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HEALING

said. “Horses are just so therapeutic in general, for anybody.” e term “hippotherapy” refers to how occupational therapy, physical therapy and speech-language pathology professionals use equine movement as a therapy tool, according to the American Hippotherapy Association.

To use hippotherapy in treatment, a person must be a licensed therapist who has completed continuing education in the inclusion of horses and equine movement, per the association. Petitt has gotten her rst level of training with the association, and she plans to continue with her training this fall.

However, Petitt explained that she does not refer to herself as a hippotherapist because hippotherapy is not its own therapy.

“We’re not hippotherapists,” she said. “Hippotherapy is utilizing the horse. All of our treatments are either occupational therapy, speech therapy or physical therapy, and we’re just using the horse as a treatment tool, basically.”

With her clients, she said she is working on all of the same therapy interventions that she would be in a therapy gym or in an outpatient program, but instead she’s now doing it by having her clients get onto a horse and incorporating the horse’s movement into the treatment.

“We work o the horse’s pelvis, so their pelvis is very similar to ours,” she

“We’re working on that constantly, so when we have our riders on the horse, they’re also working on that. And it’s one of the most multi-dimensional movement(s) that’s rhythmic and repetitive,” she said.

For someone experiencing conditions such as limited mobility, limited core strength, cognitive delays, or

improve all of those elements,” she said

According to a study published in the international journal, Physiotherapy eory and Practice, there are “signicant positive e ects” of equine-assisted therapy on exercise tolerance, mobility, interpersonal interactions and quality of life of people with disabilities.

Another study focused on the effects of equine-assisted activities and therapies for individuals on the autism spectrum and concluded that these programs “substantially improve” the social and behavioral functions of people who are on the autism spectrum.

“Communication is pretty key, too … because horses mirror us, so a lot of our participants can learn a lot more speech and communication successfully with the horses, which is really great,” she said.

Petitt has three horses she works with. e horse a client is paired with is dependent on their individual needs, she explained.

“Part of what’s so cool is because we can kind of tailor it to that participant, that patient, and kind of really work on what we need to work on with them,” she said. “ eir postural control, sensory systems, motor planning.”

In a typical therapy gym for occupational therapy, Petitt said there are tools such as a swing, a ball and a mat to use for the session. However, these do not provide the same level of sensory input and rhythmic, consistent movement that equine-assisted therapy can, which she said is great at building overall strength, control and balance.

“We can work in the therapy gym all day but the bene ts and the outcomes that we’re seeing while doing therapy on the horses are just so much more transformative and more meaningful than we can get in the gym,” she said.

Looking ahead, Petitt said she hopes to soon expand her team to include a physical therapist.

“And then I’m really hoping to hire a

SEE HEALING, P21 speech therapist as well, because riding the horses … there’s so much to do with our respiration rate when we’re riding them,” she said. “What that can do for speech language pathologists is really help with that physiological system of how we talk.”

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At the Prestige erapeutic Equestrian Center, Petitt also o ers “therapeutic horseback riding,” which she explained is not a professional therapy service but is rather like a recreational sport where individuals learn riding skills. is experience can, in turn, lead to other bene ts such as helping deal with anxiety.

However, when it comes to getting professional therapy treatment for mental health conditions like coping with trauma, grief, abuse, or other challenging experiences, community members have an equine-based option — the therapists with Rocky Mountain Equine Assisted Psychotherapy, LLC.

Horses and psychotherapy

Carina Kellenberger and Dana Schultz, both licensed clinical social workers who grew up loving horses, established Rocky Mountain Equine Assisted Psychotherapy in 2013.

Schultz, who lives near Superior, and Kellenberger, who lives in Longmont, primarily practice at the Happy Dog Ranch in the Littleton area and at Medicine Horse in Boulder.

“We are licensed clinical social workers that have a trauma-specialty focus in … equine therapy,” Schultz said, explaining they do formal intakes and development clinical-based treatment plans.

ere is a di erence between equineassisted therapy and equine-facilitated therapy, Kellenberger noted.

“When we rst started our business back in 2013, the word ‘equine-facilitated learning and psychotherapy’ did not exist, but that is the work we are doing,” Kellenberger said. “Equine-facilitated psychotherapy and learning means that the horse — the relationship with the horse is the vehicle for change.”

Under the practice of equine-facilitated psychotherapy, it is the client’s relationship and connection with the animal that is moving the sessions forward, she said.

“ e di erence between the learning and the psychotherapy are, like, a lot of the group work is mainly more learning because we’re not really diving into personal issues and we’re keeping it a little more surface level,” Kellenberger said. “But (in) the psychotherapy … we go as deep just like any o ce therapist would.”

Equine-assisted therapy is di erent because while horses are incorporated into the practice, the client’s relationship with them is not the driving force, she said. Rather, the horses are more of a tool component of the therapy.

“ ey might be being used more as a metaphor or as a way to help move through an activity, but they’re not — the relationship with the animal isn’t the central piece,” she added. “In the facilitated work that we do with our clients, it’s the relationship as the primary drive and the connection with the horse.”

Kellenberger and Schultz may use an equine-facilitated or an equine-assisted therapy approach when treating a client, as it depends on what the client is seeking, Schultz said. Kellenberger added that equine-assisted therapy is bene cial as an assessment tool.

Both Schultz and Kellenberger received certi cation in animalassisted social work from the University of Denver’s Graduate School of Social Work, as well as completed training through the organization Natural Lifemanship in trauma-focused equine-assisted psychotherapy.

“A lot of our clients, they’re coming to us because they’ve experienced trauma, and so we’re making sure that everything that we’re doing is through that lens as well,” Kellenberger said.

Schultz noted their approach is always using a clinical, evidencebased lens and horses are a part of the team. She works with clients to identify their primary goals and the horse becomes their partner in that journey.

“We know that therapy is hard and incredibly personal, and it’s a di cult journey for people to admit, like, ‘Hey, I

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