Introduction As Mandrell ( 2006) highlights, Equine Facilitated Therapy (EFT) is the most recent adventure-based animal-assisted therapy where horses are used to facilitate the therapeutic process of patients with various disabilities. Unlike other animal-assisted therapies that focus on the animal-human relationship, EFT focuses on the experiences acquired by clients in the process of achieving the goals that have been set. These experiences are aided by horse-related activities that are integrated into therapeutic sessions by a therapist to physically, emotionally, and mentally challenged patients. Horses are known to exhibit direct responses (respond emotionally), and therefore, participants have to make great psychological and physical adjustments to nurture relationships with horses. This requires disabled individuals to develop physical abilities such as muscle control and mental constructs such as self-esteem. The physical abilities and mental constructs developed have a positive impact on the coping abilities of disabled individuals. The Disability Statistics (2011) publication highlights that in 2000, over 54 million Americans were living with mental or physical disabilities. The figure has increased drastically, rendering more people disabled and unable to perform their daily functions. The recent EFT research findings as revealed by Debuse, Chandler & Gibb (2005) prove that EFT effectively complements medication given to patients with physical and mental disabilities such as spinal cord injury, autism, multiple sclerosis, ADHD and cerebral palsy. To understand the ‘new hope’ that EFT has brought to patients with mental and physical disabilities, it is important that we look at how EFT works with physical and mental disabilities. EFT planning and Preparation Fine (2010) elaborates that EFT works via the collaborative efforts of the horseman and therapist (psychotherapists or psychologists). The practicability of EFT is dependent on an individual’s ability to interpret horse behavior. Horses differ in their focus-ability and temperament while individuals with mental and physical conditions are emotionally and physically disturbed hence making it difficult for disabled individuals to interpret horse behavior. Therefore, a therapist has to model the behaviors and thoughts of an individual with the help of a horseman who knows the requirements of communicating to a horse effectively (forgiveness, consistency, patience, attention, and understanding) to ensure that an individual can interpret horse behavior. The outcome is a workable model that helps individuals respond positively to anxiety, anger, and fear while interacting with horses. Additionally, during the planning and preparation process, the therapist and the horse professional modify the therapeutic space to include a broad environment (halters, bridles, arenas, hitching areas and bridles) that help individuals to interpret the behavior of the horse within its environment. The overall outcome is that manipulation of the horse environment by the therapist and horseman enhances how patients interact with horses and the environment. As part of the preparation process, fun-based activities are created by the therapist and the horse professional before the beginning of the therapy sessions. As Ma