The Role of Neuropsychological Testing in Guiding Decision- Making Related to Dementia
|
|
- Derek Owen
- 8 years ago
- Views:
Transcription
1 The Role of Neuropsychological Testing in Guiding Decision- Making Related to Dementia By Scott Knight, Director, SLR Diagnostics & Assessments, a division of Sibley & Associates Inc., and Konstantine K. Zakzanis, PhD, CPsych, SLR Diagnostics & Assessments, a division of Sibley & Associates Inc. 74 -year-old driver plowed his SUV through a crowded intersection and into a group of people waiting for the bus in Montreal... killing two bystanders and sending pedestrians hurtling through the air like bowling pins... the driver struck eight pedestrians in all ; 87-year-old man drove his car through a crossed street market in Santa Monica, California, killing 10 people... ( Accident raises aging concerns, Globe & Mail, November 13, 2004). News stories like these seem to be occurring more frequently, sparking renewed debate over whether North America s aging population poses a public-health hazard on the roads. According to Transport Canada, seniors have a higher annual fatality rate than younger drivers, and when measured by distance driven, old drivers are involved in accidents out of proportion to their numbers. The debate over the reliability of aging motorists usually includes discussion about diseases and other health issues that are often part of the aging process. Dementia in particular is cited as a growing concern. In your role as an insurance adjuster, understanding dementia and how you can assist clients who may be suffering from dementia is likely to become more pertinent. Aging Population and Rising Incidence of Dementia By 2011, the oldest baby boomers (those born in 1946) will reach 65, and the proportion of people aged 65 and over will start to increase rapidly. This shift in the population size of the elderly will have farreaching effects, especially on our health care system. A major issue facing us in the future is the incidence of dementia. More than fifty per cent of the residents in nursing homes are affected by dementia. One in every 13 seniors over the age of 65 has Alzheimer s, the most common form of dementia. By age 85, one third have some form of dementia, and by age 95 more than half do. In July 2004, the Canadian Psychiatric Association published a 10
2 the early stages may vary; however, it is important to note that regardless of the specific type of deficit(s), they are progressive. Although individuals in the early stages of dementia often continue with day-today activities, such as housekeeping, they do experience some functional loss that can put them at risk for harm. For example, an individual with Alzheimer s will often have early signs of learning and memory loss confined to recent memory. Forgetting to turn off the stove or becoming lost can place the individual and those that surround him or her at risk. Similarly, although an individual in the early stages of dementia may continue to drive, he or she (and others on the road!) may be at risk, as a vehicle s operaresearch paper in the Canadian Journal of Psychology titled Driving and Dementia in Ontario: A Quantitative Assessment of the Problem. Its findings indicate that The number of senior drivers (i.e., those 65 years or older) will increase from just under 500,000 in 1986 to nearly 2,500,000 in As the number of seniors on the road rises, so too will the number of drivers with dementia. By 2028, there will be nearly 100,000 drivers with dementia in Ontario. Although not all drivers with dementia are necessarily dangerous, most of these drivers will continue to drive as the disease progresses, increasing the likelihood that the dementia will eventually affect their driving ability. The Ministry of Transportation does not require any remedial driver testing until age 80. In addition, the testing does not screen for dementia deficits related to driving or screen any population exhibiting possible deficits under the age of 80. Increasingly, the responsibility for identifying drivers with dementia is falling on the health care system, a role the system was not designed for and is not equipped to handle. The findings also recommend that the risks associated with the dramatically increasing number of drivers with dementia demand a psychometrically sensitive and efficient screening procedure. One effective approach in guiding decision-making related to dementia is the use of neuropsychological testing. An understanding of the progressive nature of dementia highlights the importance of early intervention through neuropsychological testing. Understanding Dementia Dementia is an acquired condition of intellectual impairment produced by brain dysfunction (e.g., Alzheimer s). Its prevalence is rapidly increasing, and adequate care for this growing population requires a well-informed approach to diagnosis and management. Dementia can be defined as an acquired persistent impairment of intellectual function that affects at least three of the following areas of mental activity: language memory Although individuals in the early stages of dementia often continue with day-today activities, such as housekeeping, they do experience some functional loss that can put them at risk for harm. visuospatial skills emotion/personality cognition (e.g., abstraction, calculation, judgment, executive function) Depending on the type of dementia (Alzheimer s, frontal lobe dementia, etc.), cognitive deficits in 11
