STAT® Inc Veteran Application

Equine Assisted Learning (EAL) & Equine Assisted Psychotherapy (EAP) Programs for Veterans

Connect and grow alongside horses with a team approach involving STAT®️'s herd and professional staff. STAT®️ offers the EQuine Affect(SM), EAGALA, OK Corral, and EquiLateral EMDR

STAT® Welcomes you!

STAT® Horse Herd Awaits You

STAT® is excited to be awarded the 2023 VA Equine Therapy Grant to serve Veterans with Equine Assisted Learning (EAL) and Equine Assisted Psychotherapy (EAP) programs at no cost.

STAT® provides a broad range of equine assisted services! We have equine specialists, mental health professionals, physical therapists, and occupational therapists. Veterans are at the HEART of STAT®. And we too are Veterans. Some of the STAT®️'s staff members are Veterans ourselves and most have family members who are Veterans and Service Members.

We are honored to help Veterans heal, learn, and grow alongside horses through Equine Assisted Learning (EAL) and Equine Assisted Psychotherapy (EAP) individual and group programs that are mostly ground based.

STAT®️ is a Trauma Informed Care (TIC) Organization and we understand how past physical and/or emotional trauma can impact learning and connection, and want to give you options that best fit your needs and respect your privacy. Your responses are kept confidential with the STAT® Staff Team.

Meet Ben. Rescued & Loved Back to Life by Veterans & Family. He is a Sentry and Herd Protector. He's Got Your Back!

STAT®'s Safety Policy

We take safety and security seriously, as we serve courageous people with vulnerabilities and special needs. By checking this box you acknowledge STAT®'s Safety Policy of all Clients and Horses and attest that the applicant does not have a history of any of the following to include: violence offences, sexual offences, Megan's Law, animal cruelty and arson.

Welcome Veterans!

Meet Johnny Boy. Adopted after Surviving an Accident that Ended a Promising Racing Career. He Brings the Thunder with His Powerful Hooves and Gives Us Hope to Start Over.

Name of VA Hospital, Vet Center, CBOC

Pittsburgh, White Oak, Altoona, Butler etc

About You

Veteran’s First Name

Last Name

Please check the box that best describes you:

I am a Veteran

I am a Service Member

Do you currently receive care through a Veteran's Healthcare Facility?

Yes

Name of the VA Facility/Vet Center where you receive care

Please type the name of the VA Hospital, Vet Center, or CBOC where you receive care (example: White Oak Vet Center, Pittsburgh VAMC, Altoona etc)

What branch(s) do/did you serve in? check all that apply

Air Force

Army

Navy

Marines

Coast Guard

Space Force

What was/is your job(s) in the military?

Highest Rank

Is there anything you would like us to know about your military service to better serve you?

Examples: deployments, era of service, Combat and/or MST and avoidance of military topics

Equine Assisted Learning (EAL) Programs:

STAT®'s Team Approach: a Facilitator and Equine Specialist.

Teams are certified in two EAL Protocols: Equine Assisted Growth and Learning Association (EAGALA) with an Individual Military Designation and the OK Corral Crisis Series. Both protocols require a licensed mental health professional for certification as a Facilitator. However, in EAL the facilitator is not providing mental health treatment and is only ensuring a fun and safe equine assisted learning experience.

We offer either group classes or individual classes for two EAL Programs: STAT®'s EQuine Affect(SM) and Stable Thinking for Stable Living.
You will have the opportunity to participate in both EAL classes offered. After you participate in one of STAT®'s EAL programs: EQuine Affect(SM) or Stable Thinking for Stable Living, you can ask to be placed on a waitlist to start the other EAL program. Why? So that other Veterans waiting can begin their first EAL program. Once the waitlist opens, you will then have an opportunity to sign up for the other EAL program classes.

EQuine Affect(SM)

STAT® Stable Thinking for Stable Living

EQuine Affect(SM) -12 Weeks

Is Equine Assisted Learning (EAL) Psychotherapy?

No. Equine Assisted Learning (EAL) teaches about a growth mindset to build confidence, motivation, problem solving, and communication without discussing trauma or mental health conditions. While EAL is not mental health treatment, it is often described as therapeutic, educational, and enjoyable.

By checking this box you understand EAL is not psychotherapy or mental health treatment.

Mighty Minis

Equine Assisted Psychotherapy (EAP)

Equine Assisted Psychotherapy (EAP) focuses on learning coping skills, creating adaptive thinking, and connecting with horses to decrease distress while changing disruptive patterns.

EAP is mental health treatment (e.g., PTSD, Anxiety, Depression) for Veterans who are already receiving mental health care. Let your current mental health treatment provider know about your interest in participating the EAP program to see if it might be a good fit to add EAP sessions to your current treatment plan. In some cases, a direct referral from your mental health provider is required for EAP in addition to your established psychotherapy treatment.

By checking this box you understand EAP may require a referral as an additional option and not a stand alone treatment. A virtual intake is required prior to staring any EAP program.

