Are weighted blankets safe for children?

Written by
Stella Nilsson
Reviewed by
Prof. William Dalton, Ph.D.When used appropriately, weighted blankets can be safe and beneficial for children older than two years. The crucial factor is strict compliance with safety guidelines that are appropriate for the child's stage of development. I have recommended them in occupational therapy when children have sensory needs. Safely implemented, they can reduce the likelihood of problems while providing the benefits of treatment.
Medical Clearance
- Mandatory pediatrician approval before first use
- Discuss respiratory history and developmental conditions
- Require updated clearance every 6 months
- Document weight recommendations formally
Weight Guidelines
- Maximum 10% body weight plus one pound (453g)
- Use precise digital scales for measurement
- Adjust biannually with child's growth
- Never exceed 15 pounds total weight
Supervision Requirements
- Constant adult supervision during initial 2 weeks
- Position child where you see their face clearly
- Check breathing patterns every 15 minutes
- Establish emergency removal protocols
The autonomous ability to reach the point of removal is essential. Assess whether the child can lift the blanket off their face within 10 seconds. Practice this behavior during the daytime before wearing it at night. Arm movement should not be restricted. Never use this technique with children who have a loss of mobility.
Respiratory conditions should be avoided entirely. Asthma or sleep apnea can significantly increase the risk of suffocation. Temporary discontinuation is necessary with even mild congestion. Watch for labored breathing sounds during use. Only place children on their backs.
Introduce the weighted blankets gradually through desensitization. Initially, use them for 5 minutes during calming activities. Only increase the time if the child requests more time. Watch for signs of distress, such as repositioning, fidgeting, or skin redness. Create positive associations for the weighted blankets through routine.
Routine safety evaluations help to mitigate complacency. Schedule monthly inspections of the state of the blanket. Confirm weights with continued growth spurts. Update removal drills once a quarter. Continue to have open dialogue with therapists and doctors.
Read the full article: 10 Weighted Blanket Benefits for Better Sleep