RESEARCH

Application of the Neurosequential Model of Therapeutics (NMT) in an Integrative Outdoor Behavioral Healthcare Program for Adolescents and Young Adults

This study demonstrates that combining the Neurosequential Model of Therapeutics with horticultural therapy in an outdoor behavioral healthcare setting improves emotional regulation, behavior, and relationships in adolescents and young adults. These improvements were maintained after discharge, highlighting the program’s effectiveness in fostering lasting personal growth.

Program Types: Therapeutic

Population Groups: Children/Youth, Mental Health Challenges/Trauma, Addiction/Substance Use Disorders

Setting or Context: Community Gardens, Natural Areas/Parks/Forest, Healthcare Centre

Health and Wellness Outcomes: Improved Mental Health, Enhanced Emotional Well-being, Increased Sense of Belonging (Reduced Isolation), Improved Stress Management, Improved Cognitive Function, Increased Social Engagement & Skills

Allied Profession Intersections: Occupational Therapy, Counselling, Education, Nursing

Type of Activity: Sensory Stimulation, Outdoor Gardening, Nature-Based Arts & Crafts, Forest/Natural Area Immersion

Evidence Type: Peer-Reviewed Studies

Measurement and Evaluation: Metrics for Mental Health, Patient-Reported Outcomes, Program Effectiveness, Longitudinal Studies

Access: Available Upon Request

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Summary

This research explores how the Neurosequential Model of Therapeutics (NMT) is applied in an outdoor behavioral healthcare program called Pacific Quest (PQ) to help adolescents and young adults with emotional and behavioral challenges. NMT focuses on understanding brain development and using this knowledge to design personalized, step-by-step therapeutic interventions. At PQ, this approach is combined with horticultural therapy, where participants engage in gardening activities that help them regulate emotions, build relationships, and develop problem-solving skills. The program also incorporates Hawaiian cultural practices, experiential learning, and wellness activities to promote holistic healing.

The study found that the NMT-informed program significantly improved participants’ emotional regulation, behavioral functioning, and relational health. These gains were sustained even after participants left the program. By integrating nature-based activities with brain science, the program fosters personal growth and helps young people reconnect with themselves, others, and the environment. The authors suggest that this innovative model could serve as a blueprint for similar therapeutic programs.

Link

Freedle, LR., & Slagle, T. (2018). Applications of the neurosequential model of therapeutics in an integrative outdoor behavioral healthcare program for adolescents and young adults. Proceedings of the Second International Neurosequential Model Symposium. CF Learning Press.

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