What is Equine Facilitated Spiritual Care™

This is not riding. This is not performance. This is something far more rare — a relationship between human and horse that opens the door to healing you may have stopped believing was possible.

A New Kind of Healing

Equine-Facilitated Spiritual Care™ (EFSC) is a heart-centered, clinically informed model of spiritual care that places the horse at the center of the healing encounter. Developed and trademarked by our founder, EFSC is one of the most innovative and carefully constructed approaches to psychospiritual healing available anywhere today.

At its core, EFSC is built on a simple but profound belief: every person carries within them an innate wisdom — a heart-centered knowing that has often been buried beneath pain, shame, trauma, and the weight of a fractured conscience. The horse does not create that wisdom. The horse helps you find your way back to it.

In an EFSC session, the chaplain and the horse work together as partners — attuned to one another and to you — in a spiritually energetic, organic flow of care. The equine chaplain brings clinical skill and pastoral depth. The horse brings something no credential can replicate: radical, unconditional presence. The equine professional holds the safety of the entire experience, creating a protected container within which genuine healing can unfold. Together, the three of you enter something sacred.

Why Horses — and Why It Works

Horses have walked alongside humans for thousands of years. As sentient prey animals with nervous systems finely tuned to detect truth beneath the surface, they perceive what we hide — the tension in our shoulders, the grief we have stopped naming, the fear that follows us into every room. They do not judge what they find. They simply respond to it — honestly, immediately, and without agenda.

That honesty is medicine.

For those carrying moral injury, shame, or spiritual wounds, the experience of being truly seen by a living being who holds no verdict is often the first moment of genuine relief they have known in years. Research in equine-assisted services consistently demonstrates meaningful outcomes in trauma recovery, emotional regulation, self-awareness, and the restoration of trust. When this is woven together with clinical chaplain care, the results go deeper still — reaching the body, the conscience, and the spirit simultaneously in ways that conventional approaches rarely achieve.

Horses do not remember what you did. They only respond to who you are right now. For many people, that single truth changes everything.

What EFSC Is Designed to Address

EFSC was developed to meet the full spectrum of spiritual pain — the wounds that do not fit neatly into a diagnosis, that resist conventional therapy, and that often go unnamed because we lack the language or the safety to speak them. These include:

  • Moral injury — the wound formed when we act against our values, witness injustice, or are betrayed by those we trusted

  • Grief and loss — including the loss of faith, identity, community, and self

  • Shame — the deep, embodied belief that we are fundamentally broken or unworthy

  • Spiritual and religious abuse — and the long aftermath of having the sacred used as a weapon

  • Existential crisis — the loss of meaning, purpose, and a sense of belonging in the world

  • Anger at God or the divine — and the spiritual isolation that follows

  • Disconnection from self — the quiet devastation of no longer knowing who you are or what you believe

These are not small wounds. They require a model of care built to hold them. EFSC was built for exactly this.

The Framework Behind the Experience

Equine-Facilitated Spiritual Care™ draws from three evidence-informed foundations, woven together into something greater than the sum of their parts:

  • Equine-Assisted Learning (EAL) — a well-researched branch of equine-assisted services using the horse as an active partner in experiential learning, emotional regulation, and self-discovery

  • Acceptance and Commitment Therapy (ACT) — a clinically validated approach helping individuals clarify values, build psychological flexibility, and move toward meaningful living even in the presence of pain

  • Nature-Based Spiritual Care — rooted in the growing body of ecotherapy research demonstrating the restorative power of the natural world on the nervous system, the spirit, and our sense of belonging

Together, these frameworks create a therapeutic and sacred space unlike anything else available — where clinical skill, spiritual depth, and the ancient wisdom of the horse-human relationship converge.

What Your Session May Include

All EFSC activities are entirely ground-based. There is no riding. Sessions take place in a carefully prepared, safe environment, and no prior experience with horses is needed or expected. Within your 90-minute session, care may be drawn from:

  • Structured Moral Injury Work — Evidence-based curriculums that guide you through the spiritual and psychological dimensions of moral wounds with compassionate clinical skill

  • Equine Connection Practices — Intentional, ground-based engagement with the horse that cultivates presence, trust, nervous system awareness, and somatic healing at the place where words run out

  • Sacred Ritual — Practices drawn from your own tradition or spiritual path — or from none at all — that restore rhythm, meaning, and a sense of the holy within your unique journey

  • Nature-Based Care — The healing environment itself becomes part of the session, with research-supported benefits for cortisol reduction, nervous system regulation, and spiritual restoration

  • Sound Healing — Vibrational and frequency-based practices that support energetic release, emotional opening, and deep inner stillness

  • Organic & Holistic Approaches — Care for the whole person — body, mind, and spirit — that honors and uplifts the unique wisdom, resilience, and knowing woven through your own spiritual and religious history

Credentialed, Skilled, and Called to This Work

Our practitioners are clinically trained and board certified chaplains who are also PATH-certified Equine Specialists in Mental Health and Learning (ESMHL) — a set of rigorous professional credentials that ensures every equine interaction is facilitated with the highest standards of safety, ethics, and clinical excellence.

Safety is not a feature of our work. It is the foundation upon which everything else rests — for you, and for the horse.

What You Will Experience

In 90 minutes alongside a horse, held by a skilled EFSC chaplain, supported by the earth beneath your feet, you will encounter something that reaches beyond what most healing spaces can offer.

You will experience deep relational connection — with the horse, with your own inner wisdom, and with a practitioner trained to walk with you through the most tender terrain of the human spirit. You will experience energetic and somatic healing that moves through the body as much as the mind. And you will experience the particular grace of being met — fully, honestly, without condition — by a being who has no interest in who you were, only in who you are.

