A guest grooming a horse on the ground beside a guide, with the sea beyond

Learning from horses, on the ground.

A clear-eyed guide to equine-assisted services: what happens in a session, what research does and does not show, and how safety and horse welfare come first.

What equine-assisted services are.

"Equine-assisted services" is the umbrella term the field increasingly uses for structured work that involves horses. It covers three different things: therapy delivered by a licensed professional who incorporates horses into treatment, learning and coaching that build life skills, and horsemanship itself. Knowing which one you are being offered matters, because only the first is therapy in a clinical sense.

At SANTVLANA, horse work runs through every program. Equine-assisted psychotherapy is delivered by a licensed therapist; facilitated sessions focused on presence, communication and boundaries are led by trained equine facilitators. Who leads each session is confirmed at intake and named in your proposal.

A woman standing calmly beside a horse in long grass

What a session looks like.

Most of the work happens on the ground. Sessions begin with observation and safety basics, move into grooming and leading, and leave room for quiet time alongside the herd. Horses respond to movement, attention and pressure, so the work offers immediate, non-verbal feedback on pace, body language and boundaries. A facilitator helps you put words to what you noticed.

No riding experience is needed, and you never have to ride. Mounted work is offered only when it is safe and appropriate for you and the horse.

What the evidence suggests.

Research into equine-assisted services is growing, and some studies report improvements in areas such as mood, anxiety, social engagement and quality of life. The evidence is still developing: many studies are small, use different methods and lack long-term follow-up, so firm conclusions are not yet possible.

We treat horse work as a meaningful complement to clinical care, not a cure and not a replacement for medical or psychiatric treatment. Your plan explains why horse sessions are included for you and what else supports your goals.

Safety and horse welfare come first.

Horses are large animals and horse work carries inherent risk. Suitability is screened at intake, sessions are supervised, and you receive safety guidance and closed-toe footwear advice before you begin. Nothing is forced; you can pause or step back at any time.

The horses' welfare guides every decision as well. Our partner CHUKKA Caribbean Adventures provides the horses, the land at Sandy Bay, daily horse care and the safety systems around them. Sessions are paced to the horse as well as to you, and a session changes or stops if a horse is unsettled.

  • Suitability screening before any horse contact
  • Supervised, ground-based sessions as standard
  • Horse care and safety systems managed with CHUKKA
  • Equine work always complements clinical care

Where to go next.

Read the program detail, plan the practicalities, or ask us directly.

Common questions.

Do I need to ride or have experience with horses?

No. Most work happens on the ground and is gently paced. You never need to ride, and mounted work is offered only when it is safe and appropriate.

Is equine-assisted therapy evidence-based?

Research is promising but still developing; many studies are small and vary in method. We present horse work as a complement to clinical care rather than a stand-alone treatment.

Who leads the sessions?

Equine-assisted psychotherapy is delivered by a licensed therapist. Facilitated learning sessions are led by trained equine facilitators. The people leading your sessions are named in your proposal.

Where do the horses come from?

The horses and land are provided by our partner CHUKKA Caribbean Adventures at Sandy Bay, which also manages daily horse care and safety systems.

Horses walking beneath a vine-covered garden pergola

Meet the horses in person.

Share your goals and any experience with horses, or none at all. We will explain how horse work could fit your stay.