Equine-assisted remedial education can be provided individually or as a group activity with the aim of integrating psychosocial and cognitive elements. Exercises and interventions are specifically tailored to the age and resources of individual children and groups. Based on Antonius Kröger's approach to remedial vaulting, these measures primarily target children and adolescents aged 6 to 18 (and occasionally disabled adults).

In vaulting, the client does not ride independently with reins; the horse is guided by the therapist via the lunge while clients practice gymnastics and games with and on the horse. Unlike equestrian sport vaulting, remedial vaulting is not geared toward gymnastics performance, but rather toward developing abilities, experiencing alternative courses of action, and fostering realistic self-evaluation.

According to Kröger, individual objectives include: (1) dealing with fear and aggression, (2) learning to trust the therapist and oneself, (3) experiencing and differentiating feelings, (4) harmonizing motor skills through sensorimotor training, (5) heightening sensory integration, (6) raising self-esteem, (7) conducting reality-based self-evaluation, and (8) achieving autonomous orientation.

Equine-assisted rehabilitation is not intended as physiotherapy or hippotherapy to purely restore previous physical abilities. Instead, it is conducted by ergotherapists, psychomotility therapists, psychologists, and psychotherapists to process the trauma of current or permanent disability, work on self-perception and confidence, and develop resources for emotional compensation.

The horse acts as a motivator through movement dialogue and relationship acceptance. SHP recommends that therapists working with significantly disabled clients obtain an additional qualification as a riding instructor for the disabled.

Traditionally in German-speaking Europe, adult equine-assisted work was accessed via child remedial vaulting qualifications. Psychomotor therapeutic vaulting (PMTV) developed from therapeutic riding foundations combined with developmental psychology and psychotherapy (such as Client-Centred Rogers therapy and Pesso-Boyden-System Psychomotor therapy).

To meet the demand in sociotherapeutic and ergotherapeutic settings, psychosocial-motor therapeutic vaulting (PSMV) was also established. Both methods have proven successful over the past 15 years and are now integrated into the SHP-E(NL) training curriculum.

Psychosocial support addresses unmet needs, conflicts, or traumas within the therapeutic triangle of horse, client, and therapist. Rather than focusing strictly on problems or deficits, it builds on client strengths to foster self-awareness, realistic boundary assessment, and a "possibility sphere" for new experiences.

Regressive longings for carrying and support can be safely met in the "here and now" with the horse, leading to a redefinition of the self in interaction with the world.

Compared to non-horse-supported therapies, equine-assisted psychotherapeutic processes are generally more intensive and reach processing depths much more quickly. The horse acts as both a catalyst and a vital tool enabling the therapist to gain insight into the client's energetic processes for targeted interventions.