Horses were my passion from early childhood. As is the case with many children, I was identified by adults as “extra-sensitive” to the communication channels between humans and animals. Transitioning from junior to amateur, then hunter-jumper trainer, it was quite a shock to emerge from the quiet, intimate level of contact and understanding that comes from spending a lot of time with one’s own horses, to the fast, noisy, highly expectant world of professional training.
While that childhood sensitivity never left, it was often trounced upon by the impatience of horse owners, other trainers I worked for, or simply the fatigue that comes from long hours of physical and mental exertion when working around horses and their owners. Often times, what the owner or trainer wanted, and what the horse communicated that he needed were two different things. The horse, ultimately due to his relative silence, frequently lost the argument. I was caught in the middle on many occasions. So I caved to the demands of the environment… until I didn’t.
Some horses are brilliant jumpers, and want to jump. Some are extremely talented in a particular discipline, but don’t want to perform, and that can be due to a long laundry list of reasons. The complexities of human-horse interactions can be intense, and highly misunderstood.
One day there was a new book that crossed my path: The Tao of Equus by Linda Kohanov. I was thrilled. Somebody out there felt as I did about the deeper communication conveyed to us by horses. Then the entire field of Equine Assisted Therapy began to emerge. Still involved in the sport disciplines, I watched from the periphery as more and more people started to use horses in human wellness programs. The process was both fascinating and disconcerting. Who asked horses if they wanted to be psychotherapists for humans? Who’s to say if the horses don’t also take on the stress and other symptoms of their “patients?” Why are they being made to remain in round pens hour after hour, helping humans discover the root of their greatest issues and fears? What is the protocol for caring for a “compassion-fatigued” horse? What about the safety concerns of bringing inexperienced horse-people into a pen of loose horses without proper footwear, headgear, or other traditional means of protection from known horse behaviors?
In short, the Equine Assisted Therapy models seemed to be all over the board without ethics guidelines, equine welfare regulations, or any professional structure to help manage this new faction of the equestrian world.
Leif Hallberg, M.A., LPC, LCPC
Fast forward to the 21st century, and it is such a pleasure to see that Leif Hallberg has addressed both the broad base of practitioners and equestrians who are involved with EAT/EFW, as well as providing material for each individual in the field in the form of a practical workbook. She also provides consultations, workshops, and retreats that are well grounded in her academic background, yet still merge beautifully with the real world of hands-on experience in the outdoors with animals, plants, and other creative aspects of nature.
TCE co-author, Dr. Allen Schoen DVM introduced us via e-mail and I was excited to ask Leif some of those pressing questions I’ve had regarding Equine Assisted Therapy. I discovered that we are completely on the same page insofar as our observations and concerns for horses used in equine/human therapy programs. The Compassionate Equestrian fully endorses and encourages the following textbooks for everyone involved with horses in a therapeutic program.
Books by Leif Hallberg, M.A., LPC, LCPC
The Clinical Practice of Equine Assisted Therapy – Including Horses in Human Healthcare
The Clinical Practice of Equine-Assisted Therapy bridges theory, research, and practical methods to fill a rapidly developing gap for physical, occupational, speech, and mental health professionals interested in incorporating horses in therapy. Extensively researched and citing over 300 peer-reviewed journal articles, it examines core issues such as terminology, scope of practice, competency recommendations, horse care ethics, and clinical practice considerations. This book is an essential resource for professionals who wish to use a best-practices approach to equine-assisted therapy.
The Equine Assisted Therapy Workbook
The Equine-Assisted Therapy Workbook gives readers the tools they need to increase professional competency and personalize the practical applications of equine-assisted therapy. Each chapter includes thought-provoking ethical questions, hands-on learning activities, self-assessments, practical scenarios, and journal assignments applicable to a diverse group of healthcare professionals. The perfect companion to The Clinical Practice of Equine-Assisted Therapy, this workbook is appropriate for both students and professionals.
Q :Were you involved with horses as a child or did they enter your life as an adult?
A: I started my relationship with equines as a young child. My parents rescued a donkey from the Eastern Sierras in California when I was three, and from that time forward, horses, ponies, donkeys, and mules were a part of my life. Over the years I transitioned from the “learn by the seat of your pants” approach, to becoming a serious rider, trainer, and competitor – making horses my way of life.
Q: What was your “epiphany moment” that inspired you to combine horses with your professional training as a therapist?
A: I share this story in The Clinical Practice of Equine-Assisted Therapy, but will share it here as well.
One day, standing in the middle of a dusty area, I realized the power of horses to change lives. I was 19, a young, up and coming hunter/jumper riding instructor and horse trainer, and the idea that riding horses could help people overcome significate physical or emotional obstacles never really crossed my mind.
