Our primary concern is to always provide a safe, productive experience for all. Included in this is the intent to “do no harm.” Recognizing that horse-related activities and environments do hold inherent risks, we assess activities with a “risk/benefit” analysis. The essential question is, “will the benefit/s of the participant/s in or around equine-assisted services outweigh the risk?” This question must be answered with consensus by the entire team and is re-evaluated prior to each session, event, or engagement. The following conditions are contraindicative to participation in equine-assisted services and include, but are not limited to: Spinal instability, osteogenesis imperfecta, osteoporosis, indwelling catheters, coxa arthrosis, hemophilia, atlantoaxial instability. Each Ride On St. Louis equine has a weight limit for mounted services that is taken into consideration for every participant, and is subject to change. Therefore, we may not be able to accommodate some individuals, or may not continue to serve some participants due to weight. Our programs are designed to reach each client individually to achieve the greatest results. Our approach to equine-assisted services through customized procedures seeks to improve abilities, bolster the activities of daily living and improve function through a variety of areas. We serve children and adults with diagnoses that may include, but are not limited to: accident/stroke, amputations, autism, vision impairment, cardiovascular disease, cerebral palsy, chromosomal deletion syndromes, down syndrome, behavioral disabilities, global neurological disorders, hearing impairments, intellectual disabilities, learning disabilities, multiple sclerosis, muscular dystrophy, Parkinson’s disease, post-polio, posttraumatic stress disorder (PTSD), psychiatric disorders, spina bifida, spinal cord injuries, suicide-risk and traumatic brain injuries. We incorporate a holistic approach to our programs to help individuals benefit from physical, cognitive, emotional, social and spiritual developments.