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July/August 2021Vol. 22, No. 7An Evaluation of the Neurosequential Model of Therapeutics in Tennessee

The Neurosequential Model of Therapeutics (NMT) is a neurobiological approach to working with at-risk children. Rather than being a specific technique or treatment protocol, NMT is an organizational structure that allows clinicians to use a child's developmental history and current functioning to make decisions and plan treatment.

A recent report from Child Trends discusses how the Quality Improvement Center for Adoption and Guardianship Support and Prevention (QIC-AG) recently evaluated the NMT approach in Tennessee with families involved with the Tennessee Department of Children's Services. The QIC-AG compared families in the eastern area of Tennessee served by the NMT approach with families in the rest of the state who received usual services. It measured four outcomes: 

  • Child behavior problems
  • Staff satisfaction with their delivery of adoption support and preservation services
  • Familial relationships
  • Caregiver commitment 
NMT had a statistically significant impact on only one of the outcomes, behavioral problems, and the impact was small. 
For a detailed explanation of the findings, read the Child Trends article, Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives.