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
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Rooted in science. Grounded in compassion. Guided by you.
A Different Kind of Care
Most healing spaces ask you to fit into a model. We built our model to fit you.
At EFSC, our approach is not a protocol to be followed or a curriculum to be completed. It is a living, responsive, and deeply personalized framework of care that draws from the best of clinical chaplain practices, spiritual wisdom, and the ancient intelligence of the natural world — and then shapes itself around the unique contours of your story, your wounds, your beliefs, and your strengths.
We are not here to fix you. We are here to accompany you — with skill, with honesty, and with the kind of steady, boundaried care that creates the conditions in which your own capacity for healing can emerge.
Whole-Person Care
We believe that human beings are not problems to be solved — we are whole persons to be honored. And wholeness means that the body, the mind, and the spirit cannot be separated from one another. A wound to the conscience is also a wound to the nervous system. A fracture in faith is also a fracture in identity. Spiritual pain lives in the body just as surely as physical pain does.
This is why our approach attends to all of you — not just the part that is struggling, and not just the part that is easy to reach. We work at the intersection of the clinical and the sacred, the evidenced and the intuitive, the professional and the deeply human.
The Pillars of Our Approach
Trauma-Informed Care Everything we do is shaped by an understanding of trauma — how it lives in the body, how it disrupts meaning-making, and how it affects a person's capacity to trust, to connect, and to heal. We never rush. We never push. We create safety first, and we let everything else follow at the pace your nervous system allows. Healing is not a performance, and in our space, you will never be asked to treat it as one.
Interfaith & Non-Prescriptive Spiritual Care We serve people of all faith traditions, spiritual backgrounds, and philosophical frameworks — including those who hold no religious identity at all. Our chaplains are trained in interfaith care, which means we bring curiosity and reverence to every spiritual path, never judgment. We do not point you toward our beliefs. We help you reconnect with your own — or find new ones, if that is where your journey is leading.
Clinical Chaplaincy Our practitioners are professionally trained and credentialed chaplains who bring clinical skill and pastoral depth to every session. Clinical chaplaincy is an evidence-informed discipline with a demonstrated impact on anxiety, trauma symptoms, grief, moral distress, and overall well-being. It is spiritual care practiced with the rigor, ethics, and accountability of a clinical profession — and the warmth of a genuine human relationship.
Equine-Facilitated Spiritual Care™ As the founders and developers of Equine-Facilitated Spiritual Care™, we have pioneered a model that brings the horse into the healing encounter as a true partner in care. Drawing from equine-assisted learning, Acceptance and Commitment Therapy, and nature-based spiritual care, this approach reaches the dimensions of wounding — body, conscience, and spirit — that words and traditional settings often cannot access. Our PATH ESMHL-certified chaplains and equine professionals ensure that every session is held with the highest standard of safety, skill, and ethical practice.
Moral Injury Work Moral injury — the deep wound formed when our actions, experiences, or witnessed events violate our core values and sense of self — is one of the most underserved areas of care in both spiritual and equine settings. We take it seriously. Our structured moral injury curriculums provide evidence-based frameworks for naming, processing, and integrating these wounds within a spiritually attuned, compassionately held space.
Nature-Based & Holistic Care We believe the natural world is not a backdrop to healing — it is an active participant in it. Research consistently demonstrates that immersion in nature reduces cortisol, regulates the nervous system, restores a sense of awe, and supports spiritual renewal. Our sessions draw intentionally from the healing intelligence of the natural world, weaving in sound healing, sacred ritual, somatic awareness, and organic holistic practices that honor the full spectrum of human experience.
Accessible, Community-Centered Care We believe that the quality of care a person receives should never be determined by the size of their bank account. Our sliding scale fees, trade of services or goods, buy-one-give-one, and volunteer time payment models exist because we are serious about this belief — not as charity, but as community. We are building a model of mutual care in which everyone who needs healing has a pathway to receive it, and everyone who has received it has a pathway to give back.
What Stays the Same
Every session at EFSC — regardless of format, setting, or approach — is held within the same unchanging commitments:
Safety — for your body, your nervous system, your spirit, and your story
Trust — earned slowly, held carefully, and never taken for granted
Dignity — because the way care is delivered is itself part of the healing
Presence — skilled, boundaried, and genuinely human
Respect for your journey — wherever it has taken you, and wherever it is going
We Did Not Build a Program. We Built a Relationship.
The most evidence-based thing we know about healing is this: it happens in relationship. Not in techniques, not in curriculums, not in the right combination of modalities — but in the experience of being genuinely seen, safely held, and honestly accompanied by another being who cares about what happens to you.
That is what we offer. That is our approach.
And sometimes, one of those beings has four legs, a mane, and the quiet wisdom to meet you exactly where you are.
Ready to experience our approach firsthand?Book a session today — individual, group, or equine-facilitated — and take the next step on your journey toward wholeness.
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These are not aspirations. They are the ground we stand on — in every session, every relationship, and every decision we make.
Compassion Without Condition
We believe that every human being — regardless of what they have done, what they have survived, what they believe, or how far they feel from wholeness — is worthy of genuine, skilled, and tender care. Compassion is not something we extend selectively based on story or circumstance. It is the starting point of every encounter, and it does not waver.
