Neuropsychological profile of people living in squalor
|
|
- Abraham Jennings
- 6 years ago
- Views:
Transcription
1 Department of Geriatric Medicine Neuropsychological profile of people living in squalor Dr. Sook Meng LEE Western Health
2 Severe domestic squalor Living environment that are so unclean, messy and unhygienic that people of similar culture and background would consider extensive clearing and cleaning to be essential (Snowdon, Halliday & Banerjee 2012) Living conditions that are filthy and disgusting, not just somewhat unclean or untidy (Snowdon, Shah & Halliday 2007) 2
3 Reasons for undertaking this study Uncertainty amongst health professionals regarding the management of people who present with squalor People who live in squalor rarely seek help or accept help when offered Clark s paper on Diogenes Syndrome described subjects as having high levels of intellectual preservation 3
4 Background Up to 50% of people living in squalor were reported to have no underlying psychiatric diagnosis (MacMillan & Shaw 1966, Clark 1975) Epiphenomena in dementia, substance abuse, psychiatric and medical illnesses, and intellectual disability People who live in squalor commonly exhibit features of frontal lobe impairment including apathy, lack of motivation and indifference to their living conditions 4
5
6
7
8
9
10 Objective and hypothesis To characterise the cognitive profiles of a clinical sample of people living in squalor through analysis of neuropsychological reports Frontal executive dysfunction would be almost invariable, regardless of the presence of any underlying psychiatric or medical disorder 10
11 Method Clinicians were invited to submit reports detailing neuropsychological profiles of patients who live in squalor Reports screened to ensure there was adequate description of squalor and reporting of neuropsychological domains tested Neuropsychological reports, supplemented with information from medical records, underwent analysis 11
12 12
13 Results Referral source None of the subjects self-referred to health services 72.5% were referred for neuropsychology assessment during their inpatient stay 68% assessed in hospital 95.7% also showed signs of self-neglect 40.5% had evidence of hoarding associated with squalor 13
14 Demography (1) Age range: years with mean age 72.3 years (SD=11.3) 20% of sample (n=14) less than 65 years Similar number of males (n=33, 47.8%) and females (n=36, 52.2%) Only 8 patients (11.6%) were in a relationship Single (34.8%), divorced /separated (31.9%) or widowed (21.7%) 14
15 Demography (2) 59.4% were owner occupiers 71% lived alone None were in current employment 88.4% on pension 8.7% self funded Education 3 patients had no education 65.2% educated to secondary or tertiary level 15
16 Neuropsychology assessment 77% had >/= average estimated premorbid intellectual function Mean MMSE of those tested (52/69) was (SD=3.96) Neuropsychological domains information processing speed, memory function and executive function 16
17 Results neuropsychology domains (1) Domains Impaired (%) Information processing speed 61/68 (88.2) Memory function New learning 58/69 (84.1) Retrieval difficulties 56/69 (81.2) Rapid forgetting 24/69 (34.8) 17
18 Results executive function (dorsolateral) Executive function domains Impaired (%) Abstraction 59/69 (85.5) Verbal fluency 57/68 (82.4) Higher attentional skills 60/69 (87.1) Planning 58/69 (84.1) Organisation 57/69 (82.6) Problem solving 56/68 (82.4) General reasoning 53/69 (76.8) Mental flexibility 60/69 (87.0) 18
19 Results orbitofrontal Domains n (%) - presumed absent if not specified Impulsivity 29 (42.0) Sexual disinhibition 5 (7.2) Overfamiliarity 17 (24.6) 19
20 Results neuropsychology domain (3) Domain Normal (%) Impaired (%) Insight 5 (7.2) 64 (92.8) Executive Function 5 (7.2) 64 (92.8) 20
21 Results neuropsychology opinion Opinion of underlying pathology n (%) 15 patients with mixed causes Normal 1 (1%) Vascular cause 29 (42%) Alcohol related 17 (25%) Psychiatric 11 (16%) Dementia (other than vascular,alc,hiv) 13 (19%) Intellectual impairment 4 (6%) Acquired brain injury 3 (4%) Medical cause 2 (3%) 21
22 Results neuroimaging for 38 patients 8% (3) vascular changes with atrophy 65% (25) vascular changes 8% (3) general atrophy 8% (3) regional atrophy 3% (1) frontal lobectomy 8% (3) normal 22
23 Summary of findings Frontal executive dysfunction was a prominent finding regardless of their underlying medical or psychiatric diagnoses Dorsolateral rather than orbitofrontal functions were more likely to be impaired Vascular aetiology was the most commonly implicated cause of cognitive deficits found 23
24 Discussion (1) Largest study of neuropsychology profile of squalor patients Executive impairment was a prominent finding MMSE insufficient Cognitive assessments that include tests of executive function are needed when assessing patients living in squalor 24
25 Discussion (2) Limitations Opportunistic study No control group Neuropsychology assessment was requested as per clinical need The majority were assessed as inpatients Results have clinical utility 25
26 Authors Dr Sook Meng Lee MBBS FRACP 1,2, Dr Matthew Lewis PhD 1, Deborah Leighton 3, Dr Ben Harris PhD 4, Dr Brian Long DPsych (Clin. Neuro.) 5 A/Prof Stephen Macfarlane MBBS FRANZCP 1 Affiliations 1. Aged Psychiatry Service, Caulfield Hospital, Alfred Health 2. Department of Geriatric Medicine, Western Health 3. Neuropsychology, The Royal Melbourne Hospital, Melbourne Health 4. Neuropsychology, Kingston Centre, Monash Health 5. Neuropsychology, Monash Medical Centre, Monash Health 26
Date of delivery: Journal and vol/article ref: IPG Number of pages (not including this page): 8
Date of delivery: Journal and vol/article ref: IPG 1300264 Number of pages (not including this page): 8 Author queries: Q1: Please check that all names have been spelled correctly and appear in the correct
More informationWORKING WITH CLIENTS WHO ARE LIVING WITH HOARDING DISORDER AND/ OR LIVING IN SEVERE DOMESTIC SQUALOR. B Y C A R L Y S T E V E N S.
