Child Neuropsychological Evaluations
Child neuropsychological evaluations are offered to children 6-18 years of age. These evaluations are comprehensive and are aimed at assessing a child’s neurocognitive functions (learning and memory, language and processing, executive functions, attention, motor skills/dexterity), intellectual abilities (verbal and nonverbal), academic skills, and social/emotional/behavioral functioning. Common reasons for a comprehensive neuropsychological evaluation include: neurological conditions, attention problems (ADHD), autism-spectrum disorders, academic/learning difficulties, learning disabilities, emotional/psychological/behavioral conditions, and baseline functioning (e.g., useful for child athletes).
An initial consultation is done with the child’s parents/guardian, at which time initial records are reviewed (if available) and the purpose and scope of the evaluation is determined. Sometimes it is determined that a shorter, more focused examination is sufficient in assessing the child’s symptoms and meeting the parent’s objectives. The evaluation is typically scheduled once the consultation has been completed. Depending on the purpose of the evaluation and the child’s functioning, the testing is typically conducted over one to two sessions. We also offer Saturday appointments to accommodate the school calendar. Upon completion of the evaluation, a report will be generated and a feedback session will be arranged for a different day. Test results and recommendations will be discussed in detail during the feedback session, and a written report will be provided to the parent (and referring doctor if applicable), as well as other treaters involved in the child’s care if requested.
We accept several medical insurance plans for child neuropsychological evaluations, although insurance carriers will not provide coverage unless there is evidence of a neurological condition. In such cases, you must provide the following evidence to support the need for a neuropsychological evaluation if using medical insurance: (1) documentation of a known or suspected neurological/organic condition responsible for, or directly related to, the child’s symptoms; and (2) a referral from the child’s treating doctor that shows sufficient evidence to support the medical necessity for a neuropsychological evaluation. If these conditions are met, the insurance company must also approve coverage for the referring diagnosis. Insurance carriers will not provide coverage for educational evaluations or academic testing, which is necessary to assess for many childhood conditions (e.g., learning disabilities, ADHD, autism spectrum disorders, and other psychiatric and developmental conditions). For this reason, unless there is evidence of a neurological disorder (e.g., brain injury, stroke, epilepsy, etc.) and the conditions noted above are met, child neuropsychological evaluations are paid privately at the time of service.
These evaluations are requested for educational purposes for children, adolescents and college students to optimize achievement and success in the academic arena. The testing assesses intellectual skills (verbal and nonverbal), academic abilities, phonological processes, individualized learning style, and emotional/behavioral symptoms. 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.). 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, gifted accommodations, and transitional reevaluations (new school/grade level; post secondary/college).
Educational services are offered to help facilitate academic planning. These include classroom observations, consultation with school personnel, advocacy at child team meetings, and educational workshops/services. Additional services can be discussed with the doctor as they pertain to the child’s needs.
Independent Educational Evaluations
An Independent Educational Evaluation (IEE) is a comprehensive evaluation done on a child by an independent evaluator in the private sector. It can be a valuable tool for parents and school staff when used to determine a child’s educational needs. A detailed history will be obtained in the initial interview and any records provided will be reviewed. The evaluation includes an assessment of the child’s cognitive, intellectual and achievement abilities, as well as any other areas of relevant concern. These domains will be integrated and interpreted within the context of the child’s unique characteristics and skill set. The exam will identify the child’s problems and determine an immediate and long-term plan to address the problems. A feedback session will be scheduled to review the test results and discuss recommendations with the parent/guardian. A written report will be provided and will detail the test results. We will work closely with the school staff during this process to help achieve a positive outcome and optimize the child’s educational experience.