Integrated therapeutic support for neurodivergent children in residential care: A multidisciplinary model of practice

This paper describes an embedded multidisciplinary model of therapeutic support for neurodivergent young people in residential care. The model brings together Psychology, Occupational Therapy, Speech and Language Therapy, Dietetics, and Positive Behaviour Support, to offer co-ordinated, formulation-led support within the daily life of the home. Grounded in attachment theory and Dyadic Developmental Psychotherapy (DDP), the approach prioritises relational safety, co-production, and shared formulation to address the complex interplay of neurodivergence and trauma. By positioning therapists within the young person’s daily activities, routines, and relationships, the model moves beyond traditional episodic input, enabling more flexible, consistent, and attuned responses to each young person’s individual and evolving needs. The model also enables real-time guidance for residential staff, influencing practice at a systems level beyond individual or direct work. This collaborative approach strengthens shared formulations and builds the therapeutic capacity of staff through consultation, modelling, and reflective practice. By positioning the multidisciplinary team (MDT) alongside residential teams, the model promotes a co-developed approach that supports a more nuanced understanding of each young person’s needs, whilst celebrating the individual knowledge and expertise that staff bring from their day-to-day relationships with young people. The paper reflects on systemic challenges and differing perspectives on diagnosis and meaning-making, exploring how collaborative approaches with staff, young people, and families shape practice.