Client/Testing Information

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1 Revised Comprehensive Norms for an Expanded Halstead-Reitan Battery: Demographically Adjusted Neuropsychological Norms for African American and Caucasian Adults Developed By Robert K. Heaton, PhD, S. Walden Miller, PhD, Michael J. aylor, PhD, and Igor Grant, MD Client/esting Information Client Name : Sample Client Client ID : Date of Birth : 11/01/1937 Age : 66 Sex : Female Education : 12 Ethnicity : Caucasian/White Date of Examination : 11/10/03 Normative Sample : Caucasian Use of this report requires a thorough understanding of the included tests, their interpretation, and clinical applications, as presented in the Revised Comprehensive Norms for an Expanded Halstead-Reitan Battery: Demographically Adjusted Neuropsychological Norms for African American and Caucasian Adults manual (Heaton, Miller, aylor, & Grant, 04). his report is intended for use by qualified professionals. his report reflects standardized administration and scoring of the tests. he normative in this program were developed by Heaton et al. (04) using data from Caucasian and African American adults (ages -85 years), who were neurologically normal by history, whose native language was English, and who had received standard educations in the United States. Application of the norms to clients with other ages, ethnicities, or educational/linguistic backgrounds will have uncertain validity and will not allow straightforward interpretation. Any such use should be made with considerable clinical caution and should be accompanied by clear statements about the inherent limitations of the approach: e.g., this client s test results will be compared with normal expectations for a person with another (specified) age/ethnicity, and the applicability of such normative standards to this client is uncertain." Results on the tests in this report should be interpreted within the context of a larger clinical assessment, including relevant clinical and historical information about this client. Additionally, use of the current for clinical or diagnostic decisions should not be attempted without a good understanding of brain-behavior relationships and the medical and psychological factors that affect them. PAR Psychological Assessment Resources, Inc. 164 North Florida Ave. Lutz, FL Copyright 1991, 1992, 03, 04 by Psychological Assessment Resources, Inc. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc. Version:

2 Client: Sample Client est Date: 11/10/03 ID#: Page 2 of 11 Additional Client/esting Information Handedness : Examiner : Referred by : Peripheral Injuries : Working Diagnosis : Medications : Version of WAIS : Right Examiner Bilateral hearing loss Rule out dementing disorder Acetaminophen with codeine WAIS Clinical Notes and Comments Speech Sounds Perception est was administered, but is considered invalid because of patient's high frequency hearing loss. AIR and GDS are prorated without the Speech Sounds Perception est.

3 Client: Sample Client est Date: 11/10/03 ID#: Page 3 of 11 Summary Scores WAIS Full Scale IQ (NE) [WAIS FSIQ] Below Average Average Impairment Rating [AIR] Global Score [GDS] Average Average below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees. Executive Functions WCS-Perseverative Errors (NE) [WCS] Category est (errors) [CA ERROR] rail Making est Part B (secs) [RAIL B] hurstone Word Fluency (correct) [HUR FLU] Letter Fluency-FAS (total correct) [FAS] Category Fluency- Animals (total correct) [ANIMALS] Mild Impairment Average Below Average Average 0 below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees.

4 Client: Sample Client est Date: 11/10/03 ID#: Page 4 of 11 Attention/Working Memory WAIS Digit Span (NE) [WAIS DIGI SPAN] Paced Auditory Serial Addition est (total correct) [PASA] Digit Vigilance-Errors [DIGI ERROR] Seashore Rhythm est (correct) [SSHOR RHYM] Speech-Sounds Perception est (errors) [SPCH PERC] Average 6 9 Average Average 0 below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees. Speed of Information Processing WAIS Digit Symbol (NE) [WAIS DIGI SYMB] rail Making est Part A (secs) [RAIL A] Digit Vigilance-ime (secs) [DIGI IME] Below Average Below Average Mild to Moderate Impairment 2 below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees.

5 Client: Sample Client est Date: 11/10/03 ID#: Page 5 of 11 Spatial Skills WAIS Block Design (NE) [WAIS BLOCK DESGN] actual Performance est otal ime (min/blk) [P IME] Spatial Relations* (rating) [SPA REL] Below Average Above Average Average 0 below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees. * for this variable are not normally distributed, but have satisfactory specificity for < cutoff. Verbal/Academic Skills WAIS Vocabulary (NE) [WAIS VOCAB] Aphasia Screening est (errors) [APHAS SCRN] Boston Naming est (correct) [BSN NAME] BDAE Complex Ideational Material (NE) * (correct) [BDAE COMP] PIA Reading Recognition (percentile) [PIA RECOG] PIA Reading Comprehension (NE) (percentile) [PIA COMP] PIA Spelling (NE) (percentile) [PIA SPELL] Mild Impairment Moderate Impairment Below Average Above Average Mild Impairment 5 34 Mild to Moderate Impairment Below Average below appear in bold italic type. (NE) Score is not adjusted for ethnicity. Interpret cautiously for non-caucasian examinees. * for this variable are not normally distributed, but have satisfactory specificity for < cutoff.

6 Client: Sample Client est Date: 11/10/03 ID#: Page 6 of 11 Verbal Episodic Memory Story Memory rial 1 (correct) [SORY-1] Story Memory Learning (points/trials) [SORY LEARN] Story Memory Delayed Recall (correct) [SORY RECALL] Story Memory Loss (% loss) [SORY LOSS] CVL rial 1 (correct) [CVL-1] CVL rial 5 (correct) [CVL-5] CVL rials 1-5 (correct) [CVL-O] CVL Short Delay Free Recall (correct) [CVL-SDFR] CVL Long Delay Free Recall (correct) [CVL-LDFR] Above Average Average Above Average Average below appear in bold italic type.

7 Client: Sample Client est Date: 11/10/03 ID#: Page 7 of 11 Visual Episodic Memory actual Performance est-memory (correct) [P MEM] actual Performance est-location (correct) [P LOC] Figure Memory rial 1 (correct) [FIGUR-1] Figure Memory Learning (points/trials) [FIGUR LEARN] Figure Memory Delayed Recall (correct) [FIGUR RECALL] Figure Memory Loss* (% loss) [FIGUR LOSS] Below Average Average Above Average Average Average Average below appear in bold italic type. * for this variable are not normally distributed, but have satisfactory specificity for < cutoff. Sensory Perceptual Skills Sensory-Perceptual- otal (errors) [SP O] actile Form Recognition Worst hand (secs) [FR WH] Above Average Above Average below appear in bold italic type. Motor Skills Finger apping Worst hand (taps) [AP WH] Hand Dynamometer Worst hand (kgs) [GRIP WH] Grooved Pegboard Worst hand (secs) [PEG WH] Average Average 77 8 Average 0 below appear in bold italic type.

8 Client: Sample Client est Date: 11/10/03 ID#: Page 8 of 11 Lateralized Sensorimotor/Psychomotor Comparisons Finger apping Dominant (taps) [AP DH] Finger apping Nondominant (taps) [AP NDH] Hand Dynamometer Dominant (kgs) [GRIP DH] Hand Dynamometer Nondominant (kgs) [GRIP NDH] Grooved Pegboard Dominant (secs) [PEG DH] Grooved Pegboard Nondominant (secs) [PEG NDH] actual Performance est Dominant (min/blk) [P DH] actual Performance est Nondominant (min/blk) [P NDH] actual Performance est Both hands (min/blk) [P BH] Sensory-Perceptual Right (errors) [SP R] Sensory-Perceptual Left* (errors) [SP L] actile Form Recognition Right (secs) [FR R] actile Form Recognition Left (secs) [FR L] Above Average Average Average Average Above Average 77 8 Average Average Above Average Above Average Average Above Average Above Average Above Average below appear in bold italic type. * for this variable are not normally distributed, but have satisfactory specificity for < cutoff. L = Right - left difference, with possible lateralizing significance.

9 Client: Sample Client est Date: 11/10/03 ID#: Page 9 of 11 Summary Scores Executive Functions Error! Reference source not found. Scale WAIS AIR GDS WCS CA RAIL HUR FAS ANIMALS FSIQ ERROR B FLU Score Attention/Working Memory Speed of Information Processing Scale WAIS PASA DIGI SSHOR SPCH WAIS RAIL DIGI DIGI SPAN ERROR RHYM PERC DIGI SYMB A IME

10 Client: Sample Client est Date: 11/10/03 ID#: Page 10 of 11 Spatial Skills Verbal/Academic Skills Scale WAIS P SPA WAIS APHAS BSN BDAE PIA PIA PIA BLK DESGN IME REL VOCAB SCRN NAME COMP RECOG COMP SPELL Score Verbal Episodic Memory Scale SORY- SORY SORY SORY CVL-1 CVL-5 CVL- CVL- CVL- 1 LEARN RECALL LOSS O SDFR LDFR Score

11 Client: Sample Client est Date: 11/10/03 ID#: Page 11 of 11 Sensory Perceptual Visual Episodic Memory Skills Motor Skills Scale P P FIGUR- FIGUR FIGUR FIGUR SP FR AP GRIP PEG MEM LOC 1 LEARN RECALL LOSS O WH WH WH WH Score Lateralized Sensorimotor/Psychomotor Comparisons Scale AP AP GRIP GRIP PEG PEG P P P SP SP FR FR DH NDH DH NDH DH NDH DH NDH BH R L R L Score