The actual treatment on the horse is only one part of a comprehensive treatment program that begins with an initial evaluation. A crucial part of this initial evaluation is the establishment of a treatment plan that incorporates both long and short term goals. Therefore consultation with the client's family is necessary. The treatment plan is developed based on the professional training and constraints of the professional practice act of the health professional providing the service. Choosing the horse whose movement best addresses the client's needs, and appropriate equipment to facilitate the desired responses is an integral part of the treatment plan.
Regular documentation is provided through progress notes recorded after each treatment.
There will be occasions when re-evaluation confirms whether a client has met the long term goals and in the therapist's professional opinion, hippotherapy can no longer address the needs of that client. In this case, the client should be discharged from hippotherapy. If the client's functional abilities and motivation are high it is quite likely that they can make the transition to able-bodied riding or vaulting classes, or competitive equine sports. Additional Roles for Therapists Therapists have much to offer any program and may become involved in roles other than direct client service. By helping in this way, a therapist has an opportunity to observe the innumerable qualities of the horse as a treatment tool.