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ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Psychological Therapy and Psychosomatics

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1518783

At-Risk Youth Receive Similar Benefits from Equine-Assisted Psychotherapy and Traditional Psychotherapy; An Applied Analysis

Provisionally accepted
Cindy McCrea Cindy McCrea *Grace Tibbets Grace Tibbets Levi W Smith Levi W Smith Cynthia Campbell Cynthia Campbell
  • Boise State University, Boise, United States

The final, formatted version of the article will be published soon.

    Equine-assisted psychotherapy (EAP) is a promising modality for the treatment of emotional difficulties in youth. Few studies have compared the benefits of EAP to those of traditional psychotherapy for at-risk youth in community-based settings. We compare the effectiveness of individually administered EAP and traditional psychotherapy (TP) for improving adolescent mental health using data from a community-based participatory research partnership. Adolescent clients who were referred to a community-based non-profit agency for services related to emotional and behavioral difficulties comprised the sample (N = 94, mean age at intake was 14.33 years). We compared the improvement in mental health outcomes between intake and follow-up for participants who received weekly, individual TP (n = 65) with those who received weekly, individual EAGALAcertified EAP (n = 29). Licensed mental health professionals administered treatments (mean treatment period of 241 days). On average, clients' global psychological, social, and emotional wellness scores on the Mental Health Continuum improved by 18-23%. Clients' resilience, self-efficacy, social and emotional skills, perceptions of hope, and cognitive reappraisal skills also improved significantly (12% to 28%) with one exception; average emotion suppression scores did PAGE \* Arabic \* MERGEFORMAT not change across the treatment period in either group (p = .77). Mixed linear models revealed that clients receiving EAP and TP experienced similar levels of improvement in all dimensions. These quasi-experimental data confirm that community-based non-profit programs that offer psychotherapy benefit at-risk youth and indicate that EAP and TP may provide similar benefits to struggling youth.

    Keywords: Equine-assisted psychotherapy (EAP), Well-being, adolescents, Program Evaluation, community-based

    Received: 13 Nov 2024; Accepted: 18 Mar 2025.

    Copyright: © 2025 McCrea, Tibbets, Smith and Campbell. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Cindy McCrea, Boise State University, Boise, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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