Therapeutic Approach

The Neurosequential Model: A Framework for Lasting Growth

At Sandhill Center, every aspect of care is informed by the Neurosequential Model of Therapeutics (NMT)—a research-based framework that helps us understand and support each child's unique neurodevelopmental needs. Developed by Dr. Bruce Perry, NMT applies insights from neuroscience and trauma research to guide how we structure interventions, therapy, education, and daily routines.

Rather than being a single therapy, NMT serves as the foundation for how we approach healing—ensuring that each child receives the right support, in the right sequence, at the right time.

How NMT Shapes Care at Sandhill

Since becoming the first official NMT Partner Site in 2007, Sandhill Center has woven this model into every aspect of our program. The key components of NMT at Sandhill include:

A group of students with backpacks hiking along a dirt trail surrounded by greenery and pine trees

Clinical Assessment

Each child’s neurodevelopmental history is assessed using NMT’s functional brain mapping tools to identify areas impacted by stress or trauma. This allows our team to pinpoint specific regulatory, relational, and cognitive needs.

Guided Therapeutic Planning

NMT helps determine which interventions will be most effective and when they should be introduced. By following the brain’s natural development sequence, we ensure that children build critical regulatory skills before advancing to more complex emotional and cognitive work.

Integration Across Environments

Rather than limiting therapy to specific sessions, NMT principles are incorporated throughout the day—whether a child is in the classroom, in the home environment, or participating in outdoor activities.

Sandhill students practicing yoga indoors, stretching forward in a calm and cozy setting with wooden floors and comfortable seating

A Day in the Life: How NMT is Woven into Daily Experiences

The Neurosequential Model is not just a clinical tool—it shapes how children experience each day at Sandhill. Through carefully structured routines and therapeutic engagement, we provide:

Morning and evening neuroregulatory activities to support stability and engagement.

Therapeutic interactions throughout the day, including in recreational settings.

A trauma-sensitive school environment that incorporates NMT principles to promote learning readiness.

Outdoor and movement-based experiences that encourage healthy brain development.

Every child at Sandhill benefits from a structured, nurturing approach designed to meet them where they are and guide them toward growth in a way that aligns with their brain’s developmental needs.

Two students fishing in a shallow stream surrounded by lush green grass and tall trees.

Why the Sequence of Healing Matters

A fundamental principle of the Neurosequential Model is that healing happens in stages. When children experience trauma or disruptions in early development, their ability to regulate emotions, build relationships, and learn effectively can be affected.

At Sandhill, we focus on three core areas to help children move toward lasting growth:

  • Regulation – Establishing a foundation for emotional and behavioral stability through sensory and rhythmic activities that support self-regulation.

  • Relational Connection – Strengthening the ability to engage with caregivers, peers, and staff in meaningful ways.

  • Resilience – Encouraging skill development that prepares children to navigate challenges with greater confidence.

A Sandhill staff member smiles while engaging in a conversation with a student at a picnic table in an outdoor setting, with a fenced area and blue canopy in the background

A Commitment to Cutting-Edge, Trauma-Informed Care

As a leader in NMT-informed treatment, Sandhill Center remains committed to advancing clinical excellence by integrating the latest research in neurodevelopment and trauma-informed care. Our team undergoes ongoing training to ensure that we continue providing the most effective support for children and families.

To learn more about Dr. Bruce Perry and the Neurosequential Model of Therapeutics, visit:

Dr. Bruce Perry
Neurosequential Model of Therapeutics

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