3 tion requires several cognitive functions that may be inhibited by the individual s neuropsychological impairment(s). The Importance of Early Identification through Neuropsychological Testing Early identification is the best way to prevent harm and reduce risk. In addition, the literature suggests that pharmacological strategies (i.e., medications) can slow down the progression of dementia. Accordingly, early intervention also helps to ensure that the individual is brought to the attention of the appropriate health care practitioner as soon as possible, so that he or she may immediately begin appropriate treatment. Dementia is identified by neuropsychological testing that evaluates/tests disturbances in the various areas of mental activity. Neuropsychological testing is a specialized sub-discipline of psychology that focuses on the relationship between brain and behaviour by way of formal, standardized paper-and-pencil measures. Research has shown that neuropsychological testing is capable of identifying dementia syndromes in their earliest stages, and that it is more sensitive, and accordingly more effective, than neuro-imaging instrumentation such as magnetic resonance imaging (MRI) or computerized tomography scan (CT scan). Neuropsychological testing is performed by a clinical neuropsychologist, a professional psychologist with a designation in neuropsychology, who therefore has a PhD as well as research and clinical experience in neuropsychology, and who is licensed by the College of Psychologists of Ontario. The assessment time required 13
4 ranges from one to two days, depending on case complexity, client limitations, etc. The testing process consists of an extensive diagnostic interview with the client an interview with a family member or friend (i.e., someone who knew the client prior to the date of injury), which allows the neuropsychologist to obtain perceptions of the post-injury changes in the client the administration of the neuropsychological tests Specific tests vary depending on age, the nature of the clinical problem, language and cultural factors, education/abilities and the specific questions being posed. Test batteries typically include general intellect academic achievement (reading, spelling, arithmetic) language functions (fluency, naming, repetition, comprehension, reading, writing) sensory perceptual functions (auditory, visual, tactile) visuospatial/constructional abilities (drawing, copying, building) orientation, attention and concentration skills learning and memory (verbal and visual) executive functions (e.g., problemsolving, planning, organization, reasoning, judgment) self-awareness, initiation motor performance personality and psychosocial functioning tests of effort level to assess validity of test results When to Use Neuropsychological Testing As it can provide more detailed and comprehensive information about cognitive capabilities, consider using 14
5 neuropsychological testing for clients who are suspected of having sustained a head injury (i.e., force applied to head/brain, any period of loss of consciousness, any loss of memory for events before/after accident, any alteration in mental state at time of accident, focal neurological deficits) and/or is reporting cognitive deficits resulting in functional decline have sustained moderate to severe head injuries. They are likely to require repeated neuropsychological evaluations over the first two or so years post-injury have sustained a mild traumatic brain injury and continue to experience difficulties for an extended period of time and neuroradiological examination is negative (e.g., CT, MRI) identify symptom magnification with regards to cognitive complaints. The neuropsychological report should contain the following information: document review thorough and accurate biographical information on client credentials of assessor summary of face-to-face interview with client behavioural observations (e.g., level of insight, orientation, affect, presentation) list of tests administered administration of validity tests and comment on validity of test profile results of testing summary (areas of strength and weakness) diagnosis/deficits/disability/ impairment relationship to accident injury prognosis recommendations responses to your questions Neuropsychological Testing: The Most Effective Approach for Clients Who May Be Suffering from Dementia All studies to date concur that dementia is a major problem among the elderly and will be an even larger public health concern as the size of the elderly population increases. Early identification using neuropsychological testing is warranted due to its sensitivity and specificity of impairment to real-world behaviour. It is the most effective way to provide the individual, family/ caregiver(s), treating health care professionals and insurers with valuable information to guide decision-making throughout the progressive course of dementia. Additional information about this topic is available through The Centre for Acquired Brain Injury at the University of Toronto, being established by Dr. Zakzanis and SLR Assessments & Diagnostics ( ). You can also access Sibley & Associates Resource Library and educational seminars by contacting Angela Veri, Director of Customer Relations ( , ext. 356). Sources: Archives/CJP/2004/july/july2004.asp WP 15
Changes affecting concentration,
When Should An Older Adult Be Referred to Neuropsychology? provide a systematic, evidence-based and comprehensive approach to assessing an individual s cognitive and emotional functioning, and can complement
More informationSocial Security Disability Insurance and young onset dementia: A guide for employers and employees
Social Security Disability Insurance and young onset dementia: A guide for employers and employees What is Social Security Disability Insurance? Social Security Disability Insurance (SSDI) is a payroll
More informationROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER
ROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER I. Related Services Definition - IDEA According to the Individuals with Disabilities Education Act, psychological services include: Administering
More informationBINSA Information on Mild Traumatic Brain Injury
Mild traumatic brain injuries (MTBI) occur through sporting, car and workplace accidents. Mild brain injury is not easily diagnosed. This fact sheet explains how it may be recognised and assessed, and
More informationEMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY
Traumatic brain injury EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury (TBI) is a common neurological condition that can have significant emotional and cognitive consequences.
