The BOUNCE Approach® for Mental Health Support Teams
Reaching Every Child
When evidence-based interventions don't seem to reach every child
You are trained. You are skilled. You are working within an evidence-based framework.
And you will know, from your caseload, that some children do not respond to low-intensity CBT-based interventions in the way the model predicts.
Not because the intervention is wrong. Not because you are delivering it incorrectly. But because something underneath may be making it genuinely difficult for that child to access what you are offering.
The BOUNCE Approach® helps MHST practitioners understand what that something may be – and how to work more effectively with the children who sit at the edge of what standard provision can reach.
When Progress Doesn't Transfer
The children MHSTs know
The child whose anxiety does not reduce with psychoeducation and thought challenging alone.
The child who understands the model cognitively and cannot apply it in the moment of activation.
The child whose presentation does not fit neatly into any single diagnostic category.
The child who is autistic or has ADHD – identified or not – and for whom the standard intervention frame does not quite fit.
The child who is too dysregulated to access the session content.
The child who makes progress in sessions and loses it completely between them.
The child whose difficulties appear to have a significant sensory, relational, or identity component that sits outside the scope of your current training.
How we Help
What the evidence base tells us
Low-intensity CBT-based interventions are effective for many children with mild to moderate anxiety and low mood. The evidence is clear on this.
The evidence also tells us that outcomes are significantly affected by nervous system regulation, attachment history, sensory processing differences, neurodivergence, and the degree to which a child has the interoceptive awareness to access cognitive techniques in the first place.
For children whose difficulties are rooted in chronic dysregulation, developmental trauma, sensory differences, or neurodivergent profiles, an additional lens is often needed – one that addresses the regulatory and relational foundations beneath the presenting difficulty.
That is what the BOUNCE Approach® provides.
The BOUNCE Approach®
What is it?
The BOUNCE Approach® is a neurodivergent-affirming, trauma-informed framework that helps adults understand what may be influencing a child’s behaviour, regulation, relationships, and sense of self.
It does not replace your EMHP training, your supervision framework, or the stepped care model you work within. It provides an additional lens – particularly useful for the children whose presentations are more complex than standard low-intensity provision is designed to address.
MHST asks: what low-intensity intervention is indicated for this child’s presentation?
BOUNCE asks: what regulatory, sensory, relational, and identity conditions does this child need to be in place before that intervention can be effective?
Together they create a more complete clinical picture.
Six foundations. One framework.
Body and Nervous System
Low-intensity cognitive interventions depend on a degree of prefrontal cortical access. When a child’s nervous system is in a state of high activation or shutdown, that access is significantly reduced. This pillar helps practitioners understand nervous system states, co-regulation, and the body-based conditions that need to be in place before cognitive work can land.
Openness to Trust and Attachment
The therapeutic relationship is a significant predictor of outcome across all modalities. For children with insecure or disorganised attachment histories, the relational conditions of the MHST relationship may need more explicit attention. This pillar explores trust, relational safety, and the neuroscience of attachment – helping practitioners understand why some children need more time and more attunement before intervention content becomes accessible.
Understanding Sensory Differences
Sensory processing differences are common among children referred to MHSTs – particularly those who are autistic or have ADHD. Sensory overwhelm presents as anxiety, avoidance, and dysregulation. This pillar helps practitioners distinguish between sensory-driven presentations and purely anxiety-based ones – and understand what environmental and sensory adjustments may support engagement.
Navigating Emotions
Many children referred to MHSTs have significant alexithymia – difficulty identifying and describing emotional states. Interoceptive awareness is the biological foundation of emotional literacy and a prerequisite for many standard CBT techniques. This pillar provides body-first approaches to emotional awareness that create the interoceptive foundation cognitive interventions depend on.
Communication Differences
Neurodivergent children often process and communicate differently from the neurotypical assumptions embedded in standard therapeutic frameworks. Gestalt language processing, demand avoidance profiles, and the double empathy problem all have direct implications for how MHST sessions are structured and delivered. This pillar helps practitioners adapt their approach to the child’s actual communicative profile.
Esteem, Identity and Self
For neurodivergent children – many of whom have experienced years of deficit framing, chronic misattunement, and the psychological cost of masking – identity work is not a peripheral concern. It is often central to the presenting difficulty. This pillar helps practitioners understand the relationship between neurodivergent identity, self-concept, and mental health outcomes.
How BOUNCE Helps
Why MHST practitioners find BOUNCE useful
It helps explain why some children do not respond to standard low-intensity interventions – and provides a framework for understanding what additional factors may be contributing.
It provides practical tools for working with children who are neurodivergent, dysregulated, or carrying significant developmental adversity – the children who most frequently sit at the boundary of MHST scope.