That is where healing begins.

Ready to Experience It?

EFSC is available as an individual session, a group experience, or as part of an extended series or retreat format.

Book your Equine-Facilitated Spiritual Care™ session today.

You already carry the wisdom to heal. We — and the horses — are simply here to help you remember it.

Who We Are

Our Story

Dr. Rachel Mikaelsen

Founder & Developer, Equine-Facilitated Spiritual Care™

It Began with a Horse Named Shiloh

In 2010, a female Army Veteran stood alone in a mountain meadow on a 40-acre ranch in the heart of Colorado. She had survived a childhood of abuse and an Army career marked by military sexual trauma — and she had learned, as survivors do, to carry all of it quietly, efficiently, and alone.

She had been sent to spend time with a rescued Belgian draft horse named Shiloh. Shiloh was cantankerous, wary, and deliberately distant from people — shaped, like her, by a history of severe abuse and neglect. For several minutes, she tried to reach him, and with every failed attempt, something old and familiar began to rise inside her. You are too broken. No one wants you. There is no hope.

Then, from behind, came a second horse.

A large Belgian named Sonny moved quietly to her back and gave her a gentle, deliberate nudge — as if to say, keep trying. So she did. In one last bid for connection, she turned to face Shiloh's shoulders, closed her eyes, and simply breathed.

With every breath she took, Shiloh moved closer.

Inch by inch, breath by breath, until they stood together — toe to hoof. His warm brown eyes found hers, and in them she felt something she had not felt in years: an invitation. She took one small step forward until she stood shoulder to shoulder with him, one arm draped over his withers, the other resting gently over his heart.

A breeze moved through the meadow. The sun warmed her back. The air carried the sweetness of fresh earth, alfalfa hay, and the deep, grounding musk of animals. And then Shiloh did something extraordinary — he wrapped his neck around her, gently and completely, as if he had always known she needed to be held.

She began to sob.

Years of pain poured out of her — the sorrow, the loss, the anger, the betrayal she had never been permitted to speak aloud. Shiloh did not flinch. He did not move. He simply stood there, cradling her in the crook of his neck, absorbing every tear without condition, without judgment, without the need for a single word.

It was the first time her pain had ever been met with pure, embodied compassion.

No therapy. No medication. No carefully constructed intervention. Just a horse, a woman, and the kind of grace that does not announce itself before it arrives. In that moment, it was as if the divine itself was reaching down through the warmth of that horse and saying — I see you. I have you. You are not too broken. You are not alone.

That moment changed everything.

It would set Rachel Mikaelsen on a lifelong path — toward horses, toward healing, and toward the creation of something the world did not yet have a name for.

From That Meadow to This Work

Dr. Rachel Mikaelsen is the founder and developer of Equine-Facilitated Spiritual Care™ — a groundbreaking, trademarked model of psychospiritual healing that she built from the ground up, rooted in that first encounter with Shiloh and refined over years of clinical training, pastoral practice, and direct service to those carrying the heaviest of wounds.

She is currently serving as the Chief Chaplain for the VA Western Colorado Health Care System and in private practice, facilitating Equine-Facilitated Spiritual Care™ in Grand Junction, Colorado. She is building innovative programming in moral injury, mental health, women's care, intimate partner violence, caregiver support, and grief and bereavement. Her work represents a new frontier in what spiritual care can look like inside and outside of institutional settings — and what it can accomplish when it is taken seriously as a clinical discipline.

Credentials & Training

Dr. Mikaelsen brings rare depth to her work — the kind that can only come from a life that has moved through both profound suffering and rigorous academic and professional formation:

  • Master of Divinity — Iliff School of Theology, Denver, Colorado

  • Doctorate of Integrated Mental Health Chaplaincy — Vanderbilt Divinity School

  • PATH-Certified Equine Specialist in Mental Health and Learning (ESMHL)

  • Army Reserve Chaplain, 2008–2016

    • Battalion Chaplain, 244th Engineering Battalion, Aurora, Colorado

    • Deputy Brigade Chaplain, 104th Training Brigade, Aurora, Colorado

Her clinical and academic training is matched by years of applied experience across diverse settings — from military units to communities of faith, from government consulting to private nonprofit development. She has served as an interfaith program developer and educator, designing custom Veteran care programs for faith communities across the greater Chicago area, and as a subject matter religious expert and strategic training asset for government contractors in Colorado and the West Coast.

The Thread That Runs Through All of It

Every credential, every posting, every program Rachel has built or contributed to carries the same thread — a fierce, personal, and hard-won belief that healing is possible, that no one is too broken to be met with compassion, and that sometimes the most profound spiritual encounters happen not in sanctuaries or therapy rooms, but in open fields, in the presence of animals, in the wordless grace of being held by something that asks nothing of you except that you keep breathing.

Having served as an Army Chaplain and carried her own deep wounds through her own long journey toward wholeness, Rachel now pours her heart into helping others rediscover hope — teaching, guiding, and walking alongside all who long for spiritual renewal, restored meaning, and the quiet, revolutionary experience of being met exactly where they are.

She knows what it is to stand in that meadow, convinced you are too broken to be loved.

She also knows what it feels like when a horse proves you wrong.

Equine-Facilitated Spiritual Care™ was not invented in a classroom or a boardroom. It was born in a mountain meadow in Colorado, in the crook of a rescued horse's neck, on the day one woman's pain was finally met with the compassion it had always deserved.

That woman was Rachel. And she built this so you could have your own moment with Shiloh.

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