More informationSteps to getting a diagnosis: Finding out if it s Alzheimer s Disease.
Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have
More informationAccommodations STUDENTS WITH DISABILTITES SERVICES
Accommodations Otis College of Art and Design is committed to providing equality of education opportunity to all students. To assist in increasing the student s learning outcome, Students with Disabilities
More informationAdvanced Clinical Solutions. Serial Assessment Case Studies
Advanced Clinical Solutions Serial Assessment Case Studies Advanced Clinical Solutions Serial Assessment Case Studies Case Study 1 Client C is a 62-year-old White male who was referred by his family physician
More informationGuidelines for Documentation of a A. Learning Disability
Guidelines for Documentation of a Learning Disability A. Learning Disability B. Attention Deficit Disorder C. Psychiatric Disabilities D. Chronic Health Disabilities A. Learning Disability Students who
More informationBehavioral Health Psychological/Neuropsychological Testing Guidelines
Behavioral Health Psychological/Neuropsychological Testing Guidelines Psychological testing (procedural code 96101) and Neuropsychological Testing (procedural code 96118) involve the culturally and linguistically
More informationCerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments.
The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which
More informationTESTING GUIDELINES PerformCare: HealthChoices. Guidelines for Psychological Testing
TESTING GUIDELINES PerformCare: HealthChoices Guidelines for Psychological Testing Testing of personality characteristics, symptom levels, intellectual level or functional capacity is sometimes medically
More informationThe Psychologists Board of Western Australia
The Psychologists Board of Western Australia APPLICANT S PROGRAMME - CLINICAL NEUROPSYCHOLOGY and Knowledge INTRODUCTION Psychologists entering supervision for registration of the specialist title, Clinical
More informationCognitive Rehabilitation of Blast Traumatic Brain Injury
Cognitive Rehabilitation of Blast Traumatic Brain Injury Yelena Bogdanova, PhD VA Boston Healthcare System Rehabilitation Research & Development Boston University School of Medicine IOM Committee on Cognitive
More informationNEW TRENDS AND ISSUES IN NEUROPSYCHOLOGY: Mild Traumatic Brain Injury and Postconcussive Syndrome Cases
NEW TRENDS AND ISSUES IN NEUROPSYCHOLOGY: Mild Traumatic Brain Injury and Postconcussive Syndrome Cases Carl F. Mariano Barry H. Uhrman Introduction to Neuropsychology As many of you are aware, clinical
More informationCOURSE APPROVAL GUIDELINES APS COLLEGE OF CLINICAL NEUROPSYCHOLOGISTS
Page 1 COURSE APPROVAL GUIDELINES APS COLLEGE OF CLINICAL NEUROPSYCHOLOGISTS Updated October 2000 Page 2 1. General Introduction and Principles Clinical neuropsychology is a division of psychology concerned
More informationPractice Guideline. Neuropsychological Evaluations
Practice Guideline Neuropsychological Evaluations Adapted from the practice guideline of the same name by the Arizona Department of Health Services Division of Behavioral Health Services Effective: 06/30/2006
More informationTCHP Behavioral Health Psychological/Neuropsychological Testing Child/Adolescent Guidelines
TCHP Behavioral Health Psychological/Neuropsychological Testing Child/Adolescent Guidelines Psychological testing involves the culturally and linguistically competent administration and interpretation
More informationPractice Protocol. Neuropsychological Evaluations
Practice Protocol Neuropsychological Evaluations Jointly Developed by the Arizona Department of Health Services/Division of Behavioral Health Services and AHCCCS/Health Plans Effective June 30, 2006 Revised
More informationPatricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com
Patricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com Assessment Costs I understand that assessment needs differ and that these assessments can be costly, especially
More informationEarly Response Concussion Recovery
Early Response Concussion Recovery KRISTA MAILEY, BSW RSW, CONCUSSION RECOVERY CONSULTANT CAREY MINTZ, PH.D., C. PSYCH., PRACTICE IN CLINICAL NEUROPSYCHOLOGY FOR REFERRAL: Contact Krista Mailey at (204)
More informationPsychological and Neuropsychological Testing
2015 Level of Care Guidelines Psych & Neuropsych Testing Psychological and Neuropsychological Testing Introduction: The Psychological and Neuropsychological Testing Guidelines provide objective and evidencebased
More informationCHAPTER 2: CLASSIFICATION AND ASSESSMENT IN CLINICAL PSYCHOLOGY KEY TERMS
CHAPTER 2: CLASSIFICATION AND ASSESSMENT IN CLINICAL PSYCHOLOGY KEY TERMS ABC chart An observation method that requires the observer to note what happens before the target behaviour occurs (A), what the
More informationDEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE
1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff
More informationDRIVER REHABILITATION OVERVIEW
DRIVER REHABILITATION OVERVIEW What is included in a Driving Evaluation? The purpose of the evaluation is to determine if the individual s medical condition, medications, functional limitations and/ or
More information2016 Programs & Information
Mayo Alzheimer s Disease Research Clinic Education Center 2016 Programs & Information BROCHURE TITLE FLUSH RIGHT for Persons & Families impacted by Mild Cognitive Impairment Alzheimer s Disease Dementia
More informationADD and/or ADHD Verification Form
ADD and/or ADHD Verification Form Disability Services for Students (DSS) provides academic services and accommodations for students with diagnosed disabilities. The documentation provided regarding the
More informationAlzheimer s disease. The importance of early diagnosis
Alzheimer s disease The importance of early diagnosis Key Facts Alzheimer s disease and other dementias 1 Alzheimer's disease is the leading form of dementia and accounts for 50%-75% of all cases. 1 Vascular
More information3030. Eligibility Criteria.
3030. Eligibility Criteria. 5 CA ADC 3030BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS Barclays Official California Code of Regulations Currentness Title 5. Education Division 1. California Department
More informationMontreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi.
Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Suresh Kumar, M.D. AUTHOR Director of: Neurology & Headaches Center Inc. Neurocognitve &TBI Rehabilitation Center
More informationStephen L. Benson, Psy.D. November 17, 2015
Stephen L. Benson, Psy.D. November 17, 2015 Biomedical view of dementia Lyman (1989) suggested that the biomedical view of dementia includes three features: First, dementia is pathological and individual,
More information1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown)
UNIVERSITY OF MIAMI, LEONARD M. MILLER SCHOOL OF MEDICINE CLINICAL NEUROPSYCHOLOGY UHEALTH PSYCHIATRY AT MENTAL HEALTH HOSPITAL CENTER 1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136 Days and Hours:
More informationOverview. Neuropsychological Assessment in Stroke. Why a Neuropsychologist. How to make a referral. Referral Questions 11/6/2013
Overview Neuropsychological Assessment in Stroke Brandon Ally, PhD Department of Neurology What is Neuropsychology Stroke Specific Neuropsychology Neuropsychological Domains Case Study What is Neuropsychology?
