Skip to main content

Advertisement

Log in

A Program Evaluation: Equine-Assisted Psychotherapy Outcomes for Children and Adolescents

  • Published:
Child and Adolescent Social Work Journal Aims and scope Submit manuscript

Abstract

This study evaluates early outcomes of a program in the Midwest United States adhering to the Equine Assisted Growth and Learning Association (EAGALA) model of equine-assisted psychotherapy (EAP) involving a licensed mental health professional, an equine specialist, and horses or donkeys in the service provision. Designed to impact social behavior in children and adolescents struggling with issues of mental health diagnosis and/or family-home issues, the topics central to the program include skill building such as leadership, listening, emotional self-control, problem-solving, setting boundaries, and self-awareness. Data from the Behavior Assessment System for Children (BASC-2), Second Edition, was collected for 19 participants, from both their parents and teachers, following participation in the 10-week program. Overall, results are mixed with several promising findings that require more exploration. Paired-samples t-tests indicate that some participants demonstrated significant improvement in both primary and composite scales that served as a framework for pre and post testing (Reynolds and Kamphaus in BASC-2: Behavioral assessment system for children. Minneapolis, MN, Reynolds, C., & Kamphaus, R. W. (2004). BASC-2: Behavioral assessment system for children. Minneapolis, MN) and included: anxiety, social skills, study skills, anger control, aggression. The authors discuss ways to augment the effectiveness of program evaluation in EAP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Data Availability

The datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request.

References

  • Baldwin, A. L., Rector, B. K., & Alden, A. (2018). Effects of a form of equine-facilitated learning on heart rate variability, immune function, and self-esteem in older adults. People and Animals: The International Journal of Research and Practice, 1(1), 1–17.

    Google Scholar 

  • Beetz, A. M. (2017). Theories and possible processes of action in animal assisted interventions. Applied Developmental Science, 21(2), 139–149.

    Google Scholar 

  • Burton, L. E., Qeadan, F., & Burge, M. R. (2019). Efficacy of equine-assisted psychotherapy in veterans with posttraumatic stress disorder. Journal of Integrative Medicine, 17, 14–19.

    PubMed  Google Scholar 

  • Cakici, A., & Kök, M. (2020). Animal assisted therapy. Current Approaches in Psychiatry, 12(1), 117–130.

    Google Scholar 

  • Cameron, J., & Robey, P. A. (2013). Healing through healing: The horse power of choice theory. International Journal of Choice Theory and Reality Therapy, 33(1), 87–98.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2013). Mental health surveillance among children—United States, 2005–2011. MMWR, 62(Suppl; May 16, 2013), 1–35.

    Google Scholar 

  • Chardonnens, E. (2009). The use of animal as co-therapists on a farm: The child–horse bond in person-centered equine-assisted psychotherapy. Person-Centered and Experiential Psychotherapies, 8(4), 319–332.

    Google Scholar 

  • Dever, B. V., Mays, K. L., Kamphaus, R. W., & Dowdy, E. (2012). The factor structure of the BASC-2 Behavioral and Emotional Screening System Teacher Form, child/adolescent. Journal of Psychoeducational Assessment, 30(5), 488–495.

    Google Scholar 

  • Dietz, T., Davis, D., & Pennings, J. (2012). Evaluating animal-assisted therapy in group treatment for child sexual abuse. Journal of Child Sexual Abuse, 21, 665–683.

    PubMed  Google Scholar 

  • Dowdy, E., Chin, J. K., Twyford, J. M., & Dever, B. V. (2011). A factor analytic investigation of the BASC-2 Behavioral and Emotional Screening System Parent Form: Psychometric properties, practical implications, and future directions. Journal of School Psychology, 49, 265–280.

    PubMed  Google Scholar 

  • Dunlop, K., & Tsantefski, M. A. (2018). A space of safety: Children’s experience of equine-assisted group therapy. Child & Family Social Work, 23, 16–24.

    Google Scholar 

  • EAGALA Model. Retrieved April 19, 2020, from https://www.eagala.org/model.

  • Edwards, N., & Beck, A. M. (2002). Animal-assisted therapy and nutrition in Alzheimer’s disease. Western Journal of Nursing Research, 24(6), 697–712.

    PubMed  Google Scholar 

  • Geist, T. (2011). Conceptual framework for animal assisted therapy. Child Adolescent Social Work, 28, 243–256.

    Google Scholar 

  • Gilboa, Y., & Helmer, A. (2020). Self-management intervention for attention and executive functions using equine-assisted occupational therapy among children aged 6–14 diagnosed with attention deficit/hyperactivity disorder. The Journal of Alternative and Complementary Medicine, 26(3), 239–246.

    PubMed  Google Scholar 

  • Harrell-Williams, L. M., Kamphaus, R. W., Raines, T. C., & Dever, B. V. (2015). Psychometric analysis of the BASC-2 Behavioral and Emotional Screening System (BESS) Student Form: Results from high school student samples. Psychological Assessment, 27(2), 738–743.

    PubMed  Google Scholar 

  • Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. The American Psychological Association Psychological Bulletin, 112(1), 64–105.

    Google Scholar 

  • Hilliere, C., Collado-Mateo, D., Villafaina, S., Duque-Foncesa, P., & Parraca, J. (2019). (Horseback) Riding into the sunset. Tr: “Benefits of Hippotherapy and horse riding simulation exercise on healthy older adults: A systematic review”—Reply. American Academy of Physical Medicine and Rehabilitation, PM R 11, 327–328.

    Google Scholar 

  • Hoagwood, K. E., Acri, M., Morrissey, M., & Peth-Pierce, R. (2017). Animal-assisted therapies for youth with or at risk for mental health problems: A systematic review. Applied Developmental Science, 21(1), 1–13.

    PubMed  Google Scholar 

  • Ihle, W. (2016). Depressive disorders in childhood and adolescence. Psychotherapist, 61, 535–553.

    Google Scholar 

  • Jedlicka, H., Roland, E., Lewis, E., & Childress, G. (2020). Leadership Skills Training: An EAP group curriculum for youth (Available from PBJ Connections, 9734 Jug Street, Pataskala, Ohio, 43062).

  • Kemp, K., Signal, T., Botros, H., Taylor, N., & Prentice, K. (2013). Equine facilitated therapy with children and adolescents who have been sexually abused: A program evaluation study. Journal of Child and Family Studies, 23, 558–566.

    Google Scholar 

  • Koca, T. T., & Ataseven, H. (2015). What is hippotherapy? The indications and effectiveness of hippotherapy. Northern Clinics of Istanbul, 2(3), 247–252.

    PubMed  Google Scholar 

  • Lane, K. L., Oakes, W. P., Common, E. A., Brunsting, N., Zorigian, K., Hicks, T., et al. (2019). A comparison between SRSS-IE and BASC-2 BESS scores at the middle school level. Behavioral Disorders, 44(3), 162–174.

    Google Scholar 

  • Lentini, J., & Knox, M. S. (2015). Equine-facilitated psychotherapy with children and adolescents: An update and literature review. Journal of Creativity in Mental Health, 10, 278–305.

    Google Scholar 

  • Malcolm, R., Ecks, S., & Pickersgill, M. (2018). ‘It just opens up their world’: Autism, empathy, and the therapeutic effects of equine interactions. Anthropology & Medicine, 25(2), 220–234.

    Google Scholar 

  • Marcus, D. A., Berstein, C. D., Constantin, J. M., Kunkel, F. A., Breuer, P., & Hanlon, R. B. (2012). Animal-assisted therapy at an outpatient pain management clinic. Pain Medicine, 13, 4557.

    Google Scholar 

  • McNamara, J. (2017). Equine facilitated therapy for children and adolescents: A qualitative pilot study. Journal of Creativity in Mental Health, 12(4), 412–427.

    Google Scholar 

  • Mims, D., & Waddell, R. (2016). Animal-assisted therapy and trauma survivors. Journal of Evidence-Informed Social Work, 13(5), 452–457.

    PubMed  Google Scholar 

  • Morgan, B. M. (2017). Stress management for college students: An experiential multi-modal approach. Journal of Creativity in Mental Health, 12(3), 276–288.

    Google Scholar 

  • Murray, J., Wickramasekera, N., Elings, M., Bragg, R., Brennan, C., Richardson, Z., et al. (2019). The impact of care farms on quality of life, depression and anxiety among different population groups: A systematic review (Vol. 15). Campbell Collaboration: Wiley.

  • Notgrass, C. G., & Pettinelli, J. D. (2015). Equine assisted psychotherapy: The equine assisted growth and learning association’s model overview of equine-based modalities. Journal of Experiential Education, 38(2), 162–174.

