R1 Project result 1 of 3

The Professional Profileof the Equestrian Therapeutic Practitioner

The knowledge, skills and attitudes a team needs to work safely and ethically with people with disabilities and/or special needs in an equestrian setting, treating the horse as a sentient co-actor.

Workshop participants meet two horses in a paddock surrounded by wooded hills.
Meeting the horses at the transnational workshop in Puig-reig, Spain, April 2026.
Developed at
Transnational workshop, Puig-reig, Spain, April 2026
Written by
EQUEST partners from Poland, Italy and Spain
Licence
CC BY 4.0: free to use and adapt, with credit

The profile at a glance

15 competencies in three pillars

The Profile sets out the knowledge, skills and attitudes needed to work safely and ethically with participants, individuals with disabilities and/or special needs, in an equestrian setting. Its 15 competencies are grouped into three pillars: what the professional team should know, how it should act and who it should be. Throughout, the horse is a sentient co-actor, and its physical and psychological welfare (One Welfare) is part of the participant’s safety.

No single person is expected to have all competencies. The profile describes what a team should cover together. Select a competency to read it in full.

I. The profile background

Why a shared profile

The goal of Result 1: The Professional Profile (R1) is to establish a profile of a professional who works with the participant (an individual with disabilities and/or special needs) in an equestrian setting, aiming to raise care quality and ensure safety.

One goal, two names

Across Europe and internationally, professional terminology in equine-involved fields has evolved along distinct regional lines. Understanding it is important not only for the beneficiaries but also for policy makers. The two primary overarching terms in contemporary practice are:

EAI

Equine-Assisted Interventions

Used mainly in Europe

The terminology traditionally established across European clinical, therapeutic and special education systems. EAI emphasises structured, both goal- and process-oriented activities delivered by multidisciplinary teams within recognised medical, psychological and pedagogical frameworks.

EAS

Equine-Assisted Services

Used mainly in North America

An umbrella terminology widely adopted in North American contexts to categorise equine-assisted therapy, adaptive horsemanship and equine-assisted learning under a single service umbrella.

What both shareHowever, the ultimate goal remains identical across all systems: enhancing the physical, cognitive, emotional and social well-being of individuals with disabilities and/or with special needs, while maintaining rigorous welfare standards for the horse as a co-actor in the process.

The EQUEST consortium acknowledges these regional variations in nomenclature. Nomenclature varies across national borders, legal systems and professional traditions.

Three national frameworks

The EQUEST partner countries organise this work differently, and even call the participant by different names.

  • Italy

    National Guidelines
    The participant is called“the user” (utente)

    The Italian intervention model proposed by the National Guidelines is based on the concept of a multidisciplinary team, coordinated by the project manager, which provides a structured and clearly defined approach to the participant. The team selects the most appropriate type of equestrian activity, identifies the tools to be used to validate the effectiveness of the intervention, and develops a personalised intervention programme.

  • Spain

    AEDEQ · Ley 7/2023
    The participant is called“a patient” or sometimes “a student” (paciente / alumno)

    The Spanish framework, championed by AEDEQ and aligned with national animal welfare legislation (Ley 7/2023), integrates equine-assisted interventions across healthcare, special education and adapted leisure sectors. The terms reflect the clinical, therapeutic and educational frameworks in which interventions are led by qualified healthcare or educational specialists, and in which the horse is legally recognised as a sentient co-actor trained through ethical, non-submissive methods.

  • Poland

    PTHip (Polish Hippotherapeutic Society)
    The participant is called“a client” or “a participant” (klient / uczestnik)

    The Polish framework, shaped by the canons of the Polish Hippotherapeutic Society (PTHip), operates primarily through a combined pedagogical, physiotherapeutic and socio-rehabilitative approach. The terms emphasise an empowering, family-centred service model where therapeutic and developmental goals are achieved in active partnership with the multidisciplinary team, underpinned by a strict equine welfare approach.

The multidisciplinary team

ParticipantHorseInstructorHorse handlerTherapistDoctorsVolunteer helpersTherapy centre staffParents & caregiversCORE TEAMWIDER CIRCLE
Erasmus+ project KA210-VET-AB89430F
The participant is at the centre of the team.

During the project, we agreed that no one single person can possess all the knowledge, skills and attitudes described in this profile. Instead, practitioners working for the benefit of an individual with disabilities and/or special needs in an equestrian setting should create an informal system in which they work as a team to achieve their goal for the person under their care. Such a team then possesses interdisciplinary and even transdisciplinary qualifications to produce benefits for the health and welfare of the participant, in collaboration with their parents, doctors and other members of their team, including volunteer helpers.

Around fifteen partners sit at a long table covered with papers, in a bright conference room.
Partners from Poland, Italy and Spain drafting the Profile together at the Spain workshop.
A whiteboard with three handwritten lists headed Knowledge, Skills and Attitude, and a small circle diagram labelled patient, therapist and trainer.
The first draft, written on the whiteboard in Spain: knowledge, skills and attitudes, with the team (patient, therapist, trainer) sketched around the horse.