It supports more accurate formulation – particularly for children whose presentations involve significant nervous system, sensory, or relational components alongside or beneath the presenting mental health difficulty.
It builds confidence with complex presentations – because when you understand the regulatory and developmental factors involved, clinical decision-making becomes clearer.
It creates a shared language with schools, ELSAs, SENCOs, and families – supporting the joined-up working that the MHST model depends on.
It helps evidence impact – through validated assessment tools that sit alongside standard MHST outcome measures and capture regulatory and developmental change over time.
The children BOUNCE helps us understand
| A child presents as… | BOUNCE asks… |
|---|---|
| Anxiety that does not respond to psychoeducation and thought challenging | Is the nervous system regulated enough for cognitive techniques to be accessible? |
| Understands the model but cannot apply it under pressure | What is the regulatory state at the point of activation – and what body-based tools are available? |
| Autistic or ADHD profile with anxiety presentation | Is the anxiety primary – or is it a response to an environment that does not fit the child’s neurology? |
| Significant alexithymia – cannot identify or describe feelings | Is interoceptive awareness developed enough to support the emotional literacy techniques being used? |
| Makes progress in sessions – does not transfer between them | What conditions exist in the session that do not exist elsewhere – and can those conditions be built? |
| Presentation does not fit standard diagnostic categories | Is a neurodivergent profile, developmental trauma history, or sensory difference contributing to the complexity? |
BOUNCE and MHST
BOUNCE and the stepped care model
| MHST level of need | BOUNCE adds a lens for… |
|---|---|
| Universal – whole school mental health | Nervous system literacy for all staff – creating the regulatory conditions that mental health provision depends on |
| Targeted – low-intensity intervention | Identifying regulatory, sensory, and relational factors that may be affecting intervention response |
| Specialist – complex and severe need | Supporting formulation and transition planning where neurodivergence, trauma, or developmental factors are present |
| Consultation and joint working | Providing a shared framework for MHST, SENCO, ELSA, and family conversations |
The Learning Portal
Everything in one place
When you join the Learning Portal, you are not getting a theory. You are getting a complete toolkit – over 50 CPD-certified courses, interventions, assessments, and resources, organised around the six BOUNCE pillars and available whenever you need them.
B – BODY & NERVOUS SYSTEM
For the child whose body won’t settle
- Sensory Circuits
- Somatic Exercises
- Interoception Activities
- Body Scans
- Yoga
- Drumming for Regulation
- Sensory Story Massage
Before the mind can learn, the body needs to feel safe.
O – TRUST & ATTACHMENT
For the child who cannot trust
- Nurture-Informed Groups
- PACE
- Trauma-Informed Practice
- Sand-Based Interventions
- Play-Doh Feelings
- Tree of Life
- Drawing Feelings
Safety grows through repeated experiences of connection.
U – UNDERSTANDING SENSORY DIFFERENCES
For the child whose world feels overwhelming
- Sensory Difference Assessments
- The Tactile Defensiveness Project
- Resources for Autistic Students
- Fidget Tools and Sensory Diets
- Sensory Circuits
- Sensory Activity Packs
The environment is part of the intervention.
N – NAVIGATING EMOTIONS
For the child who cannot name what they feel
- The Optimal Zone
- A Parts Approach
- Metaphors of Emotion and Somatic Strategies
- LEGO® Feelings and Creative Arts
- Emotional Check-Ins
- Bounce Style Emotional Literacy Lesson Plans
Helping children move from sensation to emotion.
C – COMMUNICATION DIFFERENCES
For the child who struggles to connect
- LEGO®-Based Therapy
- Solution Circles
- Declarative Language
- Communication Packs
- Theory of Mind Intervention
- Supporting Autistic and ADHD Students
Every child is communicating. Our job is to understand how.
E – ESTEEM, IDENTITY & SELF
For the child who does not know who they are
- NeuroProfile Creation
- Self-Esteem Assessment
- Cognitive Distortions through LEGO® and Minecraft®
- Positive Identity Resources
- A Parts Approach – Strengths Work
- The Tree of Life
Building more than confidence – building identity.
MEASURE & EVIDENCE IMPACT
For clinical leads, service managers, commissioners, and school partners who need evidence
BOUNCE & SEMH Trackers
Stirling Children’s Wellbeing Scale
Rosenberg Self-Esteem Scale
PANAS
Support Plan Templates
Student Passports
The evidence infrastructure that makes your impact visible to the people who need to see it.
Imagine having all of this in one place.
More than 50 CPD-certified courses, interventions, assessments, activities, templates, tools and downloads – organised through the six BOUNCE pillars and available whenever you need them.
Less uncertainty about the children who sit at the edge of your scope. More confidence in your formulation. Better outcomes for the children whose needs go beyond what standard provision alone can address.