The woman I was teaching had progressed nicely, and was finally ready to canter for the first time. The horse she was riding was lovely and kind, easy to handle and very responsive. I watched as she got into two-point, picked up the trot, and gently asked the horse to canter. He started off on the correct lead and around they went. After a few moments, I asked her to transition to the trot. Nothing happened. The horse continued to canter, and the woman remained in two-point, never asking the horse to change his gait. I asked repeatedly with no response. Finally, I used voice commands and my body language to slow the horse down. As I caught the reins, I looked up at the woman’s face and was shocked to see tears pouring down her cheeks. I helped her dismount and asked another student to cool down the horse. We walked to a bench and sat down. “What’s wrong?” I asked. She could not speak. We sat together for a while, as she collected herself. Finally, she was able to tell me that nothing about the lesson had caused her to cry, and that she would be back next week. I got her some water and walked her to the car.
The next week she came back. She seemed collected and focused so I asked if she wanted to try cantering again. She agreed and when the time was right I asked her to transition into the canter. The exact same thing occurred. Around and around they went. I continued to ask her to stop and nothing happened. Just like the week before, I used voice commands and slowed the horse down, and just like the week before she was sobbing. This continued week after week.
Finally, one day in that arena something different happened. Into the canter goes the horse, and I get ready to once again intercede to slow the horse down. Instead, all of a sudden the woman yelled “STOP”. The horse came to a sliding halt. I rushed up to see what was happening. Instead of a sobbing rider I found the woman sitting tall and proud atop her horse. I asked what had happened. And then she told me. For over a year her boss had been raping her. She was terrified to tell him no and even more terrified to report him because she was sure she would lose her job. For the past year, she had lived in fear, knowing that what was happening was not right, but not being able to find a way to stop it. She explained that the day before coming to barn she had found the courage to tell him no. She told me that learning to ride had taught her she could no longer be a bystander observing her own life, and that riding had given her the strength to stand up.
My world changed that day. I realized there was a power in the horse-human relationship that far exceeded my knowledge or understanding. I wanted to know more, and learn how I could support and protect interactions that could cause such profound change. And, I knew then and there it was not about me. It was something that happened between that woman and that horse.
Q: Equine Assisted Therapy (EAT) is still a relatively new field. What was the biggest concern you had when you first encountered the possibility of using horses in a human therapy setting?
A: My biggest concern has always been for the horses. I recall a time when a volunteer of mine rescued a mustang and wanted him to work in our equine-assisted learning program with juvenile inmates. She offered to pay for training to prepare him for the work. I agreed to give it a try as I thought he might be a lovely fit for some of the participants. The first day the trainer arrived, she put this beautiful, regal, leader of a horse into a round pen and ran him around until he was frothing and sweating and exhausted, all for the purpose of getting him to “join up” so he could work as a “therapy” horse. I couldn’t stand what was happening, so I stepped in, removed the horse, and asked the woman to leave the property.
The key with this beautiful horse was to respect his leadership skills and his unique knowledge and intelligence. He certainly didn’t need some incompetent human attempting to “lead” him or force him to submit to “joining up”. It turned out this was Titan’s gift – He helped those he worked with understand that the concepts of leadership, dominance, and submission commonly used in the horse industry are rarely accurate, and many times inappropriately couched as “gentle” or “natural” approaches to training horses. Titan taught people that he had skills and abilities far beyond their understanding, and if they would respect him and listen to him, he would generally do his part of find common ground so horse and human could interact and engage safely and enjoyably.
Sadly, some in the equine-assisted mental health and learning industry have adopted activities and training techniques that confuse and frighten horses, or routinely require them to submit and shut down, even as the providers believe the horses are genuinely bonding and connecting with the participants, or are “happy” in their work. This is of grave concern to me.
Q: Do you feel that EAT in its current format truly honors the needs and welfare of horses, putting them first?
A: No, certainly not. Most research points to the difficulty obtaining reliable data regarding equine welfare because of human projections and interpretations. For the most part, humans find great value in believing horses actually enjoy this work, and the humans directly benefit from this belief structure. This makes it difficult to gather objective data. I am also concerned that current studies which show horses having little or no negative reactions to the work may be using the wrong markers to understand equine wellbeing – and therefore overlooking important information. I believe this may be furthering the problem, as putting out studies showing that horses aren’t negatively impacted could result in people overlooking critical signs of stress, burnout, or submission, or considering the overall welfare of the horse.
Q: What is the most pressing problem with using horses in human therapy at this time?
A: Beyond what I suggested above related to equine welfare:
#1 Provider competency – Especially related to understanding horses and involving them in therapy. I am greatly concerned by models that support a therapist who isn’t trained (and experienced) in working with/understanding horses and who has limited knowledge and skills designing clinical activities including horses and the farm milieu compensating for this huge gap in knowledge by partnering with an “equine specialist”. The possibilities for unsafe and unethical practices abound.
