FAQs

Where are you located?

We are located at Haven Oaks Farm in Moreau, NY. The address is 46 Reynolds Rd. Fort Edward, NY 12828.

Referrals and general questions:

Olivia R., Administrative Assistant

(518) 338-6956

Assistant@AdirondackEAP.com

Fax: (518) 747-2194

Facebook: www.Facebook.com/AdirondackEAP

Therapist/Director:

Shannon Brock, LCSWR

Shannon@AdirondackEAP.com

(518) 573-0239

Patient portal link (active clients only): https://aeapl.therapymate.com/portal

Video telehealth link: https://doxy.me/adkeap

What is Equine Assisted Psychotherapy?

Equine Assisted Psychotherapy is a cognitive-behavioral-based therapy model, provided by a licensed therapist with the assistance of horses. Our licensed therapist, Shannon Brock, LCSWR, partners with horses to engage the client in real-life, real-time experiences designed to provide unique, effective therapeutic benefits.

Equine therapy is mental health therapy, and therefore, anyone with mental health concerns may benefit. We accept children ages 10 and over, adolescents, and adults. Please click on the Our Model tab for more detailed information about equine assisted psychotherapy.

What is the admissions process?

We accept both self-referred and provider-referred clients. Providers can find a referral form under the For Providers tab. Clients who are self-referred should reach out via email at info@adirondackeap.com or assistant@adirondackeap.com to get started. We will first ask a few preliminary questions. Following that, we will run your insurance to verify your coverage and benefits*. Once that’s done, we require intake paperwork to be completed on our patient portal. The information is reviewed by the clinician and a determination is made about whether or not we will offer an intake session. Admission is not guaranteed.

*Insurance Disclaimer: A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Any and all services not covered by an individual’s insurance are required to be paid by the individual to whom services are rendered. We highly recommend that individuals reach out to their insurance company to independently verify their coverage for outpatient mental health therapy in a provider’s office and/or telehealth.

Do you accept insurance?

We currently accept most plans through the following insurance carriers:

  • BlueShield of Northeastern New York
  • Lifetime Benefit Solutions
  • Fidelis
  • Aetna
  • HighMark
  • Anthem BC/BS
  • Nationwide Blue Cross/BlueShield plans
  • CDPHP
  • MVP
  • Cigna/Evernorth

This list is subject to change. If we do not accept your insurance, see below for tips on how to advocate with your insurance company for out-of-network benefits.

Insurance Disclaimer: A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Any and all services not covered by an individual’s insurance are required to be paid by the individual to whom services are rendered. We highly recommend that individuals reach out to their insurance company to independently verify their coverage for outpatient mental health therapy in a provider’s office and/or telehealth.

Will insurance cover equine therapy if I also see another therapist?

Yes. You can see as many therapists as you’d like, as long as you don’t see them on the same day.

How do I support the Inherit the Gold Foundation? How do I apply for a scholarship for equine assisted psychotherapy?

The Inherit the Gold Foundation is a registered 501(c)3 nonprofit organization helping horses and people.

The foundations rescues, retrains, and rehomes race horses, and also provides scholarships to Adirondack Equine Assisted Psychotherapy for under- or uninsured individuals. You can make a tax deductible donation or apply to be considered for the Equine Therapy Scholarship at www.InheritTheGold.org.

You can also visit the Adirondack EAP store and the Inherit the Gold Foundation store for cool merchandise. All proceeds benefit the Inherit the Gold Foundation!

Do you take volunteers/interns?

We do not currently take volunteers or interns. If that changes, we will announce it on our Facebook page.

Are you hiring?

We are not currently hiring.

Can I come visit the farm?

The farm is private, and we do not allow visitors. We do occasionally host open houses and group tours. Any opportunities to visit the farm will be posted on the Facebook page.

Can I sit in on a session to see if I like it? Can I stop by and check the place out?

No, please do not come to the farm uninvited. Therapy is private, and is protected by HIPAA, a federal law ensuring privacy for medical clients. Observing a therapy session is strictly forbidden. The farm is private, and we diligently protect the safety, privacy, and well-being of all of our clients and animals.

How can I start my own equine therapy business?

Equine assisted psychotherapy is provided by licensed, board-certified mental health therapists who specialize in equine assisted psychotherapy. We recommend Shannon Knapp’s books, Horse Sense, Business Sense, and More Than A Mirror for lots of great information and useful tips. Natural Lifemanship offers a variety of trainings and educational opportunities.

