title: An evaluation of Neuro-Physiological Psychotherapy: An integrative therapeutic approach to working with adopted children who have experienced early life trauma.
abstract: Research into the effectiveness of therapeutic interventions for older children who have experienced multiple forms of trauma within the context of their early development is scant. This article explores the effectiveness of Neuro-Physiological Psychotherapy (NPP): a wrap-around multi-disciplinary, neuro-sequential, attachment-focussed intervention for children and families who present with multiple, clinically significant, emotional and behavioural difficulties. In total, 31 young people and their adoptive parents took part in the study. Baseline measures were repeated and parents and children interviewed. An assessment of the parent/child relationship and child attachment was undertaken but not analysed for this article. Analysis of the repeated measures received statistically significant changes in behavioural regulation, metacognitive executive functioning and externalising and internalising difficulties, alongside an improvement in thought and social problems. An analysis of the parent interviews provided positive results in terms of the children's engagement in education, an absence of further mental health diagnosis or involvement in the criminal justice system. Further hypotheses are posited regarding the impact of the treatment and further research into the effectiveness of the model outlined.
authors.affiliation: Family Futures, UK Elaine@familyfutures.co.uk.
authors.forename: Elaine
authors.initials: E
authors.lastname: McCullough
authors.affiliation: Family Futures, UK.
authors.forename: Susi
authors.initials: S
authors.lastname: Gordon-Jones
authors.affiliation: Family Futures, UK.
authors.forename: Anna
authors.initials: A
authors.lastname: Last
authors.affiliation: Family Futures, UK.
authors.forename: Jay
authors.initials: J
authors.lastname: Vaughan
authors.affiliation: Family Futures, UK.
authors.forename: Alan
authors.initials: A
authors.lastname: Burnell
mesh_terms: D000293:Adolescent; D000300:Adoption / Q000523:psychology*; D000328:Adult; D002648:Child; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009769:Object Attachment; D017063:Outcome Assessment, Health Care; D010287:Parent-Child Relations; D000066553:Problem Behavior / Q000523:psychology*; D015397:Program Evaluation; D000067073:Psychological Trauma / Q000628:therapy*
keywords: adopted; attachment; developmental trauma; looked after; neuro-sequential; trauma