#2 Understanding the differences between regulated therapy services and non-therapy services. Many who are not therapists unknowingly offer services that duplicate (or come very close to duplicating) regulated therapy services. There are solid reasons why licensed healthcare professionals go through many years of schooling and supervised clinical experience. Humans are very complicated beings, and many times people simply don’t know what they don’t know. Understanding the damage that can be done when using an evocative experience like engaging with horses with potentially vulnerable populations only comes with training and education, and a willingness to put one’s own desires, beliefs, needs, and wants aside. I was a horse person first, an experiential educator second, and finally a therapist. So, I can tell you that it was only after I went through my years of training, education, and supervised experience did I really understand the damage that could be done. Having said that, I also recognize that licensed therapists who choose to include horses without extensive training and education can inflict a great deal of damage onto their clients – while some who aren’t licensed may have a unique, natural gift allowing them to safely guide people through various states of being. So, it is not black and white, but no matter what, MORE TRAINING and EDUCATION for everyone is the best way to resolve the concerns.
Q: If you could change something about the way horses are used in EAT programs immediately, what would that be?
A: Probably the most immediate issue is ceasing the use of activities in which horses are chased, cornered, touched/interacted with, or otherwise confused by participants who have not been educated about how to safely and respectfully interact with horses.
Q: I have seen many websites of “equine experience programs” that offer various types of interactions with horses for personal growth and other such workshops. Often the participants are shown sitting on horses, bareback, with no helmets, improper footwear, and frequently without bridles or any other visible means of control should the horse spook. To me, this implicates considerable liability on the part of the practitioner. How is this being addressed in your book and within the industry?
A: I address this in depth in my book. All the research shows the best way of avoiding a serious accident when working with horses is teaching people ABOUT horses – how they communicate, how to respectfully interact with them, and how to remain safe around them. And secondly, research shows that wearing the appropriate safety gear is also essential (hard hats, boots, vests, etc.). I believe many people in this industry don’t really understand horses, having had little serious training in ethology, equitation science, or equine behavior, but value their interactions with humans greatly. I think this has led to strange ways of engaging with horses that range from somewhat sweet and innocent to extremely dangerous and damaging.
It is of grave concern that professionals and even some organizations choose to minimize the inherent risk related to including equines in healthcare, and ignore the conventional knowledge of horse behaviorists and ethologists and the results of countless research studies, and continue to use activities that place the horse and the clients at risk for negative experiences ranging from simple miscommunications to dangerous accidents.
There is a growing awareness that far more training, education, and knowledge is necessary to safely and ethically provide equine-assisted therapy. The American Counseling Association (ACA) recently endorsed the ACA’s Animal-Assisted Therapy in Counseling Competencies, which all members of the ACA who include any species of animal in counseling are required to adhere to. Also, an increasing number of training programs are focusing on a much greater depth of training and education, requiring their students achieve a higher level of competency prior to offering services that involve horses.
Q: What type of horses are best used for EAT?
A: This depends upon the specific type of EAT – For example, a physical therapist who includes equine movement as a part of the clinical intervention will seek out horses with specific confirmation criteria in mind to meet the needs of the patients. Any horses who work in physical, occupational, or speech therapy programs and who are ridden by clients must be 100% sound and fit. This is essential for their wellbeing and for the success of the intervention. In mental health programs, especially those that do not include mounted activities, the range of possible horse types is unlimited. Some people have specific criteria and only include certain breeds, ages, or genders, while others include rescue horses, elderly, or very young horses, or those in need of rehabilitation.
In my experience, horses who are in need of physical or mental/emotional rehabilitation should ONLY be included if they are given full choice as to whether or not they want to engage, and how they would like to engage. They should never be forced to interact or participate in activities they don’t wish to, and should be carefully assessed on a regular basis by objective measures.
Q: If someone is considering donating their horse to a program or practitioner, what factors should be taken into account, both for the horse’s sake and that of the humans he will be assisting?
A: Equine-assisted therapy can be hard work for horses. It should not immediately be considered a “retirement” option. There are elderly horses for whom having meaning and a job where they can be purposeful is very important, while there are others who really just want to spend their last years out in a pasture with other horse friends enjoying life. It is important to know the personality of the horse, and place that at the forefront of the decision making process.
