1. Is EFP safe?
Programs run by experienced, safety-oriented equine and mental
health professionals generally have low accident rates. But
horses are animals, not machines, so accidents do sometimes
occur. Before participating in any program, you may want to
as the director what, if any, accidents have occurred within
the past five years and what steps have been taken to prevent
similar accidents in the future. 2. How much does EFP cost?

Cost varies by program. Some expenses may be partially or
fully covered under certain insurance plans’ General
Outpatient Mental Health benefits – talk with your insurance
provider to determine your General Outpatient Mental Health
coverage. Some therapists and organizations may also be able
to provide reduced-cost sessions for qualified clients.
3. I'm afraid of horses. Can I participate in EFP?
Some fears of horses can be overcome through EFP, others are
better addressed in a different setting. Talk with your therapist
or health professional about how to select the right program
for you.
4. How do I find a therapist licensed to offer EFP as a treatment
option?
While the Equine Facilitated Mental Health Association (EFMHA)
is leading the development of a national board for Mental
Health and Educational Professional Certification, there is
currently no national licensing board for therapists who include
EFP among their treatment options. Clinical therapists, though,
must be registered to practice in their state, and equine
professionals may be certified through organizations such
as:
• the North American Riding for the Handicapped Association
(NARHA)
• the Equine Assisted Growth and Learning Association
(EAGALA)
• the American Riding Instructors Association (ARIA)
• the Certified Horsemanship Association (CHA)
5. When do I get to ride the horses?
When and whether clients ride depends on the program. Some
programs center around riding; others focus on interacting
with the horse on the ground. Ask the program director what
clients do during the program and how the activities help
clients reach their goals.
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