An MDT Approach

NEST Clinical Services is led by an experienced multidisciplinary team, bringing together specialist knowledge across psychology, occupational therapy, speech and language therapy, and positive behaviour support. Our collaborative approach ensures children and young people in residential care receive integrated, formulation-led support that is practical, ethical, and responsive to complex need.

  • Speech and Language Therapy supports understanding and communication across residential settings. This includes expressive and receptive language, social communication, emotional expression, and how communication difficulties may contribute to distress or behaviour that challenges.

    SaLT input helps staff adapt their communication, reduce misunderstandings, and support young people to express needs safely and effectively, strengthening relationships and reducing frustration.

  • Positive Behaviour Support focuses on understanding the function of behaviour within the context of a young person’s needs, experiences, and environment.

    PBS input supports staff teams to develop proactive, consistent, and compassionate approaches that reduce risk and restrictive practices. Interventions are strengths-based and aligned with safeguarding, dignity, and quality-of-life principles

  • Occupational Therapy focuses on how a young person functions in daily life, including sensory processing, emotional regulation, motor skills, routines, and participation in everyday activities.

    The occupational therapist helps staff teams understand how sensory and environmental factors influence behaviour and wellbeing, and provides practical, embedded strategies that can be used throughout the day. This supports regulation, independence, engagement, and consistency within residential routines.

  • Psychology works to understand the emotional, cognitive, developmental, and relational factors shaping a young person’s presentation, including the impact of trauma, neurodevelopmental difference, and mental health needs.

    Input includes psychological assessment, direct therapeutic work where appropriate, consultation to staff teams, risk formulation, and support with care planning. The focus is on creating psychologically informed environments that support safety, emotional regulation, and placement stability.