Medically-Based Neuropsychological Evaluations
Neuropsychological evaluations are provided to children, adolescents and young adults, with a diverse range of neurological or medical conditions that impact brain functioning. These evaluations are typically referred by the treating doctor/pediatrician or neurologist. Some common conditions include concussion/traumatic brain injury, stroke, brain tumor, hydrocephalus, and seizure disorder/epilepsy. A referral is made to assess the child’s cognitive and emotional/behavioral status as they pertain to their neurological or medical condition. Areas of cognitive assessment include intellectual abilities, language, visual-motor skills, memory, attention, and executive functions. Emotional and behavioral symptoms often occur secondary to a neurological condition and are assessed as part of the exam. Results from these evaluations are aimed primarily at identifying a child’s cognitive status for the purposes of diagnosis, intervention, and treatment planning. Recommendations are individually focused to assist with treatment planning and appropriate accommodations as they pertain to the child’s neurological status/symptoms.
Prior to the evaluation, records are reviewed. We will request medical records from the referring doctor. Additional records will be reviewed if provided in advance of the testing appointment. All forms should be completed at the time of the child’s first appointment. An interview is conducted with the child (if appropriate) and parent/guardian, followed by testing. Testing is typically conducted over one to two sessions, depending on the child and the reason for the referral. A feedback session is held to discuss test results and recommendations, and a written report is provided to the parent and referring doctor.
Educationally-Based Neuropsychological Evaluations
Neuropsychological evaluations that are requested for educational purposes are provided to children, adolescents and college students to optimize achievement and success in the academic arena. This is done by assessing intellectual skills, academic abilities, cognitive/executive functions, individualized learning style, and emotional resources. Test results can help to identify useful strategies for utilization in the school setting, guide educational planning, facilitate school transitions, and determine the most appropriate pathway to academic success (e.g., gifted/advanced programs, school accommodations, etc.). These evaluations are more comprehensive than the typical psychoeducational evaluation and include a detailed assessment of the child’s cognitive functions. Recommendations are aimed at providing parents, teachers/school programs, and support staff (e.g., counselors), with educational support and assistance that meet the unique needs of each child. Common referrals include learning disabilities, executive dysfunction, ADD/ADHD, anxiety, gifted accommodations, and transitional reevaluations (new school/grade level; post secondary/college). Because of the valuable information that is yielded from a comprehensive neuropsychological evaluation, we do not offer abbreviated or diagnostic-specific evaluations (e.g., ADHD, specific learning disorder). Diagnostic-specific evaluations are limited in scope with respect to cognitive testing and therefore may fail to identify the actual cause for the child’s symptoms or his/her individual learning style.
A detailed record review is completed prior to the evaluation (e.g., medical records, school evaluations [MET reports], IEPs, 504s, FBA/PBIPs, and therapy reports). We will also have you complete our forms and request that they be completed no later than the time of the child’s first appointment. An in-depth interview is done with the parent/guardian and typically takes 1-2 hours. Once a neuropsychological evaluation is deemed appropriate, the child/student will be tested. Testing will not be done the same day as the interview and will typically take up to two half-days to complete. Upon completion of the testing, a feedback session will be scheduled with the parent/guardian, at which time results and recommendations will be discussed in detail. A written report will follow and will be provided to the parent/guardian. A psychoeducational report will also be provided to the parent/guardian if requested.
We provide standard psychoeducational evaluations which are less comprehensive than a neuropsychological evaluation in that cognitive resources are not assessed. The psychoeducational evaluation includes an interview, IQ testing, academic testing (WIAT-III), and parent ratings. Feedback is provided and a report is rendered. Psychoeducational services are also provided to help facilitate educational planning. These include classroom observations, consultation with school personnel, advocacy at child team meetings, and educational workshops/services.