A Focus Group Study of Equine-Assisted Activities and Therapy for Military Veterans Reintegrating Into Civilian Life

Many veterans returning to civilian life face medical and mental health issues. As there is a stigma of using mental health services, equine-assisted activities and therapy (EAAT) has been considered a nonconventional intervention to support the mental health and well-being of veterans. In this qualitative study, 14 focus groups with 67 participants and program volunteers and staff of a veteran-led EAAT program were conducted to explore perspectives among current and past participants in the program. Five themes emerged: (a) benefits of EAAT, (b) connections with horses, (c) program engagement, (d) equestrian experience related to military experience, and (e) recommendations for the program. In spite of emotional and physical challenges, they indicated that they felt stronger, confident, and fulfilled. The participants developed meaningful relationships with the horses and developed horsemanship skills. Some participants connected their involvement in the program to their past military experience based on interactions with peers in a group setting. Recommendations made by the participants included efforts to increase community awareness and expand the program by including families and adding therapeutic and aftercare components. Findings from this study suggest relevance for care of veterans reintegrating to civilian life from the point of view of individuals participating in EAAT.