CONNECTION FOR OLDER ADULTS
Older adults live longer, healthier, and happier lives when they regularly interact with cats, dogs, birds, horses, reptiles, fish, and other animals. Pet ownership has been positively associated with higher survival rates following heart attack; reduced levels of cholesterol, triglyceride, and cortisol; lower systolic blood pressure; as well as reduced and faster recovery from stress.
Animals yield social and emotional benefits by providing companionship, reducing loneliness, and helping people remain integrated in their communities. These benefits, however, are not universal. In some cultures, animals may represent utilitarian or negative, symbolic or health associations. A culturally grounded approach and knowledge of an individual's past experiences with animals is important when considering animal-assisted interventions.
Challenges for Older Adults and Their Animals
Basic care for animals requires the physical and cognitive ability to provide care and the financial resources to purchase pet food and supplies. Assuring that animals receive appropriate care also requires an older adult to have transportation to veterinary services and financial resources to pay for spaying and neutering, vaccinations, routine examinations, follow-up, and emergency care. Older adults with limited financial resources and access to pet food may choose to feed their pet before themselves, putting themselves at risk for nutritional deficiencies. Table 1 lists organizations that can assist with these and other issues. Providing care for a pet can be physically challenging for some older adults; walking a pet can be particularly difficult in inclement weather.
The Role of Healthcare Professionals
Healthcare professionals should note pets and companion animals in their assessment and care planning. The presence of an animal at home can necessitate care arrangements to reduce barriers to seeking treatment for older adults who may require a temporary stay in a hospital, rehabilitation or skilled nursing facility, or other out-of-home care setting.
Clinicians can reduce barriers to care by using local resources to provide temporary care for pets.
Older adults fleeing late life domestic violence also require temporary shelter for their pets, as pets are often threatened and abused by the perpetrator in an effort to control the victim of abuse. Some domestic violence shelters offer a safe haven to pets, or can assist by identifying temporary care for an older adult's pet.
Older adults who hoard should be evaluated for possible animal hoarding, as up to 40 percent of object hoarders also hoard animals. Animal hoarding presents a risk to involved animals and public health, and such incidents should prompt a 911 call to enlist involvement of local Humane Society or law enforcement agencies.
When an older adult moves into a retirement, assisted living, or other residential facility either by choice or because they can no longer remain safely in their own home, it is important for healthcare professionals to anticipate and discuss the older adult's wishes and abilities regarding care of their pet animals. Health professionals can assist by conducting an interprofessional assessment of an individual's physical and cognitive ability to provide care for their animal, exploring resources that support the care of animals, and identifying facilities whose policies permit older adults to move in with their pets or support animal-assisted activity and therapy programs.
Federal Laws Supporting Animal-Assisted Interventions
Service animals support the ability of older adults living with a range of physical and psychiatric disabilities to participate in everyday activities. Older adults living with disabilities have a right to the use of service animals in a variety of public buildings and accommodations such as housing, stores, medical and benefits offices, and airports through protections afforded by the Americans with Disabilities Act, Section 504 of the Rehabilitation Act, the Fair Housing Act, and the Air Carrier Access Act.
The Fair Housing Act supports the right to reasonable accommodations that are necessary to afford an individual living with a disability an equal opportunity to use and enjoy a dwelling. This includes the right to an emotional support animal in "no pet" housing. Emotional support animals are those that a health professional has determined provide emotional benefit to an individual with a disability. A letter from a health professional (physician, psychiatrist, therapist, or rehabilitation counselor) is often needed to support an older adult's request for an exception to a landlord's no pet rule.
Patients sometimes request that health professionals write such letters simply for purposes of being able to keep a pet with them in no-pet housing. Such requests can trigger difficult conversations with patients. Health professionals should be prepared to explain what an emotional support animal is and recognize that they can tell patients they will not write the letter when the animal is simply a pet and does not meet the definition of an emotional support animal.
Bereavement, Death, and Relinquishment
Older adults often view their animals as family members. The loss of an animal through death, as a result of a facility policy, or the inability to continue to provide appropriate care represents a major loss. Removing an animal during times of transition can be particularly stressful for people who have grown up with animals, as they have a greater emotional need for a companion animal. Pet bereavement support is offered by local humane societies, grief support groups, and hospice programs. Local animal welfare organizations, animal sanctuaries, and no-kill shelters can assist in finding a new home for animals if the older adult can no longer provide appropriate care.
An older adult who finds it necessary to move into a long-term residential care facility grieves the loss of their home and independence. Pet-friendly policies can prevent the additional loss of a pet, and provide emotional support to residents by increasing social interaction and reducing isolation. Federal regulations do not address the use of pets or therapy animals in nursing homes, therefore states set their own policies. Residents and health professionals can partner with attorneys to advocate for expanded policies that support the rights of residents to keep their pets, service, or companion animals, and to have access to animal-assisted activities and therapy.
|Table 1: Resources Supporting Animal-Assisted Interventions with Older Adults
References and Resources
- Brennan J, Nguyen V. (Ed.) Service animals and emotional support animals. ADA National Network. 2014
- Humane Society of the United States. The Fair Housing Act and Assistance Animals.
- Sheade HE, Chandler CK. Cultural diversity considerations in animal assisted counseling. Vistas Online. 2014:76.
- U.S. Department of Justice, Civil Rights Division, Disability Rights Section. Frequently asked questions about service animals and the ADA. 2015
- Younggren JN, Boisvert JA, Boness CL. Examining emotional support animals and role conflicts in professional psychology. Prof Psychol Res Pr , 2016; 47(4):255-260