More informationDD Procedural Codes for Administrative Examinations **To be used solely by DD staff**
DD Procedural Codes for Administrative Examinations **To be used solely by DD staff** Overview An Administrative Examination is an evaluation required by the Department of Human Services (DHS) to help
More information<ECE1778H> Submitted by: Jinyoung Kim (997864173) Rowa Karkokli (992424159)
Submitted by: Jinyoung Kim (997864173) Rowa Karkokli (992424159) Date: April 12, 2011 EXECITIVE SUMMARY: Dementia is a cognitive disorder resulting in loss of memory, changes in personality,
More informationCategories of Exceptionality and Definitions
7. CATEGORIES and DEFINITIONS of EXCEPTIONALITIES Purpose of the standard To provide the ministry with details of the categories and definitions of exceptionalities available to the public, including parents
More informationModule V. Neuropsychological Assessments. "The Impact"
Module V. Neuropsychological Assessments "The Impact" Module V - Neurological Assessments Page 2 of 22 Instructions to This Module: - If you have questions we encourage you to talk to your supervisor or
More informationPart 1 Cognition and the Occupational Therapy Process
Part 1 Cognition and the Occupational Therapy Process Part 1 delineates and describes the practice of occupational therapy in relation to the needs of people with cognitive impairments. It consists of
More informationDiagnosis and Initial Management of Cognitive Disorders
Diagnosis and Initial Management of Cognitive Disorders January 29, 2016 Kelly Garrett, PhD Cathleen Obray, MD, MHS Neurosciences Clinical Program Cognitive Care Team None Disclosures Neurosciences Clinical
More informationAttention & Memory Deficits in TBI Patients. An Overview
Attention & Memory Deficits in TBI Patients An Overview References Chan, R., et.al.. (2003). Are there sub-types of attentional deficits in patients with persisting post- concussive symptoms? A cluster
More informationIntroduction to Neuropsychological Assessment
Definitions and Learning Objectives Introduction to Neuropsychological Assessment Alan Sunderland Reader in Clinical Neuropsychology Neuropsychological assessment seeks to define cognitive disability in
More informationBrain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com
Brain Injury Litigation Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Some General Facts About Traumatic Brain Injury TBIs contribute to a substantial number of deaths and
More informationAssessment and Treatment of Cognitive Impairment after Acquired Brain Injury
Assessment and Treatment of Cognitive Impairment after Acquired Brain Injury Dr Brian O Neill, D.Clin.Psy. Brain Injury Rehabilitation Trust, Glasgow Honorary Research Fellow, University of Stirling Brain
More informationWhy study clinical neuropsychology?
University Leiden, The Netherlands Master (MSc) in Clinical Neuropsychology H.A.M.Middelkoop@lumc.nl www.neuropsychologie.leidenuniv.nl Why study clinical neuropsychology? You are interested in: brain/behavior
More informationHow To Write Long Term Care Insurance
By Lori Boyce, AVP Risk Management and R&D Underwriting long term care insurance: a primer Every day Canadians die, are diagnosed with cancer, have heart attacks and become disabled and our insurance solutions
More informationLewy body dementia Referral for a Diagnosis
THE Lewy Body society The more people who know, the fewer people who suffer Lewy body dementia Referral for a Diagnosis Lewy Body Dementias REFERRAL FOR A DIAGNOSIS In the UK people with all forms of dementia
More informationDocumentation Requirements ADHD
Documentation Requirements ADHD Attention Deficit Hyperactivity Disorder (ADHD) is considered a neurobiological disability that interferes with a person s ability to sustain attention, focus on a task
More informationCognitive Rehabilitation for Executive Dysfunction in Parkinson s Disease
Calleo, J., Burrows, C., Levin, H., Marsh, L., Lai, E., York, M. (2012). Cognitive rehabilitation for executive dysfunction in Parkinson s disease: application and current directions., vol. 2012, Article
More informationChapter 4: Eligibility Categories
23 Chapter 4: Eligibility Categories In this chapter you will: learn the different special education categories 24 IDEA lists different disability categories under which children may be eligible for services.
More informationCommunity Motor Vehicle Collision Priority Setting Toolkit Part One
Community Motor Vehicle Collision Priority Setting Toolkit Part One Table of Contents Introduction! 3 How to use this resource! 3 The Issue of Injury! 4 General information! 4 Motor Vehicle Collisions!
More informationREHABILITATION MEDICINE by PROFESSOR ANTHONY WARD
REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD What is Rehabilitation Medicine? Rehabilitation Medicine (RM) is the medical specialty with rehabilitation as its primary strategy. It provides services
More informationBILLING FOR THE T.O.V.A.
