Emotional support animals (ESAs) provide genuine psychological benefit to people with mental health conditions, but the welfare of the animals in these roles is frequently overlooked — and the explosion of fraudulent ESA certifications is creating welfare risks.
The welfare of emotional support animals is a legitimate concern that sits behind the more visible debate about human access rights. Animals deployed as ESAs without assessment of their temperamental suitability, training, or welfare needs can experience genuine distress in challenging environments. A dog with noise sensitivity designated as an ESA and taken on aircraft may suffer significantly. The proliferation of fraudulent certifications has created a population of animals in roles they are unsuited for, without the welfare protections that trained service animal programs provide. Genuine ESA relationships — where a temperamentally suitable, well-cared-for animal provides companionship to a person with genuine need — do not raise significant welfare concerns.