The efficacy of using horses as therapy for people with mental, emotional or physical challenges is unquestioned. Barns that have adapted their facilities to accommodate these people and their families are now found everywhere. Access ramps, people lifts, grandstands and other specialized equipment are installed strategically for daily use.
These images are from a few assisted riding barns I have visited. I am not an expert and information for creating a barn specific for this use is abundant elsewhere.
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