STAT®'s Team Approach: a Licensed Mental Health Facilitator and Equine Specialist.

Teams are certified in three EAP Protocols: Equine Assisted Growth and Learning Association (EAGALA) with an Individual Military Designation, EquiLateral-Equine Assisted EMDR, and the O.K. Corral Crisis Series.

EAGALA EAP

EquiLateral-Equine Assisted EMDR EAP

O.K. Corral: Crisis Series EAP

Select Your Program(s) of Interest:

St. Joseph Institute for Addiction: Residential Program: Veteran Program: STAT® EQuine Affect(SM) in Port Matilda, PA

*This program is offered once a month on a Saturday

STAT® Inc EQuine Affect(SM) 1-hour group classes: Emotional Intelligence "EQ" alongside horses: Mindset, Challenges, Obstacles, Effort, Criticism, Success of Others, and Power of Yet

Mostly ground based programming with the possibility of an optional mounted activity.

Are you also an Employee at St. Joseph Institute (SJI)?

I am a SJI resident and Veteran

Yes

I am a Veteran and I am employed at SJI

Ft. Ligonier Event with: STAT®'s EQuine Affect(SM):

Check the box to confirm you are participating in Ft. Ligonier's Veteran Archeological dig and would like to participate in the equine event with ground and riding option July 2024.

Veteran Program: Equine Assisted Psychotherapy (EAP)

Check your choice(s) Be sure to check either an individual or group option

Equine Assisted Growth and Learning Association (EAGALA) experiential psychotherapy: 6 weeks

Small Veteran Group 2-hours once a week

Equine Assisted Growth and Learning Association (EAGALA) experiential psychotherapy: 6 weeks

Individual

EquiLateral EMDR: 6 week program

Individual 1 hour sessions

O.K. Corral Series: Coping Skills Improvement

Individual 1 hour sessions

Veteran Program: STAT® EQuine Affect(SM): EAL

Check your choice(s) Be sure to check either an individual or group option

STAT® Inc EQuine Affect(SM) 6 week GROUP Program: Emotional Intelligence "EQ" alongside horses: Mindset, Challenges, Obstacles, Effort, Criticism, Success of Others, and Power of Yet

Small Veteran Group 2-hours once a week

STAT® Inc EQuine Affect(SM) 6 week INDIVIDUAL Program: Emotional Intelligence "EQ" alongside horses: Mindset, Challenges, Obstacles, Effort, Criticism, Success of Others, and Power of Yet

Individual 1-hour once a week

STAT® Inc EQuine Affect(SM) 2-Day Workshop Group Program: Emotional Intelligence "EQ" alongside horses

Small Group class offered twice a year

Veteran Program: Stable Thinking for Stable Living: EAL

Check your choice(s) Be sure to check either an individual or group option

GROUP Stable Thinking for Stable Living: 6 week GROUP Program: Caring for Self, Others, and Horses

Small Group 2-hours once a week

INDIVIDUAL Stable Thinking for Stable Living: 6 week INDIVIDUAL Program: Caring for Self, Others, and Horses

Individual 2-hours once a week (Veteran)

Vietnam Veteran: GROUP Stable Thinking for Stable Living: 6 week GROUP Program: Caring for Self, Others, and Horses

Small Group 2-hours once a week

Veteran & Spouse Together Small Group EAL Programs

Check your choice(s)

STAT® Inc EQuine Affect(SM) 6 week Program GROUP: Emotional Intelligence "EQ" alongside horses: Mindset, Challenges, Obstacles, Effort, Criticism, Success of Others, and Power of Yet

Small Group 2-hours once a week

Stable Thinking for Stable Living: 6 week GROUP Program: Caring for Self, Others, and Horses

Small Group 2-hours once a week

Location(s)

Please Select Barn Location where you want to attend classes

Ligonier, PA

STAT® Inc Therapeutic Center: 24 Stom R 15658

Hopwood, PA

Lone Pine Acres: 99 Bryson Blvd. Hopwood, PA 15445

*St. Joseph Institute for Addiction: Residential Program in Port Matilda, PA (Referral Only By SJI Staff)

Optional Mounted Ride when applicable

Class Schedule Start Dates: Group Classes: EQuine Affect(SM) & Stable Thinking for Stable Living are scheduled monthly.

Group class days and times vary throughout the year. We do not typically have classes on weekends but occasionally offer classes or sessions once a month on a Saturday.

Late Fall/Winter: Individual programs are scheduled on an individual basis with 10am morning to 5pm evening times. Spring, Summer, and Early Fall we have classes until 7pm.

What day or time are you hoping for?

