A core principle of contemporary occupational therapy is that assessment should not focus solely on what a person cannot do.
While identifying disability-related barriers is essential, effective occupational therapy also requires understanding:
A strengths-based approach recognises that people with disability are not defined by limitations. Every person brings knowledge, experience, skills and adaptive strategies that influence how they participate in everyday occupations.
Within assistance animal practice, this perspective is particularly important because an assistance animal should not be viewed as replacing a person’s abilities.
Rather, it should be considered as one possible support that builds upon existing strengths and enables greater participation.
Traditional disability assessments have often focused on identifying problems, impairments and support needs.
This information remains important.
However, an assessment that only documents difficulties may create an incomplete understanding of the person.
For example, a person may experience:
A deficit-focused assessment may describe only:
“The person cannot tolerate community environments.”
A strengths-based occupational assessment asks:
“What environments does this person already navigate successfully, what strategies support them, and where could additional support improve participation?”
This approach identifies both:
A strengths-based approach is sometimes misunderstood as focusing only on positive qualities or minimising genuine challenges.
This is not the purpose.
Strengths-based practice acknowledges disability-related barriers while recognising the whole person.
A person may experience significant disability and still have:
The occupational therapist’s role is to understand how strengths and barriers interact.
Before considering an assistance animal, occupational therapists should identify what the person already does successfully.
Questions may include:
This prevents an assistance animal from being viewed as the first or only solution.
For example:
A person experiencing anxiety in community environments may already have successful strategies including:
An assistance animal, if appropriate, should complement these strategies rather than replace them.
A well-matched assistance animal can act as a strength amplifier.
This means the animal supports the person to use their existing abilities more effectively.
For example:
A person who values education but experiences barriers attending university may already demonstrate:
An assistance animal may support participation by reducing specific barriers, but it does not create the person’s abilities.
The person’s strengths remain central.
A strengths-based approach also supports careful consideration of dependence.
Assistance animals should increase:
They should not unintentionally reduce opportunities for skill development or personal growth.
For example:
If a person has the ability to independently complete an activity with appropriate supports, an assistance animal should not automatically replace that ability.
The occupational therapist should consider:
“Does this intervention increase meaningful participation?”
rather than:
“Can the animal do this task?”
A strengths-based approach recognises lived experience as a form of expertise.
People with disability often develop extensive knowledge about:
This knowledge is essential when designing assistance animal recommendations.
The occupational therapist contributes professional expertise regarding:
The person contributes expertise regarding:
Together, these perspectives support informed decision-making.
Strengths-based reasoning is also important when considering animal suitability.
A successful partnership depends on matching:
For example:
A highly active person may require an animal suited to an active lifestyle.
A person who values quiet routines may require an animal with different characteristics.
The question is not:
“What is the most capable assistance animal?”
The question is:
“What partnership best supports this individual?”
Strengths-based assessment includes identifying the person’s support network.
This may include:
Support networks may contribute to partnership success by:
However, occupational therapists must also consider whether support expectations are realistic and sustainable.
A strength is only useful when it can be maintained.
Strengths and abilities change over time.
A person may:
Assistance animal planning should therefore recognise both current strengths and future needs.
The goal is not to create a static intervention.
The goal is to support an evolving partnership.
When completing an occupational profile, occupational therapists should consider:
Identifying:
Considering:
Identifying:
Considering:
Assessment must recognise abilities as well as challenges.
A complete occupational profile requires both perspectives.
The goal is increased autonomy and opportunity.
Lived experience is essential clinical information.
Assistance animals should complement effective strategies.
The right partnership depends on compatibility between person, animal, environment and occupation.
Professional reasoning requires balancing capability, barriers, welfare and sustainability.
Strengths-based assessment ensures assistance animal recommendations are built upon what people can do, what matters to them and what supports their participation. By recognising existing abilities and resources, occupational therapists can avoid deficit-based thinking and develop recommendations that empower individuals while maintaining realistic expectations about the role of an assistance animal.