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Equine Facilitated Therapy with Children and Adolescents Who Have Been Sexually Abused: A Program Evaluation Study

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Abstract

Child sexual abuse (CSA) is a social problem that often inflicts long lasting psychological trauma and leads to psychopathology, behavioural problems and re-victimization. Treating young people who are presenting with the detrimental effects of CSA is often difficult because these effects off-set efforts at establishing a therapeutic bond. Animals have been found to facilitate the development of the therapeutic alliance between client and practitioner and therapies utilizing horses have the added bonus of empowering clients. This study aimed to evaluate an Equine Facilitated Program (EFT) run by Phoenix House, a sexual assault referral centre in Queensland, Australia. Participants were six boys and nine girls (aged 8–11 years) and 15 adolescent girls (aged 12–17 years). All participants provided several measures of data designed to establish levels of psychological distress at three points in time. That is, Time 1—intake into the service; Time 2—following approximately 6 weeks of in-clinic counselling and pre-EFT; and Time 3 post-EFT (9–10 week duration). Significant improvements in functioning were found between Time 2 and Time 3 assessment across all psychometric measures and for both age groups. No, or non-significant, improvements were found between Time 1 and Time 2 assessments. Overall the results show that EFT proved an effective therapeutic approach for the children and adolescents referred to the service. Of particular note was the finding that efficacy was similar across gender, age and Indigenous/non-Indigenous status. Implications of this and suggestions for further research are discussed.

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References

  • Achenbach, T. (1991). Integrative Guide to the 1991 CBCL/4-18, YSR, and TRF Profiles. Burlington: University of Vermont, Department of Psychology.

    Google Scholar 

  • Achenbach, T., & Rescorla, L. (2001). Manual for ASEABA School-Age Forms and Profiles. Burlington: Library of Congress.

    Google Scholar 

  • Australian Bureau of Statistics (2005). Personal safety survey. Retrieved from http://www.abs.gov.au/ausstats/abs@.nsf/mf/4906.0.

  • Australian Institute of Health & Welfare (2011). Child protection in Australia quick facts 2010-201. Retrieved from http://www.aihw.gov.au/child-protection/#facts.

  • Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588–597.

    Article  PubMed  Google Scholar 

  • Belsky, J. (1993). Etiology of child maltreatment: A developmental-ecological analysis. Psychological Bulletin, 114(3), 413–434.

    Article  PubMed  Google Scholar 

  • Bizub, A., Joy, A., & Davidson, L. (2003). “It’s like being in another world”: Demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability. Psychiatric Rehabilitation Journal, 26(4), 377–384.

    Article  PubMed  Google Scholar 

  • Carlson, J. (2012). Children’s Depression Inventory—Revised. In R. A. Spies & B. S. Plake (Eds.), The seventeenth mental measurements yearbook. Lincoln, NE: Buros Institute of Mental Measurements.

  • Chardonnens, E. (2009). The use of animals as co-therapists on a farm: The child-horse bond in person-centred equine-assisted psychotherapy. Person-Centred and Experiential Psychotherapies, 8(4), 319–332.

    Article  Google Scholar 

  • Cohen, J., Deblinger, E., Mannarino, A., & de Arellano, M. (2001). The importance of culture in treating abused and neglected children: An empirical review. Child Maltreatment, 6, 148–157.

    Article  PubMed  Google Scholar 

  • Cokor, D., & McGinn, L. (2006). History of child abuse and severity of adult depression: The mediating role of cognitive schema. Journal of Child Sexual Abuse, 15(3), 19–34.

    Article  Google Scholar 

  • Cole, D., & Martin, N. (2005). The longitudinal structure of the Children’s Depression Inventory: Testing a latent state-trait model. Psychological Assessment, 17(2), 144–155.

    Article  PubMed  Google Scholar 

  • Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). New York: Russell Sage Foundation.

    Google Scholar 

  • Corcoran, J., & Pillai, V. (2008). A meta-analysis of parent-involved treatment for child sexual abuse. Research on Social Work Practice, 18, 453–464.

    Article  Google Scholar 

  • Daigneault, I., Herbert, M., & Touigny, M. (2006). Attributions and coping in sexually abused adolescents referred for group treatment. Journal of Child Sexual Abuse, 15(3), 35–59.

