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Frequently Asked Questions

Q: What services do you offer?

A: Occupational therapy, physical therapy, speech and language pathology, and counseling.

Q: Are your services covered by insurance?

A: At this time, we are a self pay practice. Please see our services page for pricing and our forms and contact page for a list of potential funding sources.

Q: What ages do you see?

A: OT, PT, and SLP are geared towards the pediatric population, and we see patients from age 3 through young adult. Counseling is available for all age ranges, including adults!

Q: What is farm-based therapy?

A: Here at Catalyst Farm, we have an array of farm experiences for your child to participate in while working towards therapy goals. While everyone's first thought goes to horses, we want you to know that what we do here is so much more than just horses. From the fluffy fleece of the sheep to the prickly feathers of the chickens, our animals each provide a unique experience to the sessions. Besides the endless fun of working with animals, we also offer opportunities for gardening and farm chores in sessions. You'd be surprised how much fun mucking stalls can be—and how many therapy goals you can work towards while doing it!

Q: Will my child be riding horses? Can I request my child be on horseback for every session?

A: Hippotherapy is an option, but certainly not the only option. Many of the "fan favorite" sessions don't include horses at all! Having said that, we use a team approach for your child's therapy and you, as the parents, are an important part of that team. We discuss treatment strategies with you after we complete the initial evaluation. A plan will be made from there. You and your therapist may choose to use hippotherapy as a strategy in your child's plan of care. If so, your child will have sessions that involve being mounted on a horse while completing their therapy session. It's like working with a big, live therapy ball! If hippotherapy is utilized as part of your child's treatment strategy, there may be times your therapist finds it necessary to have sessions off horseback as a way to transfer newly learned skills to your child's daily life. There may also be times that your therapist does not feel hippotherapy will be beneficial for the session. For example, a negative physical response to certain weather conditions in the child, such as increased tone in cold weather, could make hippotherapy counterproductive. Don't worry; there is plenty of fun to be had on the farm in every session.

Please note: We do not teach horsemanship skills during a hippotherapy session. It is not a riding lesson, and saddle and reins are not typically used.

Q: What is hippotherapy? What's the difference between hippotherapy and therapeutic horseback riding?

A: Many children ask, "Will I be playing with a real hippo?" Sadly, no...hippotherapy does not have anything to do with hippos. "Hippo" is the Greek word for horse, and "hippotherapy" is the use of a horse's movement as part of a treatment strategy in an occupational, physical, or speech therapy session. Unlike therapeutic riding, hippotherapy never teaches horsemanship skills. It is not a horseback riding lesson, but rather the use of the horse's movement—and the resulting effect on the child's body—to enhance the therapist's session. A hippotherapy session must be run by an OT, PT, or SLP, whereas a qualified horse trainer runs a therapeutic riding session.

For further understanding of how hippotherapy works, please see the information provided below from the American Hippotherapy Association (AHA).

"The term hippotherapy refers to how occupational therapy, physical therapy, and speech-language pathology professionals use evidence-based practice and clinical reasoning in the purposeful manipulation of equine movement to engage sensory, neuromotor, and cognitive systems to achieve functional outcomes. In conjunction with the affordances of the equine environment and other treatment strategies, hippotherapy is part of a patient's integrated plan of care."

"The three-dimensional movement of the horse's pelvis is within 1-2 cm of the movement of the human pelvis at the walk. This three-dimensional movement has been shown to affect the Central Nervous System which in turn stimulates the Motor Pathways and the Vestibular System in the Human Brain. This movement naturally affects all the systems in the human body."

"The horse's movement has rhythmicity and symmetry, providing a dynamic base of support and multiple planes of movement. It provides multi-sensory input, proprioception, movement through space, repetition, and variability. All of this is provided within a natural environment with the therapist able to modify both the movement of the horse and the environment. This encourages the patient to shift from his or her current preferred pattern of behavior in order to achieve new functional outcomes/behaviors. Patients explore, self-organize, make postural adjustments, and problem solve in a highly motivating and natural environment. The resultant development is an adapted response and the ability to use new movement strategies and incorporate them safely and appropriately into their normal environment."

Q: Do we need to leave our existing therapist to come to you?

A: Absolutely not! While we believe strongly in the farm model and know that the best results will come from regular sessions, we understand that families may want to keep their current therapists and use the farm as a supplemental and alternative therapy option. We are not an all-or-nothing facility. We welcome your child to come and engage with our facility with whatever frequency best suites your needs. Please note: if you are billing insurance for your sessions, you will need to check with your carrier to see if they cover therapies at multiple clinics.

Q: What if the weather is bad?

A: We have plenty of indoor space for therapy sessions! Our clinic is a heated and comfortable space for those cold days and our barn is heated to 40 degrees, so many of our farm activities can continue to be completed year round. We pride ourselves on being flexible and can create a fun session, rain or shine! Should the roads be bad from snow and we feel that it is unsafe for you to travel, we will cancel with you directly.

Q: Where can I wait while my child is in therapy?

A: We have a heated and comfortable waiting room that includes a child's play area, fish tank, free wifi, a coffee station, and bathroom. We have made every effort to make the waiting room a place where siblings will want to be, hoping to ease the burden on parents hoping from appointment to appointment. In the winter months, you'll even find our pet tortoise, Franklin, hanging out in the lounge!

Q: Is farm-based therapy for everyone?

A: While animal-assisted therapy is a wonderful choice for most people, there are some exceptions (see below). However, we welcome those who are unable to participate in farm-based setting to participate in traditional sessions in our clinic. 

Contraindications for farm-based therapy are as follows:
• Severe Environmental Allergies
• Dangerous Behaviors
• Extreme Fear of Animals

Contraindications for hippotherapy are as follows:
• Exacerbation of MS
• Hemophilia with Recent Episodes
• Open Pressure Wounds
• Uncontrolled Seizures
• Tethered Cord or Chiari Formations
• Unclipped Aneurysms or Non-Resected Angiomas
• Spinal Fusions or Unstable Spines
• Indwelling Catheters (Applies to Females)
• Severe Osteoporosis
• Pathological Fractures
• Spondylolisthesis
• A-O Instability
• Acute Stages of RA