Type your days and times

Check your Class Start choice(s) Colder Seasons may have weather challenges/driving conditions

2024 July-Aug

Indoor and Full Outdoor Use (stable, pasture, arenas, trail)

2024 Aug-Sep

Indoor and Full Outdoor Use (stable, pasture, arenas, trail)

2024 Oct

Indoor and Full Outdoor Use (stable, pasture, arenas, trail)

30 Glade Run Drive, Zelienople PA 16063

Wednesdays once a month only 11-2pm June-October 2024

Ft. Ligonier Veteran Archeological Dig Event July 2024

Ft. Ligonier referral only

St. Joseph Institute for Addiction: Residential Program

Once a month on a Saturday: 134 Jacob's Way Port Matilda, PA 16870.

Mighty Mini Lambert Welcomes You!

Medical & Behavioral Health History

Is the applicant currently under the care of a medical provider for a physical condition? Medications? Please briefly describe:

Does the applicant require special accommodations? Please briefly describe

Is applicant medically cleared by a qualified medial professional for mounted horseback activity?

Please note there is a 200lbs max weight limit

Is the applicant under the care of a mental health provider? Medications? Please briefly describe

Is the applicant currently in Recovery for Substance Use? STAT® has recovery based programming to support your courage in recovery

Yes

N/A

Please briefly describe your recovery goals:

Check All that Apply

I have been sober for 30 days or more

For non-residential clients: We require 30 days of sobriety to participate to get the most out of programming

I am in recovery and also interested in STAT®'s Recovery Resiliency Equine Assisted Learning (EAL) Program

I am in recovery but I am not interested in a Recovery based program

I am currently in St. Joseph Institute for Addiction: Residential Program

I am interested in the equine learning programming

Help us understand your needs:

Does the applicant have any past or present physical and/or emotional trauma that could be triggered during ground based learning or basic horseback riding lessons (e.g., Combat, MST, Assault, Traumatic Loss, Accident(s), Childhood trauma)? You WILL NOT be asked any details on this form. Please choose the option below that best answers the applicant's situation

Yes

Maybe

A Trauma Informed Approach to Equine Assisted Learning (EAL) and Equine Assisted Psychotherapy (EAP)

The Five Guiding Principles of Trauma Informed Care (TIC)

STAT® Inc uses Fallot & Harris, PhDs (2015) Five Guiding Principles of TIC: safety, choice, collaboration, trustworthiness and empowerment.

Safety: Ensuring physical and emotional safety of clients. Every client is briefly screening for trauma, as it influences responses to horses, self, staff and services.
Trustworthiness: Staff are consistent, predictable, and set healthy physical and emotional boundaries.
Choice: Participants have choices about horse selection, physical spaces, and permission to touch if there is a safety (e.g., a foot is out of a stirrup and can’t find footing) and discuss emergency protocols that involve necessary physical support for safety
Collaboration: Staff and participants discuss goals that focus on resilience, pace, personal growth, and what clients want to accomplish.
Empowerment: Staff encourage and empower participants to build on strengths (i.e., growth mindset) while developing coping skills, which fosters a growth mindset.

Our EAL programs have a Mental Health Facilitator working alongside a Certified Equine Specialist who will support you though trauma informed programming outlined above. We get it. We see you. We understand. The horses also provide immediate reassurance with their presence.

Meet Roxie. Alpha Mare Brings Order and Discipline to the Herd. Ensures Safety and is a Wall Protection for Horses and Veterans.

What do you want to get from Equine Assisted Learning (EAL) or Equine Assisted Psychotherapy (EAP)?

Please type brief answer below

Experience with Horses

Please select the best option that describes your experience with horses

None Beginner Intermediate Experienced

Optional Mounted Activity

There may be a few optional mounted activities in some programming but EAL and EAP programs are mostly all ground based. EAGALA programs are ALWAYS ground based.

Currently STAT horses can carry clients up to a max weigh of 200lbs. Clients over 200lbs are not permitted for mounted activity.

Weight Limit of rider is 200lbs max. Our EAL/EAP horses are designed for ground based programming, as most of them have physical challenges and are senior beloved horses.

Applicant Information

First Name

Last Name

Age

Date of Birth

Current Home Address

Zip Code

Email address

We will call you if we can't reach you by email

Contact phone number

We will email you if we can't reach you by phone

Emergency Contact Information

First and Last Name

Relationship to Applicant

Emergency Contact Number

We are honored to serve Veterans. By checking this box you attest that you have served in the US Armed Services.

This confidential application for VA Equine Therapy 2023 Grant is received by the STAT®️'s CEO and a designated staff member only. A staff member will be in touch within a week to schedule a brief phone call to discuss programming and answer questions. All Veterans accepted into EAP are required to have a telehealth (virtual) intake session prior to starting programming. Submitting this form does not indicate immediate acceptance into any programming or client relationship. Please feel free to contact STAT® at 833-328-STAT (7828), or via email at stat_veteran_program_inquiry@nym.hush.com

By submitting this form you give STAT®'s staff permission to call or email you to briefly discuss the information on the form and programming.

Your information will be encrypted.

STAT® Inc.

Healing With Horsepower since 2007

HONORING VETERANS AND MILITARY PERSONNEL, THEIR CAREGIVERS AND FAMILY MEMBERS