We have chosen a path of care that asks us to show up for people in their most vulnerable, complicated, and sometimes darkest moments. We do not take that invitation lightly. We receive it as a sacred privilege — and we honor it by bringing our full humanity, our full skill, and our full heart to every person who trusts us with their pain.
Dignity in Every Dimension
We believe that the way care is delivered is inseparable from the care itself. A person can receive technically correct treatment and still leave feeling diminished, unseen, or reduced to their diagnosis. That is not healing. That is transaction.
At EFSC, dignity is not a value we add on top of our services. It is woven into the fabric of how we speak, how we listen, how we structure our fees, how we set up our space, and how we show up in relationship. Every person who comes to us deserves to feel — from the very first moment of contact — that they matter, that their story matters, and that they are in the presence of people who genuinely care what happens to them.
Integrity in All Things
We do what we say we will do. We hold what is entrusted to us with care. We operate with transparency, accountability, and the kind of honesty that sometimes requires courage. We do not overstate our credentials, overpromise outcomes, or position ourselves as authorities over another person's spiritual life. We are practitioners, not gurus. We are companions, not saviors.
Integrity also means that we hold ourselves to the same standards of growth, reflection, and accountability that we invite our clients into. We are not finished products. We are people and practitioners committed to ongoing learning, honest self-examination, and the continuous refinement of our craft.
Radical Inclusivity
Healing does not belong to any one tradition, culture, theology, or worldview — and neither does our care. We serve people across the full spectrum of human spiritual experience — from the deeply devout to the firmly secular, from those rebuilding faith after devastating religious harm to those exploring spirituality for the very first time.
We are an interfaith community of care. We hold profound respect for the wisdom embedded in every spiritual tradition, and we hold equally profound respect for those who have found their way to meaning and belonging entirely outside of organized religion. No belief system is required to receive care here. No spiritual framework will be imposed. The only thing we ask is that you bring yourself — exactly as you are.
Safety as Sacred
We understand that many who seek us out have been hurt in spaces that were supposed to be safe — religious institutions, therapeutic relationships, families, and communities that caused harm instead of offering healing. We do not underestimate what it costs to try again.
Safety — physical, emotional, relational, and spiritual — is not a feature of our work. It is the foundation upon which everything else is built. We create safe environments through clear boundaries, consistent practice, transparent communication, and trauma-informed awareness at every level of our organization. For our human clients and for our equine partners alike, safety is non-negotiable and never compromised.
Trust as the Soil of Healing
We know that trust is not given — it is earned. Slowly, consistently, and through repeated experiences of being met with honesty, reliability, and care. We do not expect trust. We work for it. And we understand that for many who come to us, the capacity to trust has been deeply wounded by the very people and institutions that should have nurtured it.
We are patient with the pace of trust. We do not rush it, demand it, or treat its absence as a problem to be solved. We simply show up — session after session, interaction after interaction — with the same steadiness, the same honesty, and the same care. And we let trust build in its own time, on its own terms.
Community as Medicine
We believe that human beings are wired for connection — and that isolation, whether chosen or imposed, is one of the most significant barriers to healing. We are committed to building not just a practice, but a community — one in which people who have been on the receiving end of care become part of a living, breathing network of mutual support and shared humanity.
Our community-centered payment model — sliding scale fees, trade of goods and services, buy-one-give-one, and volunteer time — is a direct expression of this value. We are building something in which healing flows in multiple directions, in which those who have received care can contribute to the healing of others, and in which no one is excluded because of financial hardship. This is not charity. This is community. And community, the research tells us, is one of the most powerful medicines we have.
Reverence for the Natural World
We believe that the natural world is not simply a pleasant backdrop for healing — it is an active, intelligent, and deeply generous participant in it. The earth, the sky, the seasons, the animals, the silence of open space — these are not amenities. They are teachers, healers, and witnesses with their own ancient wisdom to offer.
Our reverence for the natural world shapes the way we design our sessions, the way we care for our equine partners, and the way we think about healing itself — as something organic, cyclical, and rooted in the same intelligence that moves through all living things. We do not conquer nature in our work. We collaborate with it.
Innovation Rooted in Humility
As the founders and developers of Equine-Facilitated Spiritual Care™, we are deeply committed to innovation — to asking new questions, building new models, and pushing the edges of what spiritual care can look like and who it can reach. We are proud of what we have built and unafraid to stand behind it.
And we hold that pride alongside genuine humility. We are learners. We are works in progress. The people who come to us are not our subjects — they are our teachers. Every session, every story, every moment of unexpected grace in the arena with a horse refines our understanding of this work and deepens our commitment to doing it better.
We innovate not for recognition, but because the people who need this care deserve the very best we are capable of offering — and we intend to keep becoming capable of more.
A Commitment to Access
We are unwilling to accept a world in which the quality of a person's spiritual care is determined by the size of their bank account. Access is a value, not a program. It shapes every structural decision we make — from our fee models to our location to the way we communicate about our services.
We are building something that belongs to the community it serves — affordable, accessible, dignified, and designed with the most vulnerable among us in mind. Because the people who need healing most are often the ones with the fewest resources to access it. And that is exactly backwards. We intend to help change it.
These values are not a destination we have arrived at. They are a direction we are always moving toward — with intention, with accountability, and with the deep conviction that the world becomes more whole one healed person, one honest relationship, and one quiet moment in the presence of a horse at a time.
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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