Neurosequential Model

Our Therapeutic Model

Our students benefit from a highly collaborative clinical environment where therapists, psychologists, and medical professionals develop and implement individualized multidisciplinary treatment plans.

How NMT Works at Pacific Quest

We work with students to focus on the three R’s: regulate, relate, and reason.

Neurosequential Model of Therapeutics™

Regulate

When students first arrive, we focus on the basics: sleep, hydration, and nutrition. Through a structured schedule, sensory-based interventions, and individual therapy, we help students establish a routine and a sense of physical and emotional security.

Neurosequential Model of Therapeutics™

Relate

Once students settle in, we help them build meaningful connections within the PQ community. We achieve this through group therapy, projects and games, family video therapy, farm activities, and outings.

Neurosequential Model of Therapeutics™

Reason

With the foundation of routine, safety, and connection in place, we now shift our focus to building an individualized set of skills and insights. Students take on increasing responsibility for their routine, daily expectations, and time management. We emphasize the development of practical and portable strategies to ensure a smooth transition.

Why NMT?

NMT is not one specific therapeutic technique or intervention. Instead, it’s an evidence based developmentally sensitive, neurobiologically informed approach to clinical work. It gives us a way to organize each student’s history and current functioning to optimize the therapeutic process.

Additionally, NMT provides a framework that allows us to weave various activities into students’ relationships and environments. In this way, most “therapeutic” experiences occur outside of the actual context of conventional therapy.

The Neurosequential Model of Therapeutics™

Our program is certified in the Neurosequential Model of Therapeutics™ (NMT). The neurosequential approach lets us consider each student’s unique challenges and traumas and pick a treatment modality that’s most appropriate in the moment, as it relates to their stage of brain development. By focusing on the brain, we help students forge new neural pathways for lasting change.

Pacific Quest’s Clinical Team

Our team of licensed Masters and Doctoral-level clinicians brings expertise in various therapeutic methods. These include behavioral therapies, somatic experiencing, family systems, neuroscience, traumatology, mind-body, and expressive art therapies.

Google Reviews

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L Loucks profile picture
L Loucks
April 13, 2026
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After 3 years of school avoidance, residential and hospital stays, screen addiction and risky behavior, we didn't know how to help or talk to our 16 year old daughter. Pacific Quest seemed different from other programs we had considered for her, so we were hopeful for some positive change when we sent her 5 thousand miles away. After the first few weeks it was clear that the program and clinical staff were even better than we had hoped. Their holistic approach to health, emphasizing healthy diet, sleep, exercise and time in nature, balancing meds and supplements had an immediate positive impact. The care, kindness and respect that the highly qualified clinical team showed our daughter, allowed her to trust and be vulnerable in her individual therapy as well as our family sessions. She learned so much about herself, her emotions and how to manage them, while we learned about better ways to communicate with her, within our family and how to repair broken trust. She is now attending an alternative boarding school, and for the first time in a long time, we are optimistic for her future. Hawaii is a magical place, and all the staff at PQ, the therapists, medical team and program team make Pacific Quest a truly magical healing place. I highly recommend it.
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N Dalton profile picture
N Dalton
February 26, 2026
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Our teen is currently in his 8th week at Pacific Quest and we have been very happy with the care and support he has received so far. We have seen significant progress since he first started the program. His therapist is a good fit and we receive feedback each week about our son's progress. I am glad that we chose this program with the help of an educational consultant.
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D Custin profile picture
D Custin
February 2, 2026
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Pacific Quest is a blessing, a God-send. At first I was against an RTC placement & the long distance from mainland USA. However, PQ has a team of exceptional, experienced, well-trained, & loving personnel. In about 90 days, they achieved clear & immense progress for my child & me. Where once I had little to no hope for a positive relationship with my child, now hope is clear for our short-term & long-term relationship. PQ is a blessing & well-worth the costs, aka investment.
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Marg profile picture
Marg
January 15, 2026
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Highly reccomend Pacific Quest for families with kids with behavioral issues. I dont believe in miracles, but how they ve helped us with my child and whole family dynamics is close to a miracle.
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K Patruznick profile picture
K Patruznick
December 18, 2025
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Overall, we were satisfied with the level and type of treatment our daughter received at PQ. This was a necessary step after we had tried many other avenues to help her stabilize. We appreciated the holistic approach to medicine, food and supplements to help support a healthier way of living. The therapy and group interaction was also very helpful. Aside from our daughter's treatment, we, as parents were also following a parallel process to rethink the family dynamic. It was almost as much about our daughter as it was about us. Lots of parent groups, calls and family therapy to change our approach and learn how to handle situations in a better way. About 2/3 of the way thru the 90 day program, we attend the Family Program (Fam Pro) 3 day intensive. It turned out to be a very valuable use of time and allowed our family to connect and understand each other much differently. We really connected with Dr. Rob Gent and this provided a path to deeper understanding of our daughter and her mindset. There were a few bumps in the road and not everything PQ did was perfect. Nobody is, I suppose. But we provided feedback to them and hopefully they can learn new ways as well. We all can...