The objective is to provide a therapeutically productive, safe and enjoyable experience. 

Each patient, therefore, must be deemed appropriate for hippotherapy and medical clearance must be provided by a physician when needed. A patient's physical, attentional, cognitive and communicative limitation must be considered, an interest and motivation in equine activity must be present, and patients must agree to wear appropriate clothing and safety equipment. 

A treatment plan is designed to best utilize the movement of the horse at the same time intervention activities are provided: 

Toby Freeman, Director, teaching the "s" sound in the office, and then in hippotherapy on the horse.

Toys and props are added to stimulate speech in a fun and motivating way.