    Article  PubMed  Google Scholar 

  • Dowd, T. (2012). Review of the Beck Anxiety Inventory [1993 Edition]. In R. A. Spies & B. S. Plake (Eds.), The seventeenth mental measurements yearbook. Lincoln, NE: Buros Institute of Mental Measurements.

  • Draucker, C., Martsolf, D., Roller, C., Knapik, G., Ross, R., & Stidham, A. (2011). Healing from childhood sexual abuse: A theoretical model. Journal of Child Sexual Abuse, 20, 435–466.

    Article  PubMed  Google Scholar 

  • Equine Assisted Growth and Learning Academy (EAGALA) (2012) http://www.eagala.org/Information/, Accessed Sep 2012.

  • Evans, N., & Gray, C. (2012). The practice and ethics of animal-assisted therapy with children and young people: Is it enough that we don’t eat our co-workers? British Journal of Social Work, 42(4), 600–617.

    Article  Google Scholar 

  • Ewing, C., MacDonald, P., Taylor, M., & Bowers, M. (2007). Equine-facilitated learning for youths with severe emotional disorders: a quantitative and qualitative study. Child and Youth Care Forum, 36, 59–72.

    Article  Google Scholar 

  • Field, A. (2009). Discovering statistics using SPSS (3rd ed.). London: Sage Publications Ltd.

    Google Scholar 

  • Fleming, J., Mullen, P., Sibthorpe, B., & Bammer, G. (1999). The long-term impact of childhood sexual abuse in Australian women. Child Abuse and Neglect, 23, 145–159.

    Article  PubMed  Google Scholar 

  • Froeschle, J. (2009). Empowering abused women through equine assisted career therapy. Journal of Creativity in Mental Health, 4(2), 181–190.

    Article  Google Scholar 

  • Geist, T. (2011). Conceptual framework for animal assisted therapy. Child and Adolescent Social Work, 28, 243–256.

    Article  Google Scholar 

  • Gibb, B., Alloy, L., & Abramson, L. (2003). Global reports of childhood maltreatment versus recall of specific maltreatment experiences: Relationships with dysfunctional attitudes and depressive symptoms. Cognition and Emotion, 17(6), 903–915.

    Article  Google Scholar 

  • Gibson, L., & Leitenberg, H. (2001). The impact of child sexual abuse and stigma on methods of coping with sexual assault among undergraduate women. Child Abuse and Neglect, 25, 1343–1361.

    Article  PubMed  Google Scholar 

  • Karol, J. (2007). Applying a traditional individual psychotherapy model to equine-facilitated psychotherapy (EFP): Theory and method. Clinical Child Psychology and Psychiatry, 12(1), 77–90.

    Article  PubMed  Google Scholar 

  • Kendall-Tackett, K. (2002). The health effects of childhood abuse: four pathways by which abuse can influence health. Child Abuse and Neglect, 26, 715–729.

    Article  PubMed  Google Scholar 

  • Kovacs, M. (2003). Children’s Depression Inventory (CDI): Technical manual update. North Tonawanda: Multi-Health Systems.

    Google Scholar 

  • Lalor, K., & McElvaney, R. (2010). Child sexual abuse, links to later sexual exploitation/high-risk sexual behavior, and prevention/treatment programs. Trauma, Violence and Abuse, 11, 159–177.

    Article  PubMed  Google Scholar 

  • Lanktree, C., & Briere, J. (1995). Outcome of therapy for sexually abused children: A repeated measures study. Child Abuse and Neglect, 19, 1145–1155.

    Article  PubMed  Google Scholar 

  • Mackler, K. (2012). Review of the Trauma Symptom Checklist for Children By: Briere, John, Mental Measurements Yearbook, 15. Retrieved from http://web.ebscohost.com.ezproxy.cqu.edu.au/ehost.

  • Marino, L. (2012). Construct validity of animal-assisted therapy: How important is the animal in AAT? Anthrozoös, 25(supplement), 139–151.