What makes Adirondack Equine Assisted Psychotherapy, LCSW, different from other therapy?

At Adirondack EAP, a licensed mental health therapist with over 20 years of education and clinical experience teams with horses to provide a unique, effective counseling experience to children, adults, and families.

While horses are inherently therapeutic, it is vital that mental health therapy be provided by a trained and board-certified (human) clinician, and that equine assisted psychotherapy be provided by a therapist who is additionally trained and specializes in EAP.

What kind of training does AEAP’s therapist have?

Therapist Shannon Brock Myles, LCSWR, has a Bachelor’s degree from Ithaca College, and a Master’s degree from SUNY Albany. She has extensive training and experience, both in her professional field as a therapist, and in equine assisted psychotherapy. She is a Level 2-trained equine assisted clinican in Natural Lifemanship.

Equine Specialist Sue Hooper is a 1979 Riding Master graduate of Meredith Manor International Equestrian College and holds a B.S. in Equestrian Studies from Salem College. Sue is a lifelong horsewoman and is extremely well-respected in her field.

How do I get a referral?

You can contact our offices directly via email at Assistant@adirondackeap.com or by phone at (518) 338-6956.  Some insurance companies require a physician’s referral in order to consider reimbursement for services, so please be informed about the requirements of your specific policy.

In the case of a physician or provider referral, please direct them to the following Referral Forms. A release of information will be expected from any referring agency to ensure HIPAA compliance.

What is the cost of sessions?

We currently accept most plans through the following insurance carriers:

  • BlueShield of Northeastern New York
  • Lifetime Benefit Solutions
  • Fidelis
  • Aetna
  • HighMark
  • Anthem BC/BS
  • CDPHP
  • Nationwide Blue Cross/BlueShield plans
  • MVP
  • Cigna/Evernorth

Insurance coverage varies according to clients’ individual policies. If a client has an insurance that we don’t accept, many policies include direct reimbursement to the client for therapy given by an out-of-network provider. Please read below for assistance with this process.

Session fees for out-of-pocket payments not covered by insurance are $160.00.

The Inherit The Gold Foundation provides assistance to individuals who are uninsured or under-insured. Please contact them directly to apply for consideration for this scholarships.

What can I expect in sessions? How often do you meet? Do you operate in the winter?

Most of our work with the horses will be on the ground, in specific exercises designed to maximize the therapeutic experience for the client and support attaining goals outlined in his or her individual treatment plan. There is an aspect of TF-EAP called Rhythmic Riding, where horseback riding occurs. This is not recreational riding. RR is a therapeutic intervention designed specifically for mental health therapy and is only utilized if it is therapeutically indicated.

If Rhythmic Riding is to be part of a client’s treatment plan, that will be discussed well in advance of the riding, and is almost always preceded by extensive ground work. There may be instances where a session will require more of a traditional office-based setting and interaction with the horse will not occur that day. Communication with the client and their family will be ongoing so that everyone knows what to expect.

We typically meet on a weekly basis, although individual clients may have different needs. We offer only telehealth sessions during winter months due to cold weather conditions. There may be instances throughout the year where we switch to telehealth sessions due to extreme weather or other concerns. Telehealth sessions are offered in addition to in-person sessions at any time.

Do you offer telehealth sessions by phone or video?

Phone/video telehealth sessions are available in addition to in-person sessions at any time. We only offer telehealth sessions during the winter.

Will we ride horses in session?

If your treatment plan includes rhythmic riding, this would be something we will discuss in session.

There is an aspect of TF-EAP called Rhythmic Riding, where horseback riding occurs. RR is a therapeutic intervention specifically designed for mental health therapy. This is not recreational riding.  RR is only utilized for very specific treatment interventions. There may be instances where a client may not be appropriate for this aspect of treatment.

What should I wear for sessions?

Please dress to be outside, protect your feet and wear something you don’t mind getting dirty. When you’re in a barn or corral, there is always the chance for getting mud, dust, and horse hair on your clothes and shoes so please dress accordingly. Wear closed-toed, closed back, sturdy shoes. Boots with a slight heel are preferable but not required unless you are riding. Crocs, flip flops, ballet flats, and any other light footwear is not allowed.