One Health or One Welfare?

A horse can be healthy and still not be well

The debate between One Health and One Welfare is common in equine-assisted interventions (EAI). Understanding the distinction, and why both matter, helps clarify the approach taken by EQUEST.

The core difference at a glance
FeatureOne HealthOne Welfare
Core focusInterconnection between human health, animal health and the environment.Interconnection between human wellbeing, animal welfare and the environment.
Primary fieldsVeterinary medicine, public health, epidemiology, clinical biomechanics, biosecurity.Animal welfare science, bioethics, anthrozoology, psychology, social welfare.
Key metricAbsence of disease, physical injury or clinical pathology; physical safety.Overall quality of life, emotional state, stress levels and mental wellbeing.

Why One Health feels more grounded

One Health stems directly from clinical veterinary medicine, epidemiology and public health. It relies on concrete, objective and easily measurable parameters such as physical soundness, lameness checks and biomechanics; zoonotic disease control, hygiene and biosecurity protocols; and physiological health (e.g. nutrition, dental care, physical injury). Because these indicators are binary or clinically quantifiable (e.g. lame vs. sound, infected vs. clear), One Health feels pragmatic, objective and legally enforceable for facility management and risk audits.

Why One Welfare is comprehensive

One Welfare should not be confused with sentimentality. Modern animal welfare science is an objective, evidence-based discipline that extends beyond physical health to include psychological and emotional states. In equine-assisted interventions, a horse can pass a One Health assessment while completely failing a One Welfare assessment.

The same horse, two assessments

Close-up of a grey horse's head in profile against a blue sky.
Looking at the horse as a whole: body and emotional state.
One Health check: passed

The veterinary view

A therapy horse undergoes a veterinary check. It shows no physical lameness, has ideal body condition and suffers from no infectious diseases. Clinically, it is 100% “healthy”.

One Welfare check: failed

The welfare view

That same horse may be suffering from learned helplessness, chronic emotional exhaustion or burnout due to unmanaged participant distress or overwork. While physically healthy, its welfare is severely compromised.

In an arena setting, a horse with compromised welfare poses a direct safety risk to human participants (through unexpected displacement, shutdown or reactive behaviour) and compromises therapeutic co-regulation. One Welfare explicitly links the emotional state and mental wellbeing of the horse to the emotional safety and social outcomes of the human participant.

Safe co-regulationwith the participant
One WelfareEmotionally engaged, ethically managed, protected from burnout
One Health: the foundationPhysically sound, safe and medically protected
Erasmus+ project KA210-VET-AB89430F

One Health guarantees that our horses and participants are physically sound, safe and medically protected. One Welfare builds directly upon that foundation to ensure our horses are emotionally engaged, ethically managed and protected from burnout, because a horse cannot safely co-regulate a human participant if its own mental welfare is compromised.

A chestnut horse and a grey horse stand close to two women in a sunny paddock.

A horse cannot safely co-regulate a human participant if its own mental welfare is compromised.

EQUEST Professional Profile

II. The profile pillars

What the team should know, do and be

Each pillar groups the competencies the team needs.

Pillar 1 · Know

Core KnowledgeWhat the professional team should know

This pillar establishes the essential theoretical and cognitive baseline required before starting work with the participant in the presence of a horse.

  1. 1.1

    Equine ethology, behaviour and biomechanics

    • Understanding natural horse behaviour, ethology and physical biomechanics.
    • Differentiating between individual horses (strengths, limits and histories).
    • Recognising equine neurotypes and individual sensitivities.
    • Important: recognising stress indicators in the horse.
  2. 1.2

    The One Welfare approach and horse protection standards

    • Health and welfare requirements: nutrition, physical conditioning, rest and free time.
    • Identifying pain micro-expressions, stress signals and signs of burnout.
    • Practical application of non-submissive horse training methods.
    A chestnut horse with a pale mane stands relaxed in a sandy paddock, with a hay feeder and another horse in the background.
    Rest and free time are welfare requirements, not extras.
  3. 1.3

    Understanding participant needs and pathologies

    • Scientific knowledge of physical, cognitive and psychosocial disabilities (e.g. autism spectrum disorder (ASD), cerebral palsy (CP), post-traumatic stress disorder (PTSD)).
    • Biomechanical effects of the horse’s rhythmic, three-dimensional pelvic movement on neuromotor rehabilitation.
  4. 1.4

    Communication methods and alternative technologies

    • Augmentative and Alternative Communication (AAC) protocols (visual aids, spatial positioning, gestures).
    • Sensory processing differences and managing verbal and non-verbal communication.
    Visual aids
    Spatial positioning
    Gestures
  5. 1.5

    Ecosystemic network mapping

    • Methods for structured, safe information-sharing across the participant’s support ecosystem (parents and caregivers, medical doctors, therapy centre staff and volunteers).
    EAI teamParents & caregiversMedical doctorsTherapy centre staffVolunteers
    Erasmus+ project KA210-VET-AB89430F
    Structured, safe information-sharing in both directions.