BILLING FOR THE T.O.V.A. Effective January 1st, 2006, CPT codes used for billing of psychological and neuropsychological tests were changed. Claims must now be filed using codes depending upon who performed
More informationChanging the Trajectory of Alzheimer s Disease: How a Treatment by 2025 Saves Lives and Dollars
Changing the Trajectory of Alzheimer s Disease: How a Treatment by 2025 Saves Lives and Dollars The appendices for this report including a detailed description of the model developed by The Lewin Group;
More informationBiomarkers for Alzheimer's Disease in Down Syndrome
Biomarkers for Alzheimer's Disease in Down Syndrome Brad Christian, Ph.D. Waisman Laboratory for Brain Imaging Outline Rationale for Studying AD in Down Syndrome Background of Alzheimer s Disease Biomarkers
More informationDevelopmental Disabilities
RIGHTS UNDER THE LAN TERMAN ACT Developmental Disabilities Chapter 2 This chapter explains: - What developmental disabilities are, - Who is eligible for regional center services, and - How to show the
More informationOccupational Therapy Treatment for People with Cognitive Limitations: Position paper
Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Background The purpose of a position paper is to present the professional stance regarding a given topic. The Senior
More informationArticle ID: WMC001862 2046-1690
Article ID: WMC001862 2046-1690 Assessing Effort During Clinical Neuropsychological Testing of Patients: Relevance to Law Suits, Patients with Neurological Disorders and Financially Motivated Claimants
More informationPrimary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment
Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Kinga Szigeti, MD Associate Professor UBMD Neurology UB Department of Neurology Questions How do we differentiate
More informationHow To Run An Acquired Brain Injury Program
` Acquired Brain Injury Program Regional Rehabilitation Centre at the Hamilton General Hospital Table of Contents Page Introduction... 3-4 Acquired Brain Injury Program Philosophy... 3 Vision... 3 Service
More informationPragmatic Evidence Based Review Substance Abuse in moderate to severe TBI
Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Reviewer Emma Scheib Date Report Completed November 2011 Important Note: This report is not intended to replace clinical judgement,
More informationUSE OF DEMONSTRATIVE EVIDENCE IN THE TRIAL OF A MILD TRAUMATIC BRAIN INJURY CASE. Your client, who sustained a closed head injury in an
USE OF DEMONSTRATIVE EVIDENCE IN THE TRIAL OF A MILD TRAUMATIC BRAIN INJURY CASE Your client, who sustained a closed head injury in an automobile crash one year ago, appears perfectly fine as his trial
More informationIMPROVING YOUR EXPERIENCE
Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),
More informationCritical Review: Does music therapy have a positive impact on language functioning in adults with dementia?
Critical Review: Does music therapy have a positive impact on language functioning in adults with dementia? Ingram, A. M.Cl.Sc (SLP) Candidate University of Western Ontario: School of Communication Sciences
More informationGuidelines for Documentation of Attention Deficit/Hyperactivity Disorder In Adolescents and Adults
Guidelines for Documentation of Attention Deficit/Hyperactivity Disorder In Adolescents and Adults Third Edition 2016 Office of Disability Policy Educational Testing Service Princeton, NJ 08541 Copyright
More informationPSYC PSYCHOLOGY. 2011-2012 Calendar Proof
PSYC PSYCHOLOGY PSYC1003 is a prerequisite for PSYC1004 and PSYC1004 is a prerequisite for all remaining Psychology courses. Note: See beginning of Section F for abbreviations, course numbers and coding.
