Autism spectrum disorder (ASD) is a developmental disability that presents deficits in communication and social participation (Vanessa & Simmonds, 2018). For children diagnosed with ASD, their occupational engagement increased after participating in equine-assisted therapy (Grockienė et al., 2018; Llambias et al., 2016). The purpose of this literature review is to explore the research on the role of an occupational therapy (OT) practitioner within The Equine Assisted Growth and Learning Association (EAGALA) interdisciplinary team, the effectiveness of equine-assisted therapy, and the benefits of equine-assisted therapy to the ASD population. Healing Horseshoes is a doctoral capstone experience (DCE) project that aims to develop and advocate for an OT practitioner’s role in EAGALA’s interdisciplinary team at BC Stables and Training Center Missouri, USA. The purpose of this study was to investigate potential relationships between OT’s role in the EAGALA model, specifically to investigate potentially expanding the populations EAGALA serves. There was a positive clinical relationship between OT and EAGALA found in the data. Participants viewed the addition of an OT practitioner to the EAGALA interdisciplinary model to be beneficial, increase the populations they serve, and some would potentially hire or support the hire of an OT practitioner.