WORKING WITH CLIENTS WHO ARE LIVING WITH HOARDING DISORDER AND/ OR LIVING IN SEVERE DOMESTIC SQUALOR. B Y C A R L Y S T E V E N S. At CCNB we believe that everyone has the right to get the most out of
More informationBiological Risk Factors
Biological Risk Factors Ms Angelina Crea Provisional Psychologist Academic Child Psychiatry Unit Royal Children s Hospital Professor Alasdair Vance Head Academic Child Psychiatry Department of Paediatrics
More informationThe Neuropsychology of
The Neuropsychology of Stroke Tammy Kordes, Ph.D. Northshore Neurosciences Outline What is the Role of Neuropsychology Purpose of Neuropsychological Assessments Common Neuropsychological Disorders Assessment
More informationA study of animal hoarding in NSW
A study of animal hoarding in NSW Clinical Professor John Snowdon, Concord Hospital Dr Graeme Halliday, Concord Hospital Mr David OShannessy, RSPCA NSW Chief Inspector Mr Steve Coleman, RSPCA NSW Chief
More informationTriage in Aged Persons Mental Health. David McMillan Clinical Nurse Consultant Caulfield Hospital Alfred Health
Triage in Aged Persons Mental Health David McMillan Clinical Nurse Consultant Caulfield Hospital Alfred Health OLDER PEOPLE CORE BUSINESS People >70yo (13% of Victorian population) use >46% of bed days
More informationIntro to Executive Functioning Across the Lifespan. Agenda. The Construct of Executive Functioning. Construct of Executive Functioning
Intro to Executive Functioning Across the Lifespan Amy Dilworth Gabel, Ph.D. Anne-Marie Kimbell, Ph.D. Agenda Construct of Executive Functioning Conceptualizations Executive Functioning in Everyday Life
More informationBrain-based disorders in children, teens, and young adults: When to know there is a problem and what to do
Brain-based disorders in children, teens, and young adults: When to know there is a problem and what to do Timothy A. Fratto, Ph.D. Neuropsychology Associates of Fairfax What is Neuropsychology? The study
More informationHOARDING DIOGENES SYNDROME
HOARDING DIOGENES SYNDROME Loner dies buried under self made trash tunnels. Daily Mail 7 January 2009 OUTLINE 1) Case studies 2) Definition 3) History 4) Epidemiology 5) Differential diagnosis 6)
More informationWhat APS Workers Need to Know about Frontotemporal, Lewy Body and Vascular Dementias
What APS Workers Need to Know about Frontotemporal, Lewy Body and Vascular Dementias Presenter: Kim Bailey, MS Gerontology, Program & Education Specialist, Alzheimer s Orange County 1 1 Facts About Our
More informationChanges, Challenges and Solutions: Overcoming Cognitive Deficits after TBI Sarah West, Ph.D. Hollee Stamper, LCSW, CBIS
Changes, Challenges and Solutions: Overcoming Cognitive Deficits after TBI Sarah West, Ph.D. Hollee Stamper, LCSW, CBIS Learning Objectives 1. Be able to describe the characteristics of brain injury 2.
More informationThe ABCs of Dementia Diagnosis
The ABCs of Dementia Diagnosis Dr. Robin Heinrichs, Ph.D., ABPP Board Certified Clinical Neuropsychologist Associate Professor, Psychiatry & Behavioral Sciences Director of Neuropsychology Training What
More informationThe Frontal Lobes. Anatomy of the Frontal Lobes. Anatomy of the Frontal Lobes 3/2/2011. Portrait: Losing Frontal-Lobe Functions. Readings: KW Ch.
