Looking into therapy as an occupation? - Page 2
 
 

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Looking into therapy as an occupation?

This is a discussion on Looking into therapy as an occupation? within the Therapeutic Riding forums, part of the Riding Horses category
  • Quote about horseback riding as an occupation
  • Third party reimbursement for therapeutic riding

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    02-10-2013, 07:54 PM
  #11
Green Broke
Quote:
Originally Posted by Endiku    
And I wouln't/shouldn't get JUST that certification right? It would just be to help me as a hippotherapist, and I'd still need a degree as an OT?

There is quite a bit of controversy over the "hippotherapist" certification and the benefits of riding as a therapeutic modality.

But, to cut to the bottom line, you need to have your PT or OT degree, certification, license, and a doctor's order and approval of your plan of treatment to be reimbursed by insurance for the work you do (third party payors). There are some states that allow "direct access" to therapy, but finding a third party payor who will go along with that is rare. The "direct access" (getting a service without doctor's order) is optional and does not require third party payors to pay. They can have more stringent requirements.

Inability to bill third party payors is the biggest reason that therapeutic riding programs depend so heavily on donations and fund raising. Why they set up as non-profits and go for tax exempt status. The overhead is outrageous and the reimbursement is not there.

A degree in PT is often more useful if you are going to focus on physical disabilities with the riding. A degree in OT is often more useful if the program is going to focus on psychiatric health. Each can do the other, but if you wind up in court defending your plan of treatment or have to fight a payment denial you're education will not be questioned as harshly.

I know of a few programs that lease horses and space to PTs and OTs for specialized treatment that the therapist can bill for, while the center continues to operate their own hippotherapy program dependent on donations.
     
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    02-10-2013, 09:23 PM
  #12
Teen Forum Moderator
I see. Thank you for the clearer explanation.

So the general fact is that as a 'hippotherapist' OT or PT, I will very likely not be payed well, versus working as a normal OT or PT in a hospital or clinic? That doesn't necessarily deter me, I'm just trying make sure I understand everything.

I know of one program in my area that is set up as a 'third party payor' type stable, but they also have licensed OTs and PTs that work as normal in-building therapists as well. They're pretty much set up like a normal clinic...the difference is that they have a hippotherapy 'link' to their farm as well, so many of the clients do both types of therapy with the farm. Would something like that work for me? I know they they do very well most of the time as far as being able to pay bills, hire therapists and workers, etc without fundraising, so they must be doing something right.

The farm where I volunteer is Direct Payment, I think, but we're set up as a non profit (and licensed to be). We rely completely on the low fees that we charge (virtually nothing for what they get) and on donations/grants. I wouldn't want a farm like this because I've SEEN the financial struggles. Sometimes we struggle just to feed the animals, when we're going through a very hot summer or cold winter. We are 100% volunteer and the only licensed therapist is the BO who is a PT. We have no clinic or anything offered besides the horse therapy. We charge $60 a month to our disabled riders to ride for 45 minutes, once a week, or $90 a month to ride for 45 minutes twice a week. Even with the large amount of riders that come through, we barely have enough to feed, do repairs, and have a little saved away for emergencies. I'm often the only volunteer on week days, and on weekends it isnt unusual for us to have only 2 or 3 volunteers and 25+ kids that come through. The BO often has to substitute as a leader or sidewalker because we're so low on help.

This kind of operation is what I'm trying to advoid. They're lovely people, the farm is fine, and the kids do progress greatly, but often bills come from out of the BO's pocket and her husband has to work two jobs AND help on Saturdays to keep the place going. I want to find a 'happy medium' if such thing is possible. Obviously not where I'd 'get rich' or even be 'well paid' but I don't want to be going into the reds and having to dip into MY savings to run a place either.
     
    02-11-2013, 12:09 AM
  #13
Showing
Endiku,

Begin with your PATH certification. That will get your foot in the door. It's kind of like an internship mixed with formal studying and then a few tests. Written and practical.

Then you should continue with further college education. You can start generalized and then get more specific later as you find out what you truly are passionate about.

Owning your own place will be further down the road. First you must learn the ropes and then you'll rock it like it's chocolate :)

Best of luck! Not meaning to be bossy haha
     
    02-11-2013, 01:33 PM
  #14
Teen Forum Moderator
Oh, for sure xD I wouldn't be even attempting to own a place until at least 7 or 8 years into the occupation after some serious saving. I just want to make sure I have a functional degree that will allow me to expand on my knowledge, start my own place if I so wanted to, or just work as an OT or PT my whole life. I want options so I can tailor myself to the economy, I guess is what I'm saying!
     
    02-11-2013, 01:43 PM
  #15
Green Broke
No PATH for this one! Look into the AHA, American Hippotherapy association! They can give you more info on how to get to where you want to go. I would also start by getting a degree in PT or OT.
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    02-11-2013, 03:19 PM
  #16
Foal
Working as an OT or PT as your "day job" will most likely be necessary to fund things like rent, groceries, car, insurance, etc. Plus, it will give you the experience you would need to carry over into the equine assisted therapy venue.

Most therapeutic riding places are not able to pay much, so I'm not sure it would be realistic to think you could support yourself completely with that alone.

Best of luck to you!! Follow your dreams and don't give up.
     
    02-11-2013, 04:03 PM
  #17
Green Broke
Quote:
Originally Posted by cpr saves    
Working as an OT or PT as your "day job" will most likely be necessary to fund things like rent, groceries, car, insurance, etc. Plus, it will give you the experience you would need to carry over into the equine assisted therapy venue.

Most therapeutic riding places are not able to pay much, so I'm not sure it would be realistic to think you could support yourself completely with that alone.

Best of luck to you!! Follow your dreams and don't give up.
All of our PT, OT, and speech is NOT run through our facility. They pay to use our facility. The students pay directly to the therapist. Then the therapists pay us a "facility fee". Let's say they charge, ball park, $60 a session. $15 goes towards "facility fee". That means you have. Let's say you have 5 lessons then you get $225 a day. Teach Saturday and Sunday and that's a nice chunk of change for the weekend! Or any two other days. That's IF you can find an office, all our therapists have office clients and hippo clients.
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    02-11-2013, 04:04 PM
  #18
Green Broke
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    02-11-2013, 05:58 PM
  #19
Teen Forum Moderator
I see. That sounds very reasonable. And are these hippotherapists bringing in their own animals or are you supplying them? Sorry for so many questions, I'm trying to make sense of all of this in my head xD
     
    02-11-2013, 09:15 PM
  #20
Green Broke
Quote:
Originally Posted by Endiku    
I see. That sounds very reasonable. And are these hippotherapists bringing in their own animals or are you supplying them? Sorry for so many questions, I'm trying to make sense of all of this in my head xD
Sure thing, keep them coming! No the use our horses, its included in the "facility fee". They just don't for FOR my center. They work OUT OF the center. Make sense?
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