Pillar 2 · Act

Professional SkillsHow the professional team should act

This pillar details the measurable, practical capabilities required to facilitate safe and effective sessions.

  1. 2.1

    Multiplex listening and relational communication

    • Adjusting vocabulary and communication tools to match the participant’s sensory and cognitive levels.
    • Developing proactive trust with parents and caregivers during initial onboarding sessions.
  2. 2.2

    Real-time situational awareness (the Triangle Model)

    • Simultaneously monitoring the horse’s physical state and mood, the participant’s immediate safety and comfort, and the adequate position of the person leading the horse.
    • Interpreting sudden shifts in the environment and maintaining safety in the arena or any other area of work with the horse.
    ENVIRONMENT · WATCH FOR SUDDEN SHIFTSTeamwatches all threeHorsephysical state and moodParticipantimmediate safety and comfortPerson leading the horseadequate position
    Erasmus+ project KA210-VET-AB89430F
    The Triangle Model.
    A rider in a helmet mounts a black horse from a raised ramp; one woman holds the horse's head and a young man supports the rider from the side.
    Mounting from a ramp: one person holds the horse, others support the rider.
  3. 2.3

    Autonomic self-regulation and stress inoculation

    • Applying the nervous-system grounding loop under pressure: Stop → Breathe → Observe → Use knowledge → React.
    • Preventing emotional contagion between the therapist, the horse and the participant.
    Stop1Breathe2Observe3Use knowledge4React5Grounding loopfor moments of pressure
    Erasmus+ project KA210-VET-AB89430F
  4. 2.4

    Technical horsemanship and adaptive riding

    • Equestrian skills: lunging techniques, long-reining and selecting adaptive tack.
    • Structuring equine-assisted intervention sessions, which may include riding, to balance therapeutic progress with active equestrian learning.
  5. 2.5

    Cognitive mediation and dynamic assessment

    • Applying a “test–mediate–retest” approach to assess a participant’s latent learning potential.
    • Designing sessions with a threefold goal, combining the participant’s physical rehabilitation and cognitive improvement with the overall welfare of the horse.
    1. Testwhat the participant can do now
    2. Mediatesupport and teach
    3. Retestsee the latent learning potential
    PhysicalrehabilitationCognitiveimprovementWelfareof the horseSessiondesign
    Erasmus+ project KA210-VET-AB89430F
    The threefold goal of every session.
  6. 2.6

    Team coordination and volunteer leadership

    • Clearly structuring roles, safety boundaries and task priorities for arena helpers.

Pillar 3 · Be

Professional AttitudesWho the professional team should be

This pillar defines the ethical standards, psychological postures and self-care requirements necessary to sustain a career in EAI.

  1. 3.1

    A scientific and reflective mindset

    • Commitment to continuous evidence-based self-development and clinical evaluation.
    • Engaging in peer supervision, case consultation and professional self-reflection.
    A bearded man leans over a table to point at notes while two women listen.
    Peer work at the Spain workshop.
  2. 3.2

    Filtered containment and calm assertiveness

    • Providing a safe environment for the participant’s emotional releases (e.g. fear, frustration, aggression).
    • Maintaining clear safety boundaries and leadership in high-risk moments.
  3. 3.3

    Collaborative team spirit (the therapist–instructor–horse handler alliance)

    • Embodying a shared team attitude, mutual responsibility and fluid position exchange with colleagues.
  4. 3.4

    Ethical posture towards the horse as a sentient partner

    • Viewing the horse as a living, feeling co-actor and emotional mirror, rather than a passive tool.
    • Ensuring the horse’s free attitude and expression are respected, limited only by strict safety criteria.
    A woman crouches in a paddock and offers her hand to a chestnut horse, which lowers its head to sniff it.
    Letting the horse come forward and make contact.

Team self-check

Does your team cover the Profile?

Tick what your team can already do. The gaps show where to train, or whom to bring in. This checklist is derived from the Professional Profile to help you apply it. Nothing you tick is saved or sent.

0 of 15 covered

Pillar 1 · Know

Pillar 2 · Act

Pillar 3 · Be

Download and share

Take the Profile with you

The PDF has the same text and diagrams as this page, in black and white and without photos, so it is light to download and cheap to print.

Download the Profile

PDF · opens in a new tab · 11 pages · 572 KB
A4, black and white, includes the team self-check as a printable page.

How to cite

EQUEST consortium (2026). The Professional Profile of the Equestrian Therapeutic Practitioner (Result 1). Erasmus+ project KA210-VET-AB89430F. Luminar Foundation, C.R.E. “Girolamo De Marco”, AEDEQ.

Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0). You may share and adapt it, including for training, as long as you credit EQUEST.

Next result R2: The Professional Path