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DIGNITAS UKRAINE

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"HORSES FOR HEALTH" 

The NGO "Dignitas Ukraine," in collaboration with the equestrian center "Active Stable Paradise" (Kharkiv Oblast) and the French NGO "SAFE," have joined forces to implement an important project. This joint project is aimed at developing and supporting rehabilitation programs for socially vulnerable groups who need special attention and assistance.

The cooperation between Ukrainian and French partners provides an exchange of experience, the implementation of advanced methods, and promotes the development of specialized therapeutic equine-assisted therapy sessions, which have already proven to be an effective method for physical and psychological rehabilitation. The initiative aims not only to improve the physical and emotional well-being of participants but also to provide them with new opportunities for social adaptation and integration into society.

Thanks to the support of partners and volunteers, this project will be an important step in providing access to quality rehabilitation assistance for people who have experienced challenging life circumstances.

Illustration

History of the project and presentation of the "Active Stable Paradise" equestrian center  

Illustration

Anna Nikonenko (pictured) and her architect husband Olexander bought a plot of land in the village of Korotych (Kharkiv Oblast) in 2012. There they built their house and a stable. Gradually, an equestrian center emerged, which took the name of "Active Stable Paradise" and in February 2022, when the war broke out, they acquired around twenty horses. Concerned about the mental health of war veterans (demobilized, physically wounded and those suffering from post-traumatic stress disorder), they set up a psychological rehabilitation programm in spring of 2023 for this audience in collaboration with Maria Volkova, the director of the Ukrainian NGO "ХАробрість", called "Victory Horses". In in the spring of 2023 she met Lilia Bukhalova and Paul Vazeux, who, realising the valuable therapeutic potential of these sessions, suggested they extend them to children/mothers who had suffered from the trauma of the war. In September 2024, they set up the Ukrainian NGO "Dignitas Ukraine", which, with the logistical and financial support of the French NGO "Safe", is developing two medical and psychological aid projects:   
● A mobile medical clinic that covers 27 localities in de occupied rural areas of the Kharkiv region on a monthly basis.  
● A weekly group horse-therapy programm for children and their mothers from the Kharkiv region at the Active Stable Paradise riding center. 
Anna Nikonenko runs this psychological rehabilitation programme. She is a member of the "Union of specialists in equitherapy and adapted equestrian sports". Her team consists of herself, two trainees studying psychology at Kharkiv University Medical School and two adult volunteers. Dignitas Ukraine finances these weekly sessions at the cost of €300 a day for 15 children and 5 accompanying mothers. In order to assess the relevance and seriousness of the project before submitting it to potential donors, the French NGO "Safe", an official partner of "Dignitas Ukraine", commissioned a French expert in equitherapy, François Grunewald, in September 2024. He informed Dignitas Ukraine and Jacques Duplessy (Safe's "Ukraine officer") of the extreme relevance of this project, underlining the precious potential of such a programm for the psychological rehabilitation of children and their mothers traumatized by the war.

EQUITHERAPY IN THE CONTEXT OF THE WAR IN UKRAINE

1. INTRODUCTION

The Ukrainian system of psychological support for people in need includes a number of elements largely inherited from the Soviet era. The traditional system is based on Soviet institutions with psychiatric hospitals (for adults and children) and orphanages. As in the former Eastern Bloc countries, Ukraine had the highest number of children in institutions (probably the highest in Europe before the escalation of the war, with over 100,000 children living in 722 establishments, built during the period of the Soviet Union). These institutions include "baby homes, children's care homes, children's homes, general boarding schools, education and rehabilitation centers, sanatorium boarding schools, 'special' and 'special' general boarding schools, and educational complexes". Around half of the children placed in institutions in Ukraine are disabled orphans and children who have been separated from their families due to poverty, drugs, alcoholism and poor health.  The escalation of the war in 2022 led the Ukrainian authorities to order institutions to return children to their homes. 90% of these children have at least one parent and, by May 2022, a third of these children had been returned to their families. It is often questioned whether adequate procedures to support children and foster families have been put in place to manage the return/resettlement of these children. Thousands more remained in institutions or were displaced in Ukraine or neighbouring countries. Children with disabilities in institutions were particularly at risk at the start of the war, and many were not included in evacuation plans. Ukrainian capacities specialising in the treatment of children's psychosocial problems (social workers, child psychologists and other professionals) were severely destabilised by the conflict. Some have left the country, others have changed jobs and some have joined the army. Ensuring that they can be retained to provide the support and services required involves specific efforts. Support for veterans, wounded soldiers and their families was very quickly seen by Ukrainians as a priority. The experience of the United States after the Vietnam War and more recently in Iraq and Afghanistan, that of Great Britain following the war in Ireland and, to a lesser extent, that of France after the Algerian War and the conflicts in the Sahel, shows how the failure to provide care for these physically and psychologically traumatised soldiers, or the inadequacy of this care, opens the door to countless problems later on. With the very high number of wounded, physically and psychologically traumatised people and families affected in one way or another by the effects of this ongoing war, the problem of how to deal with the various forms of post-traumatic stress disorder is very acute in Ukraine and will have an impact on both the present and the future.  Support mechanisms put in place by aid agencies: This sector has been a priority for a number of donors, such as the UK (FCDO) and France (CDCS, Expertise France, AFD) since the start of the war. Since 24 February, more than 100,000 children have benefited from specialised services through social work case management and referral to support services, thanks to the establishment of mobile teams of social workers, child psychologists, nurses and lawyers. A large number of operational mobile units have been set up across the country, particularly in the east. Various types of programmes have been set up, including physical rehabilitation, neurosurgery and prosthetic equipment, with a large number of specialists in the fields of psychiatry, psychotherapy, neurosurgery and so on. 

