The initial assessment
When our specialist physiotherapist first meets a new client she
will try to
   -  establish whether the person is likely to benefit from
      hippotherapy
   -  establish whether there are any contra-indications to
      hippotherapy
   -  establish a baseline against which we can compare
      progress
   -  understand the client's individual needs and aspirations
   -  discuss with our clients how we will help them mount the
      horse.
Together, all this information allows her to tailor the hippotherapy
sessions according to each client’s abilities and aspirations.
We recognise that therapeutic outcomes are only successful if
they matter to the individual concerned. For this reason, at the
end of the assessment, we work with individual clients and their
carers to negotiate goals for hippotherapy that are both meaning-
ful to our clients and realistic. Together with our clients we review
these goals, as well as their response to hippotherapy, on an ongoing basis.
The initial assessment also gives us the opportunity to explore and discuss with our clients
and/ or their carers how it is most comfortable and safe for them to mount the horse. Our
horses have been taught to stand still patiently and tolerate a whole lot of different ways of
getting on and off them. This means that even people completely new to horses can be
confident that they are going to be safe.  
 
What is involved?
The re-assessment
At the end of the six hippotherapy treatments,
patients receive a follow-up
assessment of up to 1.5 hours. In
this assessment the original goals
will be reviewed and the outcomes
of hippotherapy assessed.
Patients will be reassessed after 6
sessions regardless of whether
they continue to have hippotherapy
with us or not. This is, because it is
important to review and document
progress at regular intervals.
If the block of six hippotherapy sessions is to
be followed by another block of six, the follow-
up assessment will be used both to assess
the outcome of the first six sessions and to
set goals for the next six sessions.
Partnership working
Whenever possible, and with the agreement
of the client and his/her carers, we strive to
work in partnership with others involved in
our clients' care. This is to make sure that
everybody involved in the care and therapy
of an individual can work towards the same
goals and become more effective in
achieving them.
For this reason, we are keen to share the
findings of our assessments, goals and
progress reports with other therapists,
carers, support workers and case
managers. For confidentiality reasons, we
will only ever do this with the client's and/or
their carers' permission.
Hippotherapy
Depending on the individual's response and
level of fatigue, each hippotherapy treatment
session is between 20 and 30 minutes long
including mounting and dismounting.
The hippotherapy sessions are tailored to
the needs of individual clients. This
means that, within the abilities of
each individual, we will work
towards maximum movement
stimulation and facilitation, but
without over-taxing a person's
physical ability or
confidence.
The hippotherapy sessions take place in a
20x40m indoor riding arena and are facilitated
by a chartered physiotherapist with specialist
post-graduate training in hippotherapy. She
works with a support worker and a horse
handler who have both received specific
training.
For individuals from the region once-weekly
hippotherapy sessions are the most obvious
method of delivery. However, we appreciate
that people from further afield may want to
benefit from hippotherapy here at Horse
Power for Ability. Therefore, we do our best
to arrange residential courses of treatment
on an individual basis.
For this, we collaborate with a local provider
of truly accessible accommodation with
excellent facilities. Please contact us to
discuss the possibility of a residential course
of hippotherapy.