    Article  Google Scholar 

  • Melson, G. (2011). Principles for human-animal interaction research. In P., McCardle, S., McCune, A., Griffin, & V., Maholmes, (eds.), How animals effect us: Examining the influence of human-animal interaction on child development and human health. Washington, DC: American Psychological Association.

  • Merrill, L., Thomsen, C., Crouch, J., May, P., Gold, S., & Milner, S. (2005). Predicting adult risk of physical abuse from childhood exposure to violence: Can interpersonal schemata explain the association? Journal of Social and Clinical Psychology, 24(7), 981–1002.

    Article  Google Scholar 

  • Morrison, M. (2007). Health benefits of animal-assisted interventions. Complementary Health Practice Review, 12(1), 51–62.

    Google Scholar 

  • Nimer, J., & Lundahl, B. (2007). Animal-assisted therapy: A meta-analysis. Anthrozoös, 20(3), 225–238.

    Article  Google Scholar 

  • Ponce, A., Williams, M., & Allen, G. (2004). Experience of maltreatment as a child and the acceptance of violence in adult intimate relationships: Mediating effects of distortions in cognitive schema. Violence and Victims, 19(1), 97–108.

    Article  PubMed  Google Scholar 

  • Price-Roberston, R., Bromfield, L., & Vassallo, S. (2010). The prevalence of child abuse and neglect. Australian Institute of Family Studies Retrieved from http://www.aifs.gov.au/nch/pubs/sheets/rs21/rs21.html.

  • Reichert, E. (1998). Individual counselling for sexually abused children: A role for animals and storytelling. Child and Adolescent Social Work Journal, 15(3), 177–185.

    Article  Google Scholar 

  • Richards, K. (2011). Misperceptions about child sex offenders. No: Trends & Issues in Crime and Criminal Justice. 429.

    Google Scholar 

  • Roberts, F., Bradberry, J., & Williams, C. (2004). Equine-facilitated psychotherapy benefits students and children. Holistic Nursing Practice, 18(1), 32–35.

    Article  PubMed  Google Scholar 

  • Sánchez-Meca, J., Rosa-Alcázar, A., & López-Soler, C. (2011). The psychological treatment of sexual abuse in children and adolescents: A meta-analysis. International Journal of Clinical and Health Psychology, 11, 67–93.

    Google Scholar 

  • Schultz, P., Remick-Barlow, G., & Robbins, L. (2007). Equine-assisted psychotherapy: A mental health promotion/intervention modality for children who have experienced intra-family violence. Health and Social Care in the Community, 15(3), 265–271.

    Article  PubMed  Google Scholar 

  • Serpell, J. (2006). Animal-assisted interventions in historical perspective. In A. Fine (Ed.), Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice. San Diego: Elsevier/Academic Press.

    Google Scholar 

  • Strand, V., Sarmiento, T., & Pasquale, L. (2005). Assessment and screening tools for trauma in children and adolescents: A review. Trauma, Violence and Abuse, 6(1), 55–78.

    Article  PubMed  Google Scholar 

  • Thompson, K., & Gullone, E. (2003). Promotion of empathy and prosocial behaviour in children through humane education. Australian Psychologist, 38(3), 175–182.

    Article  Google Scholar 

  • Trotter, K., Chandler, C., Goodwin-Bond, D., & Casey, J. (2008). A comparative study of the efficacy of group equine assisted counselling with at-risk children and adolescents. Journal of Creativity in Mental Health, 3(3), 254–284.

    Article  Google Scholar 

  • Tsai, C.-C., Friedman, E., & Thomas, S. A. (2010). The effect of animal-assisted therapy on stress responses in hospitalized children. Anthrozoös, 23(3), 245–258.

    Article  Google Scholar 

  • Westerman, T. (2010). Engaging Australian Aboriginal youth in mental health services. Australian Psychologist, 45(3), 212–222.

    Article  Google Scholar 

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Correspondence to Tania Signal.

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Kemp, K., Signal, T., Botros, H. et al. Equine Facilitated Therapy with Children and Adolescents Who Have Been Sexually Abused: A Program Evaluation Study. J Child Fam Stud 23, 558–566 (2014). https://doi.org/10.1007/s10826-013-9718-1

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  • DOI: https://doi.org/10.1007/s10826-013-9718-1

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