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EFP Contraindications

 

Client is currently:

• Actively dangerous to self or others (suicidal, homicidal, aggressive)
• Actively delirious, demented, dissociative, psychotic, severely confused (including severe delusion involving horses)
• Medically unstable
• Actively substance abusing

Narrative for Contraindications:
"Dangerous to self or others" is the clinically accepted term to describe those clients experiencing a psychiatric emergency. Equine experiences cannot be safely facilitated for clients exhibiting these behaviors.

"Actively delirious, demented, dissociative, psychotic, or severely confused", as well as "actively substance abusing" reflects the committee's agreement that equine experiences cannot be safely facilitated when clients are exhibiting serious alterations in mental status.

"Medical instability" can be associated with a variety of psychosocial challenges. The committee seeks to enhance awareness that physical/medical issues must always be considered as part of a thorough clinical assessment.

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rev 03/04/2008