More informationMental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca
Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late
More informationExpert Witness Services for Personal Injury Lawyers
Advanced Assessments Ltd Expert witnesses and Psychologists A Member of the Strategic Enterprise Group 180 Piccadilly, London, W1J 9HP T: 0845 130 5717 Expert Witness Services for Personal Injury Lawyers
More informationDepartment of Defense INSTRUCTION. DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting
Department of Defense INSTRUCTION NUMBER 6490.11 September 18, 2012 USD(P&R) SUBJECT: DoD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting References: See
More informationA break-even analysis of delivering a memory clinic by videoconferencing
A break-even analysis of delivering a memory clinic by videoconferencing Tracy A Comans(1,2), Melinda Martin-Khan(3,4), Leonard C Gray(3,4) and Paul A Scuffham(1,2) 1 Centre for Applied Health Economics,
More informationMemory Rehabilitation in Early Dementia. Diana Golvers Clinical Psychologist Central Dementia Service
Memory Rehabilitation in Early Dementia Diana Golvers Clinical Psychologist Central Dementia Service Loss of Memory in AD Memory impairment earliest manifestation of AD and other dementias Major impact
More informationSPECIFIC LEARNING DISABILITIES (SLD)
Together, We Can Make A Difference Office 770-577-7771 Toll Free1-800-322-7065 www.peppinc.org SPECIFIC LEARNING DISABILITIES (SLD) Definition (1) Specific learning disability is defined as a disorder
More informationDocumentation Guidelines for ADD/ADHD
Documentation Guidelines for ADD/ADHD Hope College Academic Success Center This document was developed following the best practice recommendations for disability documentation as outlined by the Association
More informationFinancial Advisors and Alzheimer s Disease: What You Need to Know
Financial Advisors and Alzheimer s Disease: What You Need to Know In today s aging society, with people living longer lives, chances are good that you ll be called upon to assist clients who have Alzheimer
More informationThe Thirteen Special Education Classifications. Part 200 Regulations of the Commissioner of Education, Section 4401(1)
The Thirteen Special Education Classifications Part 200 Regulations of the Commissioner of Education, Section 4401(1) Student With a Disability: A student as defined in section 4401(1), who has not attained
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL
2001 ONWSIAT 1893 WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 193/00 [1] This appeal was heard in Toronto on September 22, 2000, by Tribunal Vice-Chair N. McCombie. THE APPEAL PROCEEDINGS
More informationV OCATIONAL E CONOMICS, I NC.
V OCATIONAL E CONOMICS, I NC. This document was downloaded from Vocational Economics Inc. (www.vocecon.com). For more information on this document, visit: www.vocecon.com/articles/arttbi.htm Volume 2,
More informationThe Indiana Trial Lawyer Association s Lifetime Achievement Seminar. Honoring Peter L. Obremsky. May 23-24, 2005
The Indiana Trial Lawyer Association s Lifetime Achievement Seminar Honoring Peter L. Obremsky May 23-24, 2005 The Use of Medical Literature in the Brain Injury Case Thomas C. Doehrman Doehrman-Chamberlain
More informationLAW: THE PAEDIATRIC PERSPECTIVE
LAW: THE PAEDIATRIC PERSPECTIVE More than one million Canadian and American children sustain traumatic brain injuries (TBI) each year. Many of these injuries occur in traumatic events e.g., motor vehicle,
More informationPsychological and Neuropsychological Testing
Psychological and Neuropsychological Testing I. Policy University Health Alliance (UHA) will reimburse for Psychological and Neuropsychological Testing (PT/NPT) when it is determined to be medically necessary
More informationMotor Vehicle Accident Claims: What are your rights?
Motor Vehicle Accident Claims: What are your rights? If you or a loved one has been seriously injured in a motor vehicle accident, there are a number of critical decisions that must be made. Who will care
More informationTraumatic brain injury (TBI)
Traumatic brain injury (TBI) A topic in the Alzheimer s Association series on understanding dementia. About dementia Dementia is a condition in which a person has significant difficulty with daily functioning
More informationCurriculum Vitae. Board Certification: American Board of Professional Psychology Clinical Neuropsychology and Pediatric Neuropsychology
Place of Birth: Washington, DC Curriculum Vitae Karen Spangenberg Postal, Ph.D., ABPP-CN 166 North Main Street Suite 3B Andover, MA 01810 (978) 475-2025 E-mail: karenpostal@comcast.net Board Certification:
More informationIntegrated Neuropsychological Assessment
Integrated Neuropsychological Assessment Dr. Diana Velikonja C.Psych Neuropsychology, Hamilton Health Sciences, ABI Program Assistant Professor, Psychiatry and Behavioural Neurosciences Faculty of Health
More informationNeuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle
Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle Jillian Schuh, PhD 1, 2, John Oestreicher, PhD 1, & Linda Steffen, PsyD 1 1 Catalpa Health 2 Department of Neurology,
More informationAn Introduction to Neuropsychological Assessment. Robin Annis, PsyD, CBIS
An Introduction to Neuropsychological Assessment Robin Annis, PsyD, CBIS Learning Objectives Define neuropsychology and introduce the basic components of neuropsychological assessment. Identify the phases
More informationCurriculum Vitae. Psychology Atlanta, GA Psy.D., 2011 Concentration: Clinical Neuropsychology
Curriculum Vitae Education: September, 2006-November, 2011 September, 2006-August, 2008 September, 2001-May, 2005 Georgia School of Professional Psychology Atlanta, GA Psy.D., 2011 Concentration: Clinical
More informationNeuropsychological Testing Appointment
Neuropsychological Testing Appointment Steven A. Rogers, PhD Kathleen D. Tingus, PhD 1701 Solar Drive, Suite 140 Oxnard, CA 93030 When will it be? Date: Time: Examiner: What will I have to do? Each appointment
More informationEncyclopedia of School Psychology Neuropsychological Assessment
Encyclopedia of School Psychology Neuropsychological Assessment Contributors: Cynthia A. Riccio & Kelly Pizzitola Jarratt Edited by: Steven W. Lee Book Title: Encyclopedia of School Psychology Chapter
More informationTraumatic Brain Injury
Traumatic Brain Injury NICHCY Disability Fact Sheet #18 Updated, July 2014 Susan s Story Susan was 7 years old when she was hit by a car while riding her bike. She broke her arm and leg. She also hit her
More informationVIRTUAL UNIVERSITY OF PAKISTAN FORMAT OF THE INTERNSHIP REPORT FOR BS Psychology (Clinical Setting)
VIRTUAL UNIVERSITY OF PAKISTAN FORMAT OF THE INTERNSHIP REPORT FOR BS Psychology (Clinical Setting) 1. Title page The title page of the report will include: Clinical Case Studies The name of the internee,
More informationLONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization)
UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring
More informationHamilton Health Sciences Acquired Brain Injury Program
Overview of Program The Acquired Brain Injury (ABI) Program at the Regional Rehabilitation Centre, Hamilton General Hospital serve the rehabilitation needs of adults with acquired brain injuries and their
More informationMontreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych.
Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych. Community Geriatric Mental Health Model of Continuum of Cognition with Aging Normal Mild cognitive
More informationANXIETY & COGNITIVE IMPAIRMENT
ANXIETY & COGNITIVE IMPAIRMENT Dr. Sherri Hayden, Ph.D., R. Psych. Neuropsychologist, UBC Hospital Clinic for Alzheimer Disease & Related Disorders Clinical Assistant Professor, UBC Department of Medicine,
More informationUnited States Department of Labor Employees Compensation Appeals Board DECISION AND ORDER
United States Department of Labor C.B., Appellant and DEPARTMENT OF VETERANS AFFAIRS, VETERANS HEALTH ADMINISTRATION, Lexington, KY, Employer Appearances: Joshua S. Harp, Esq., for the appellant Office
More informationInformation for Applicants
Graduate Studies in Clinical Psychology at the University of Victoria Information for Applicants Program Philosophy and Mission Our CPA-accredited graduate program in clinical psychology is based on the
More informationOntario Brain Injury Association
Ontario Brain Injury Association Sivan Raz Senior Policy Analyst Auto Insurance Policy Unit Financial Services Commission of Ontario 5160 Yonge Street Box 85 Toronto ON M2N 6L9 Dear Ms. Raz, On behalf
More informationSlide 1. Prior to the memory team there were a number of different pathways for the diagnosis and treatment of those suffering from dementia
1 Talk for High Performance Conference: The Counties Manukau Memory Team Slide 1 Where did the Memory Team come from? Sue Thompson, Northern Regional Dementia Advisor for the Ministry of Health and Dr
More informationOutpatient Behavioral Health
Outpatient Behavioral Health 29 Chapter 29 29.1 Enrollment..................................................................... 29-2 29.1.1 Provisionally Licensed Psychologist (PLP)..................................
More informationGuidelines for Documentation of a Learning Disability (LD) in Gallaudet University Students
Guidelines for Documentation of a Learning Disability (LD) in Gallaudet University Students Gallaudet University Office for Students with Disabilities Washington, D.C. 20002 2 Guidelines for Documentation
More information