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The Equine-imity Project

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The Equine-imity Project seeks to provide veterans a therapeutic experience that enhances life skills and interpersonal relationships through equine-assisted services.

This innovation is replicating across multiple facilities as its impact continues to be validated. See more replicating innovations.

Origin:

September 2019, VA San Diego Healthcare System

Adoptions:

1 successful

Awards and Recognition:

iNET Seed Investee, iNET Spread Investee

Partners:

Caregiver Support Program, Care Management and Social Work Services, Healthcare Innovation and Learning, Homeless, Innovation Ecosystem, VHA Innovators Network

Contact Team

Overview

Problem

Some veterans lack life skills necessary to maintain healthy relationships and cope with daily life. This may lead to an increase in substance abuse, homelessness, intimate partner violence, and suicide. In 2020, the VHA estimated there were 6,100 veterans who died by suicide. Existing interventions don't always reach our most vulnerable veterans.

Videos

An overview of veteran experiences with the Equine-imity Project

Solution

The Equine-imity Project takes veterans out of the traditional clinical setting and into an alternative healing experience using horses. Our program offers an opportunity for veterans to learn about, and practice, fundamental life skills in a tangible way. We provide a Participant and Facilitator Guide for our 8-week curriculum, making it easy to replicate a ... See more

Results

We have found veterans responded very well. 78% of participants who completed the program reported an increase in mental well-being and 63% reported an increase in psychological flexibility. One of our women veterans bonded immediately with a black horse and shared how she told it again and again how beautiful it was. She said, "I would never say that abou ... See more

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

There are no in-progress adoptions for this innovation.

There are no unsuccessful adoptions for this innovation.

Implementation

Timeline

  • 6 months
    - Identify community equine partner
    - Have partner register as vendor in sam.gov
    - Initiate contract process as needed
  • 3 months
    - Train/educate community partner equine behavior specialist
    - Marketing to providers and veterans
  • 2 months
    - Recruit participants
  • 2-3 weeks
    - Complete program assessments and distribute program materials

Departments

  • Mental health care
  • Social work
  • Chaplaincy
  • Psychiatry
  • LGBTQ+ Veteran care
  • Complementary and alternative medicine
  • Caregiver support
  • Addiction and substance abuse treatment
  • Psychology
  • Intimate partner violence
  • Military sexual trauma
  • Primary care
  • PTSD treatment
  • Suicide prevention
  • Whole health
  • Women Veteran care
  • Homeless Veteran care

Core Resources

Resource type Resource description
PEOPLE
  • VA SW and/or MH providers - 4 hours/week
  • Equine Behavior Specialist - 2-3 hours/week
  • Horses - 2 hours/week
PROCESSES
  • Contact dina.seerden@va.gov for information and training
TOOLS
  • Participant Guide
  • Facilitator Guide
  • Outcome measurement instruments (AAQ-2, WEMWBS, PHQ-9)

Files

  • Warrick Edinburgh Mental Well Being Scale measures mental well-being WEMWBS
  • Action and Acceptance Questionnaire measures psychological flexibility AAQ-2

Support Resources

Resource type Resource description
PEOPLE
  • Equine Assisted Services Facilitator trainer - available to train LIP staff on how to conduct sessions
PROCESSES
  • Facilitator training
  • Staff demonstrations

Risks and mitigations

Risk Mitigation
The size of the animals used in the Equine-imity Projects makes them inherently dangerous The community equine partner will carry liability insurance. Equine behavior specialist, an expert in horse psychology, will be co-facilitate all groups and will pick the equines used based on temperament as well as each animal's ability to participate in herd/human interactions. Volunteers may also be used as needed for more complex activities.
Veterans may be triggered by topic or group discussion Licensed independent practioners (LCSW, PhD, PsyD, MD) will co-facilitate all groups and be trained in crisis intervention and de-escalation techniques.

Contact

Comment

Comments and replies are disabled for retired innovations and non-VA users.

VA User (Program Specialist) posted

Is there more information to be shared for interested community partners? I think this is a brilliant concept, and out in the Denver/Colorado Springs area, a great potential of community groups and organizations that could be utilized to expand the program.

VA User (Social Worker) posted

I am so thankful that we have this resource available to our HUD VASH Veterans!

1
VA User (Social Worker) deleted

This comment has been deleted.

Email

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About

Origin story

Dina Seerden, LCSW had been trained in Equine Assisted Services many years prior to reading an email inviting employees at the VA to apply for an Innovation Award through the iNet Spark-Seed-Spread program. Along with her colleague, Sumaya Dinglasan, LCSW and input from their identified community equine partner, the Equine-imity Project was born. By focusing ... Dina Seerden, LCSW had been trained in Equine Assisted Services many years prior to reading an email inviting employees at the VA to apply for an Innovation Award through the iNet Spark-Seed-Spread program. Along with her colleague, Sumaya Dinglasan, LCSW and input from their identified community equine partner, the Equine-imity Project was born. By focusing on the problems frequently seen in formerly homeless veterans, a curriculum was developed to address what was determined to be a need for life skills. These issues included homelessness, substance abuse, intimate partner violence, and suicidal ideation/behavior. The program was designed to minimize the stigma often associated with traditional mental health care, to engage veterans experientially, and to offer tangible insight into behavior through activities with their equine partners. The first few groups were loosely structured and a need for consistency across cohorts was identified. Thus a manual for participants and facilitators was created.

Original team

Dina Seerden, LCSW

Equine-imity Project Coordinator

Jennifer Auguer, LCSW

Equine-imity Project Facilitator, Eastern Colorado Healthcare System

Amy Donarico, LCSW

Equine-imity Project Facilitator, Jennifer Moreno VA Healthcare System (San Diego)