Horses used in equine assisted therapy programs face specific welfare risks from handling by multiple clients with varying abilities, and standards vary significantly across programs.
Therapy horses provide documented psychological and physical benefits to human clients but face welfare risks from their unique working context. Handling by people with unpredictable movements emotional dysregulation and varying abilities creates stress that differs from typical riding or handling contexts. Without appropriate monitoring horses may work through chronic stress rather than showing obvious welfare problems. Welfare-centered programs monitor horse behavior systematically and retire animals showing consistent stress indicators.