    Google Scholar 

  • Palestrini, C., Calcaterra, V., Cannas, S., Talamonti, Z., Papotti, F., Buttram, D., et al. (2017). Stress level evaluation in a dog during animal-assisted therapy in pediatric surgery. Journal of Veterinary Behavior, 17, 44–49.

    Google Scholar 

  • PATH International. Retrieved April 1, 2020, from https://www.pathintl.org/.

  • PBJ Connections. Home page. Retrieved 18 April 2020 from https://www.pbjconnections.org.

  • Perkins, B. L. (2018). A pilot study assessing the effectiveness of equine-assisted learning with adolescents. Journal of Creativity in Mental Health, 12(3), 298–305.

    Google Scholar 

  • Reynolds, C., & Kamphaus, R. W. (2004). BASC-2: Behavioral assessment system for children. Minneapolis, MN: Pearson.

    Google Scholar 

  • Romaniuk, M., Evans, J., & Kidd, C. (2018). Evaluation of an equine-assisted therapy program for veterans who identify as ‘wounded, injured or ill’ and their partners. PLoS One, 13(9), e020394.

    Google Scholar 

  • Schultz, P. N., Remick-Barlow, G., & Robbins, L. (2007). Equine-assisted psychotherapy: A mental health promotion/intervention modality for children who have experienced intra-family violence. Health & Social Care in the Community, 15(3), 265–271.

    Google Scholar 

  • Siporin, S. (2012). Talking horses: Equine psychotherapy and intersubjectivity. Psychodynamic Practice, 18(4), 457–464.

    Google Scholar 

  • Splett, J. W., Raborn, A., Binney, A. J., Lane, K. L., & Chafouleas, S. M. (2017). Factor analytic replication and model comparison of the BASC-2 Behavioral and Emotional Screening System. Psychological Assessment, 29(12), 1543–1549.

    PubMed  Google Scholar 

  • Stanley-Hermanns, M., & Miller, J. (2002). Animal-assisted therapy. The American Journal of Nursing, 102(10), 69–71, 73, 75–76.

  • Trotter, K. S., Chandler, C. K., & Bratton, S. (2006). The efficacy of equine assisted group counseling with at-risk children and adolescents. Denton, Tex.: University of North Texas.

    Google Scholar 

  • Tsantefski, M., Briggs, L., Griffiths, J., & Tidyman, A. (2017). An open trial of equine-assisted therapy for children exposed to problematic parental substance use. Health and Social Care, 25(3), 1247–1256.

    Google Scholar 

  • Whittlesey-Jerome, W. K., Schultz, P. N., & Tomaka, J. (2016). Adding equine assisted psychotherapy to conventional treatment: A case study of adolescent resilience among charter high school students. Pediatrics & Therapeutics, 6(1), 1–10.

    Google Scholar 

  • World Health Organization. Retrieved November 23, 2019, from https://www.who.int/.

  • Wilkie, K. D., Germain, S., & Theule, J. (2016). Evaluating the efficacy of equine therapy among at-risk youth: A meta-analysis. Anthrozoös, 29(3), 377–393.

    Google Scholar 

  • Xue-Ling Tan, V., & Simmonds, J. G. (2018). Parent perceptions of psychosocial outcomes of equine-assisted interventions for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48, 759–769.

    Google Scholar 

  • Yalom, I. D. (1985). The theory and practice of group psychotherapy. New York: Basic Books.

    Google Scholar 

  • Youth.Gov. Prevalence of Mental Health Disorders Among Youth. Retrieved 18 April, 2020 from https://youth.gov/youth-topics/prevalence-mental-health-disorders-among-youth.

Download references

Acknowledgements

The authors wish to thank the staff, Board members, horses, donkeys, clients and their families of PBJ Connections.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Data collection was performed by PBJ Connections staff under the direction of Holly Jedlicka. Material preparation and data analysis were performed by Sandra Martinez. The first draft of the manuscript was written by Carole Harvey.

Corresponding author

Correspondence to Carole Harvey.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

The Ohio State University Institutional Review Board has determined that no IRB review is required. The de-identified outcome data analyzed was collected as part of the PONY Program implementation, 2011–2014.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Harvey, C., Jedlicka, H. & Martinez, S. A Program Evaluation: Equine-Assisted Psychotherapy Outcomes for Children and Adolescents. Child Adolesc Soc Work J 37, 665–675 (2020). https://doi.org/10.1007/s10560-020-00705-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10560-020-00705-0

Keywords

Navigation