 Equine Assistant Services can cover a wide range, from teaching horsemanship that's adapted for people with disabilities to more formal therapy. That's where a physical therapist, occupational therapist, or speech-language pathologist utilizes the movement of the horse as a treatment tool. Kathy Alm, CEO of the Professional Association of Therapeutic Horsemanship, or PATH International. We had a young man who was about eight or nine years old. He'd never spoken a sentence before in his life.