Getting a "HANDLE" on Neurodevelopmental Therapy

by Marlene Suliteanu, OTR, and Judith Bluestone, Neurodevelopmental/Educational Therapist

HANDLE®, an acronym for Holistic Approach to Neuro-Development and Learning Efficiency, believes that everyone possesses the potential to learn. No one knows this better than Judith Bluestone, HANDLE’s founder. Bluestone’s personal history gifted her with the ability to create this award-winning program which applies neuro-scientific principles to a wide range of learning and behavioral challenges.

Grown from a single location in Seattle, since 1994 the HANDLE Institute has certified hundreds of trainers across the United States, in Israel, the United Kingdom, South Africa and Australia. Thousands of individuals have benefited from HANDLE training for learning disabilities, attention deficits, autism, PDD, dyspraxia, language disorders, Tourette syndrome and a plethora of perceptual and behavioral disorders.

What are the components of HANDLE®?

Holistic – inter-dependent internal and external influences from chemicals, allergens, nutritional deficits (especially essential fatty acids), dehydration, toxins, lighting, TV, inactivity, and other societal factors.

Approach - a set of guiding principles (not exercises or techniques) from many disciplines, including the belief that the body organizes the brain, not vice versa.

Neuro-Development - an interactive hierarchy of the functions of the nervous system, including the brain, cranial and peripheral nerves, the autonomic nervous system and the enteric brain. This hierarchy recognizes that skills such as speech, math, visual tracking and reading cannot be isolated in a particular site in the brain.

Learning - the ongoing process of using sensory, motor, social and emotional input to organize output for effective behavior.

Efficiency – the process of expending little energy with minimum stress to accomplish tasks.

The HANDLE Philosophy

HANDLE embraces aspects of many other disciplines including Montessori‘s educational concepts, Kephart‘s visual-perceptual-motor programs, Ayres‘ sensory integration and praxis therapies, Bobath neurodevelopmental therapy, developmental optometry, Tomatis and Berard auditory therapies, Irlen‘s scotopic sensitivity screening, Piaget‘s cognitive psychology, Lindamood‘s approach to language learning, the effects of nutrition on neurodevelopment, homeopathy, reflexology, myofascial release, cranio-sacral therapy and energy therapy. The result is an integrated structure for guiding and enhancing neurodevelopment for learning. Neurodevelopment implies neuroplasticity which continues throughout the lifespan. HANDLE also incorporates motivational techniques that empower individuals to heal themselves.

HANDLE redefines outcomes in a holistic, functional manner. HANDLE differs from most other approaches by fully engaging with the individual‘s environment--internal/external, physical and social, current and historical. Daily, gentle enhancement of functions strengthens the nervous system without causing ill-effects as a result of overload.

HANDLE views AD(H)D and autism/pervasive developmental disorder differently. Bluestone believes the former is a misnomer for Attentional Priority Disorder (APD), an inflexibility in ordering attentional priorities. The latter is the extreme state of APD, resulting in severe anxiety and compromised body systems including the immune system and digestive system.

In working with clients, HANDLE first identifies dysfunction in sensory systems, diet and the environment. Many persons who have inflexible attentional priorities also have poor tolerance for various environmental stimuli, impaired nutritional status, and food allergies. Environmental problems include hypersensitivity to clothing, odors, lighting and sound. Treatment may focus on strengthening the vestibular system, enhancing muscle tone, improving visual focus or changing eating habits, the number of extraneous sounds or lighting.

Types Of Activites In A Handle Program

Lives, not tasks change, because with neurodevelopmental integration, the body, not the therapist, directs performance. HANDLE Practitioners first develop an individualized profile of emerging functions Then they identify and design home-implemented programs to gently enhance weak areas of specific senses and the interrelations among them, honoring signs of stress in the client’s body. Recommended activities are simple to perform, and require virtually no special equipment.

HANDLE relies heavily on movement to organize mental processing and influence the body‘s biochemistry. Clients perform Intervention activities in small, measured doses, a total of about a half hour per day. These procedures can be done almost anywhere, including home, school. While activities may appear deceptively simplistic, the therapist is always sensitive to the client’s physical and social-emotional needs, continuously watchful not to stress a weak system.

Each exercise program is specially designed to meet the individual client‘s specific needs. Some of the more frequently suggested activities involve:

Therapy time typically requires approximately a half hour, preferably interspersed throughout the day.


Recent independent research confirms that HANDLE programs enhance brain function. Bluestone has written two books describing her successes. In the first, The Churkendoose Anthology: True Stories of Triumph over Neurological Dysfunction: Insights into the Holistic Approach to NeuroDevelopment and Learning Efficiency (HANDLE)The Churkendoose Anthology, she tells true Stories of triumph over neurological dysfunction. Her newest endeavor, The Fabric of Autism, Weaving The Threads Into A Cogent TheoryThe Fabric of Autism, describes HANDLE diagnostic and therapeutic practices in depth.

HANDLE Training

Hundreds of professionals have participated in HANDLE training programs and are incorporating aspects of HANDLE theory and practice into their work. Visit or call (206) 204-6000 to find a HANDLE trained professional in your area.

Marlene Suliteanu, OTR is the owner of GET ABLE in Oceanside, CA. Judith Bluestone is the founder of HANDLE. She lives in Seattle, WA.

[Initially published in New Developments: Volume 10, Number 2 - Winter, 2004-2005]

All material in this web site is given for information purposes only and is not to be substituted for advice from your health care provider.

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Page last modified: February 23, 2009
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