Prior to becoming the Executive Director of SETC 20 years ago, Betsey taught at Buffalo State College for 11 years and worked in marketing and/or development for professional theatres in Wisconsin and New York as well as in the ski and gift industries.
She holds a MS in Creativity and Innovation. As a creativity specialist she designed, presented and trained groups in creativity skills, leadership development and creative problem solving techniques. She has co-designed/trained for the Center for Creative Leadership's Leading Creatively Program in NC, presented to the Dupont Corporation, Singapore Institute of Management, the Banff Centre for the Arts in Canada and Rice University among others. She has been a five-time Leader at the Creative Problem Solving Institute, a Keynote for the Quebec International Creativity and Innovation Networking conference (ICINC), and presenter at multiple South African Creativity Conferences.
Horth has performed as a commercial/film actress, produced her own play Joan of Arc: Alive!; penned the monthly column "A Month of Sundays" for a Western New York regional magazine; produced daily radio Family Lifeline reports on creative family life; and designed costumes for Theatre for Youth in Buffalo winning the regional best costume design for the 1995-96 season.

KCACTF honored her with the Gold Medallion Award in 2011 and she received SETC's Suzanne Davis Award in 2018 for her distinguished service to the organization.