Do you operate in the winter? Are sessions held outside?

We offer only telehealth sessions in the winter due to cold weather conditions. There may be instances throughout the year where we briefly switch to telehealth sessions due to extreme weather or other concerns.

I am concerned about confidentiality. Will there be other people getting therapy at the same time as me?

Privacy and confidentiality are part of our client agreement, and are expected from every client. You may see other clients in the parking lot prior to, or following, your session, just as you would in an office-based therapy setting. You may see farm staff occasionally, but they are very aware of the sensitive and private nature of therapy, and are very respectful. We do have an equine specialist, Sue Hooper, who may be present during work with the horses.

Will I have to wear a helmet?

We require helmets for everyone under age 18 during the entire time that they are on the farm. We provide helmets. Clients over age 18 can choose to wear helmets during ground work. Helmets are required for everyone during all mounted work.

Do I need to buy my own helmet?

You are welcome to purchase your own helmet. We provide helmets. All helmets must meet ASTM / SEI certified equestrian standards.

What happens if there is bad weather?

Safety is our number one priority, so in the case of severe weather, we may switch to telehealth sessions.

What if I’m allergic to horses?

We do not have medical staff on the premises so please consult your physician about whether you can safely participate in equine assisted psychotherapy.

I don’t know anything about horses and I’m afraid of them. Can I still participate in EAP?

Yes! Prior horse experience is not at all required. Being nervous or scared about being around horses can actually provide a great starting place for progress in therapy. We will work together to help you with this.

I want to take riding lessons/learn horsemanship. Should I do EAP instead?

Absolutely not. EAP is NOT riding lessons. If you are looking for riding lessons, there are many excellent riding facilities in the area.

I have a lot of experience with horses. Can I get anything out of EAP?

Absolutely. We interact with horses in a way that you are not likely to have experienced before and will be engaging in exercises that will allow you to interact with the horses in a unique and therapeutic fashion.

You don’t accept my insurance. How do I advocate for myself with my insurance company to get out-of-network coverage?

It is important that you understand the rights and benefits of your individual health plan. There is a wide variety of coverage scope throughout the industry and aspects of your policy may vary from others who have insurance, even if it is with the same company. Please remember that if you determine an out-of-network direct reimbursement rate and plan with your insurance company, this is between you and that company.  We do not have the staff to negotiate with insurance companies on your behalf so if you wish to seek direct reimbursement for sessions, you will need to contact your insurer directly.

Here are some tips to help you navigate the system.

  • Most insurance cards will have a customer service number on the card. Please contact them BEFORE you start therapy so that you are well informed. Be aware that mental health benefits can vary from medical benefits. Have the insurance company send you written confirmation of any agreements made and bring them to your first session.
  • When you call, make sure you have paper and pen to take notes about which number you called, who you spoke with, their direct line and extension and what they said. Record the time and date that you called, so that if there is ever a problem, you have good records. It can also make it easier when you have to call back if you write down the “option” numbers so that you can enter them more quickly next time.
  • Ask to speak with someone about coverage for mental health (some insurers call it “behavioral health” or “psychotherapy”) benefits. You are not asking about coverage for equine therapy. That is a model of therapy, not a billing code.
  • Explain that you wish to receive mental health therapy from an out-of-network provider and ask them what they will do about reimbursing you directly.  If you need my NPI number or CPT codes that we use, please contact me directly.
  • Request written requirements for clinical information that your insurer will require for reimbursement. We can provide a Superbill upon request.
  • Ask if an “out-of-network” benefit exists on your plan.
  • Make sure you write down the person you are speaking with and their direct call back information
  • If you have trouble or feel you are entitled to further information or coverage, feel free to ask for a supervisor.
  • Your insurance company is in the business of making the consumer happy. Be persistent!
  • If you receive your insurance through an employer, the Human Resources department may be helpful with negotiating services through your insurance carrier. The insurance carrier wants to keep your employer happy so they continue to use them for insurance and your employer wants to have happy and healthy employees, so both will likely be motivated to see you satisfied.
  • When they ask you why you do not want to use other services, let them know if your doctor has specifically recommended you to AEAP. Explain that equine assisted psychotherapy is unique, effective, and offers experiential therapy which has yielded promising results in many scientific studies.
  • Ask questions, explore option and request reviews of decisions if at first you do not get the outcome you’re seeking.