For owners considering donating their horses, my advice is to go and spend time at the facility. Watch how the horses are tended to and interacted with. Ask questions about the amount of free time the horses are afforded – and find out if this free time is FREE of human interactions, meaning the horse has time to be loose in a pasture environment with other horses and where they don’t have to interact with humans. Also find out if the horse will have “extra-curricular activities” that gets him/her off of the property like trail rides, horse shows, walks down a country lane nearby, or anything to get a change of scenery and pace. Training, exercise, and conditioning is another important area to research. Will the horse be exercised and conditioned by a qualified rider? Or will volunteers be asked to “exercise” the horse with limited instruction or supervision? Finally, what is the facility like? Are the horses well cared for, fit, healthy, and happy (seeming)? Does the facility have good working relationships with vets, alternative care providers, farriers, etc.? Is there an established mechanism for regular objective equine assessment? Do all animals on the property have enough room? Meaning, is there ample turn out, paddock space, pasture, and other free roaming opportunities? Is there shelter, shade, and access to clean water? Are the humans friendly, open, and engaged?
Q: What do you see for the future of EAT? It seems as though equestrian sports are becoming a minor part of society at large due to the high costs, lack of land and facilities, and diminishing youth participation. Far too many horses still end up in the slaughter pipelines or otherwise discarded, ignored, and uncared for. It is my hope that the therapy programs offer a window of opportunity for many horses that are not show or trail horses to find a new and suitable career.
A: I believe that the issues you speak of – lack of space, cost of horse caretaking, and diminishing facilities – pose a serious threat to the equine-assisted therapy industry.
At present, I see two options that might help the industry maintain. First is the co-op model. In this model, providers pay to work out of a shared facility where one entity has control over the horse care and welfare, and those that join the co-op agree to the manner in which the horses are tended to, and agree to specific rules related to equine interactions, care, and wellbeing. This model allows for greater funding, better facilities for providers, equines, and clients, and more living/working opportunities for the equines. Due to increased funding, these co-op stables could potentially exist in urban areas where an individual or a small program could not afford land, and could operate more like conventional healthcare clinics. This increases the accessibility for many different client types, and offers opportunities for collaborative relationships with other service providers.
The challenge with this idea is that horse people historically don’t collaborate very well, and tend to have differing opinions about, well, just about everything.
The second option I like is the farm-based clinic model. This model includes horses, but is not limited to equine-assisted therapy. For example, if a program has a small number of chickens, goats, pigs, other small farm animals, and a few horses, along with art, nature activities, cooking and other healthy living strategies, the facility can be much smaller and may even be able to exist in a more urban setting more affordably, thereby increasing accessibility while decreasing program costs. I believe interacting with nature, engaging in experiential activities, and spending time with different types of animals can offer powerful healing and learning opportunities for humans, and shouldn’t be overlooked due to the perceived “sexiness” of working with horses.
I love the farm-based model because it offers horses a break, provides new and different therapeutic opportunities, and through the diversity of species, can be used to better “meet” clients where they are rather than assuming that horses are the right species for every client.
Q: Anything else you would like to add to this list of questions? Please do!
Last Comment – One of the areas I am most interested in is the use of equine interactions to teach healthcare professionals how to be more effective at their jobs. I believe this industry can only support so many providers of equine-assisted therapy, and I believe there are only a certain number of clients who actually need equine-assisted therapy. However, there are millions of healthcare providers world-wide who never have to offer equine-assisted therapy for their clients to benefit. The lessons learned through ethical horse-human interactions are vast and multifaceted. I wish more programs were based not on training people how to “do this work”, but rather on offering services for healthcare professionals to learn personal and professional skills through equine interactions that they could take back to their offices and clinics.
The Compassionate Equestrian blog is written by TCE coauthor Susan Gordon unless otherwise noted. Dr. Schoen’s personal blog and website may be found at http://www.drschoen.com
About the blogger:
Susan Gordon is 58 years old and lives on Salt Spring Island, B.C., Canada. She turned professional as a rider in 1983, upon the invitation of Maclay champion (1973), the late Michael Patrick. Susan trained eventing, hunter, jumper and dressage horses, apprenticing with other top trainers in her chosen disciplines. She created “Athletic Rider Training; The ART of Horsemanship,” teaching freelance from 2002 until retiring in 2010. Her program brings elements of meditation practice, music, dance, art, and an interest in non-invasive, holistic therapies—in particular Low Level Laser Therapy and tapping— to her work with students and their horses. She has since completed courses in Sustainability (University of British Columbia and University of Guelph), and documentary filmmaking (Pull Focus Film School, Vancouver). She is a Trained National Canadian Coaching Program Endurance Coach, an internationally ranked competitive masters and age-group runner with Athletics Canada in the 400m track to ½ Marathon Road Race distances. The Compassionate Equestrian is her first book. Her second book also released in June 2015: Iridescent Silence of the Pacific Shores (Gordon/D. Wahlsten 2015), a book of abstract water photography with a strong environmental statement, and DVD featuring original Orca calls and music composed by Ron Gordon, Ph.D. Photo prints and paintings are available for viewing and purchase at Susan Gordon website