NEATS Therapeutic Intervention Model 

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The NEATS 3 R Model of Therapeutic Intervention©

(adapted from Gilbert and Kerr 2016)


The NEATS 3 R Model consists of 3 stages:


  1. Reexperience

  2. Reprocess

  3. Resolve


Therapeutic intervention always begins with a Clinical Child Assessment where the following is assessed:

  • The emotional, behavioural and psychological impact of the child’s experiences of attachment, loss, trauma and neglect.

  • Assess the child’s attachment relationship with adoptive parents / carers.

  • Develop an understanding of the child’s therapeutic needs and the type of therapeutic intervention they might benefit from.

  • Identify whether the child may have any Neurodevelopmental immaturities, Retained Primitive Reflexes or sensory issues that may be impacting on their emotional, social, physical or cognitive development. 

  • Develop an understanding of the parent / carer’s own attachment experiences and temperaments and their support need’s.

  • Explore whether the child’s parents can participate in the work and support the child through the therapeutic process.

  • Understand the child and parent’s views and goals for the therapeutic work.

  • Decide whether the timing is right for the work to go ahead.

  • Develop a plan for therapeutic intervention.

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A period of psycho-education is also undertaken to ensure that the parents/carers have the understanding and skills needed in order to be able to implement therapeutic parenting, recognise what the child is trying to communicate through their behaviours and be attuned to the child’s needs and respond appropriately.  Parents/carers are taught how to identify the early signs that the child is becoming dysregulated (attempts to regulate themselves, e.g. oral regulation) and respond quickly and effectively to regulate them back and stay alongside.  Much of this work is like the interventions and strategies used in the NVR approach where de-escalation skills are developed, and empowerment of the parents/carers is a main focus.  Parents/carers are also given information that enables them to respond with empathy, step into the child’s shoes and understand how their early experience has impacted on their development, the reasons for their reactions and how to help them to express their feelings safely when past expectations or fears are elicited. 

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The basis of the approach is to establish a sense of safety and stabilisation from which the trauma can be processed, and a state of integration or resolution be attained, (ESTD guidelines 2016).  It is an integrative therapy using several therapeutic approaches such as, Dyadic Attachment Therapy, Trauma Therapy, Psycho- drama, Thera play, CBT, EMDR and bilateral stimulation.  The aim of the model is to shorten the length of time needed to help the child and the family system to reach the end goal in their therapeutic process by empowering both child and parents with resource’s and strategies during an intense period of intervention that can then be solidified through the remainder of the sessions.


Further information about this model can be shared by contacting NEATS Administration Support at: