Outpatient Therapy Programs

Outpatient Therapy Programs

PRTR is now offering Occupational Therapy, Speech Therapy, Music Therapy, Physical Therapy, and Counseling services! Our new programs target individual and group treatment for Pre-school, Home-school, After-school, Teens, Transition Age, Adults, and Families.

Please also check out our Special Programs.


Occupational Therapy on the Ranch, with jobs that must be done regularly to maintain the land and the animals, can improve sensory processing and executive functioning skills, fine and gross motor skills, body-awareness, self-confidence and relationships with others.


Individual and group sessions featuring nature-themed projects and activities are designed to emphasize social communication, expressive language and articulation. Speech therapists combine therapy activities off of the horse with therapy on the horse (hippotherapy) to achieve the greatest outcomes


Individual, Family or Group psychotherapy is aided by the experiential nature of the Ranch, and Equine- or other Animal-Assisted therapies. We specialize in interpersonal issues, addictions, trauma, grief and loss.


Music Therapy is a therapeutic, goal-orientated approach provided by a credentialed professional. Music Therapists use music to help individuals achieve non-musical goals. Music Therapists can incorporate numerous interventions to work on goals that can include: motor/physical, sensory, emotional, social, cognitive, behavioral, and can even include relaxation and mindfulness. Music Therapy can be beneficial to individuals across all ages and diagnoses. Through the use of fun and engaging interventions, music therapy can incorporate many different instruments and songs. Music therapy is very individualized, just like our music tastes, which is why client-preferred music is always incorporated in sessions. Instrument play is often a main focus during a session as it can touch on all the goals mentioned above and more. Songwriting is also a component that can help individuals express themselves in a fun and new way. As each individual is so unique, so is each music therapy session!

How Do Occupational, Physical, and Speech/Language Therapists Utilize Hippotherapy?

What Is Hippotherapy?

Hippotherapy, or horse-mounted therapy is a form of occupational, physical, and speech/language therapy in which a therapist uses the characteristic movements of a horse to provide carefully graded motor and sensory input. The movement of the horse is a means to a treatment goal when utilizing hippotherapy as a treatment strategy.

Hippotherapy meets Occupational Therapy

Occupational therapists providing hippotherapy utilize the movement of the horse to improve motor control, coordination, balance, attention, sensory processing and performance in daily tasks.

The reciprocal multi-dimensional movement of the horse helps with the development of:

Sensory processing via hippotherapy simultaneously addresses the vestibular, proprioceptive, tactile, visual and auditory systems. The occupational therapist incorporates the movement of the horse, hippotherapy, to modulate the sensory system in preparation for a therapy or treatment goal that leads to a functional activity.

Hippotherapy meets Physical Therapy

Physical therapists who have had training in hippotherapy may incorporate the multi-dimensional movement of the horse to achieve the following goals:
Improvement in gross motor skills and functional activities for developing children with disabilities has been reported. Impairments are addressed through the variability of the horse’s movement by modifying the rhythm, tempo and cadence of the horse’s movement.

Hippotherapy meets Speech/Language Therapy

Speech Therapists use the repetitive, rhythmical, organized movement of the horse to facilitate organization in the mind and body of the child. This organized thinking helps the child to put their words and thoughts together to communicate more effectively. Since the riders are very motivated for their horses to start moving, it is often seen that a child will say their first words (“Walk On, Angel”) in effort to get their horse to go!

Incorporating hippotherapy into a speech/language pathology session is a powerful tool for the facilitation of the key neuromotor systems that support function. Speech therapists combine therapy activities off of the horse with therapy on the horse (hippotherapy) to achieve the greatest outcomes.

Promise Ranch accepts Medicaid, Medicare, commercial insurance, and CES/SLS Waivers. Select Join Us! to complete the contact form and find the Intake Package once you are registered.