2. ZOOTHERAPY AND EQUITHERAPY: ORIGINAL AND EMERGING ALTERNATIVES 2.1. A FEW DEFINITIONS 2.1.1. ZOOTHERAPY

The term zootherapy is defined as therapy assisted by animals, in which the animal acts as a genuine mediator. Animal therapy is a structured programme of interventions or care that a therapist provides to a patient with the help and in the presence of an animal. Its aim is to maintain or improve the health of people suffering from various physical, cognitive, psychological, emotional and social disorders. It uses the natural and beneficial links that exist between people and animals. It is a form of mediation practised individually or in small groups with the help of specifically selected and trained animals, under the responsibility of a professional therapist who has undergone special training. The animal therapist is the guide and the animal is the mediator between the patient and the therapist.
Specific objectives are set as part of an individual care plan. Pet therapy is therefore a complementary intervention that forms part of an overall care plan for the patient, requiring multidisciplinary care (Psychiatrists, child psychiatrists, psychologists, psychomotor therapists, specialised educators, speech therapists, rehabilitation doctors, etc.). The close bond forged between human beings and animals is the basis of this therapy. Animals are loyal and impartial companions, attaching themselves to humans without judging them or asking for anything. Relationships with animals are simple because they are pure, not ambivalent. Animals break down solitude, help us get back in touch with our emotions and prove to be one of the best catalysts for a helping relationship. However, it is important to bear in mind that the mere presence of an animal is not the therapy itself; the animal is not a therapist but a real mediator. Today, the various working methods are grouped together under the general term Animal Assisted Interventions (AAI), which are themselves broken down into therapeutic or educational interventions (TAA), educational interventions, or Animal Assisted Activities (AAA). 

2.1.2. Equitherapy

According to the Société Française d'Equithérapie (SFE), equitherapy is psychic care based on the presence of the horse as a therapeutic mediator and provided to a person in their psychic and bodily dimensions. The object of the treatment is defined as the physical and psychic apparatus of the person being treated. The equitherapist's objective also concerns the reduction of psychopathological symptoms, well-being and a feeling of comfort. Equitherapy is not a direct treatment of somatic diseases or motor disorders (this specificity corresponds to hippotherapy), but rather an intervention affecting the mind, body and personality.
The resources deployed are of two types: 

- Psychic: meaning, emotional sharing, lived experience, transference, desire, etc. 

- Body : sensation, movement, infra-verbal communication, gestural expression. 

The interest in using the horse can be explained by its qualities as a living being with its own physical apparatus, relatively simple, gentle and warm, socially rewarding and adapted, capable of carrying and transporting, non-judgmental and non-intrusive, able to accept. Equitherapy has a therapeutic aim and is part of a care process. Under no circumstances is the aim to learn equestrian techniques. The emphasis is on communication and inter-sensitivity with the animal, which offers great potential for discovery and psychological development.

2.2. The emergence of zootherapy and equitherapy in Ukraine

Alongside the very 'medical' approaches present in Ukraine before the war and faced with their inability to manage cases such as autism, other initiatives emerged, often rather innovative, based largely on different variations of zootherapy and equitherapy. Innovative centres such as the Hippocenter in Kropernivsky and the Active Stable Paradise center in Korotych in the Kharkiv region emerged before the war. In these centers, which greatly increased their activity with the needs arising from the war, teams of riding specialists, often supported by psychosocial workers and, where possible, psychologists, help injured children and sometimes their parents, as well as the veterans concerned, to regain their confidence, heal from trauma and re-establish a certain physical and psychosocial balance. The impact on physically and psychologically traumatised children and veterans is very impressive. All can be treated individually or through group exercises. These centers also host groups for musical and theatrical performances.
But there is still little recognition of these approaches, even though they have a major impact.
The idea of this project is to see how they can be supported and strengthened. 

3. THE "HORSES FOR HEALTH" PROJECT

In view of the above diagnosis, the growing international experience of the benefits of zootherapy and equitherapy and the growing demand for these approaches in Ukraine, several initiatives have converged to prepare the present project, which would be implemented by the Ukrainian NGO "Dignitas Ukraine" and its French partner NGO "Safe", as well as the Korotych specialised equitherapy center ("Active Stable Paradise") and its technical network.   The project has five components: - Support for the centers’ physical infrastructure, particularly in view of the difficulties of carrying out their activities in winter.  - Support with riding and veterinary equipment and feed (hay, supplements, salt stones). - Support to facilitate the mobility of animals and disabled people. - Training support to advance practices. - Institutional support to improve recognition of the activity and encourage the emergence of the idea of a diploma.  ➢ The project must last two years (renewable)

PROVISIONAL BI-ANNUAL BUDGET :

574 € 

Infrastructure

30.000 €  

Miscellaneous equipment

10.000 €  

Mobility support

15.000 € 

Training equitherapists and specialised Ukrainian psychologists

5.000 € 

Administrative costs

160.000 €
Total in

Infrastructure

First stage: construction of a marquee to enable the equitherapy programme to continue at the Active Stable Paradise riding center during the winter of 2024/2025.

Photos of the "Horses for Health" project