The Frontal Lobes Readings: KW Ch. 16 Portrait: Losing Frontal-Lobe Functions E.L. Highly organized college professor Became disorganized, showed little emotion, and began to miss deadlines Scores on intelligence
More informationTriage in Aged Persons Mental Health. Aged Psychiatry Service Caulfield Hospital Alfred Health
Triage in Aged Persons Mental Health David McMillan Clinical Nurse Consultant Denise Lee RPN (Triage) Aged Psychiatry Service Caulfield Hospital Alfred Health OLDER PEOPLE CORE BUSINESS People >70yo (13%
More informationMild cognitive impairment A view on grey areas of a grey area diagnosis
Mild cognitive impairment A view on grey areas of a grey area diagnosis Dr Sergi Costafreda Senior Lecturer Division of Psychiatry, UCL Islington Memory Service, C&I NHS FT s.costafreda@ucl.ac.uk London
More informationGERIATRIC MENTAL HEALTH AND MEDICATION TREATMENT
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences GERIATRIC MENTAL HEALTH AND MEDICATION TREATMENT RUTH KOHEN ASSOCIATE PROFESSOR UW DEPARTMENT OF PSYCHIATRY 5-4-2017
More informationP20.2. Characteristics of different types of dementia and challenges for the clinician
P20.2. Characteristics of different types of dementia and challenges for the clinician, professor Danish Dementia Research Center Rigshospitalet, University of Copenhagen (Denmark) This project has received
More informationNeuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments
Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments Jason E. Schillerstrom, MD schillerstr@uthscsa.edu Schillerstrom
More informationA Neuropsychiatric, Neuroradiological, and Neuropsychological Profile of a Cohort of Patients with Vascular Dementia
A Neuropsychiatric, Neuroradiological, and Neuropsychological Profile of a Cohort of Patients with Vascular Dementia Moises Gaviria, MD University of Illinois at Chicago Advocate Christ Medical Center
More informationReferral Form PERSONAL DETAILS. Reason for Referral: Please indicate clearly your reason for referral: CONTACT PERSONS Next of Kin 1: Name:
Referral Form PLEASE USE BLOCK CAPITALS AND FILL IN AS MUCH DETAIL AS POSSIBLE. PERSONAL DETAILS First Name: Date of Birth: / / Referred for: Surname: Maiden Name: Address: Home Tel Number: Mobile Number:
More informationNeurobiological and neuropsychological pathways into substance abuse and addictive behaviour
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2009 Neurobiological and neuropsychological pathways into
More informationDEBORAH MCKERN. Aged Care Consultant
DEBORAH MCKERN Aged Care Consultant CARING FOR DEMENTIA THE BOLD AND THE BEAUTIFUL Prevalence of Neurodegerative Disease In the > 75 year olds: Gait ataxia 50% Visual impairment 38% Cognitive impairment
More informationDementia UK & Admiral Nurses
Dementia UK & Admiral Nurses Susan Drayton Admiral Nurse www.dementiauk.org 356 Holloway road. London N7 6PA 020 7697 4174 info@dementiauk.org @DementiaUK www.dementiauk.org 356 Holloway Road. London N7
More informationThe National Squalor Conference. Sydney, June 30, 2016
The National Squalor Conference. Sydney, June 30, 2016 Animal hoarding. A clamour for action. by John Snowdon old age psychiatrist Concord Hospital Phone 02 97675000 and page me Email jsnowdon@mail.usyd.edu.au
More informationLOGBOOK ADVANCED TRAINING PSYCHIATRY OF OLD AGE. To be completed with the GENERALIST logbook (for pre FRANZCP Advanced Trainees)
LOGBOOK ADVANCED TRAINING ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF PSYCHIATRISTS PSYCHIATRY OF OLD AGE 309 La Trobe Street Melbourne Vic 3000 Australia To be completed with the GENERALIST logbook (for
More informationGeri R Hall, PhD, GCNS, FAAN Advanced Practice Nurse Emeritus Banner Alzheimer s Institute
Geri R Hall, PhD, GCNS, FAAN Advanced Practice Nurse Emeritus Banner Alzheimer s Institute Anosognosia Purpose: To introduce caregivers and health professionals to symptoms of lack of awareness and other
More informationADMINISTRATIVE POLICY AND PROCEDURE
Page 1 of 5 SECTION: Medical SUBJECT: Neuropsychological and Psychological Testing DATE OF ORIGIN: 2/13/13 REVIEW DATES: 7/17/15 EFFECTIVE DATE: 12/15/16 APPROVED BY: EXECUTIVE DIRECTOR MEDICAL DIRECTOR
More informationCognition 101. Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System
Cognition 101 Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System Building Community from the Inside Out: 2011 Building support for individuals and giving families hope, inspiration,
More informationNeuropsychological Evaluations of Capacity STEVEN E. ROTHKE, PH.D., ABPP HAYLEY AMSBAUGH, M.S.
Neuropsychological Evaluations of Capacity STEVEN E. ROTHKE, PH.D., ABPP HAYLEY AMSBAUGH, M.S. Qualifications of Neuropsychologists Doctoral degree in psychology from an accredited university training
More informationBACKGROUND HISTORY QUESTIONNAIRE
BACKGROUND HISTORY QUESTIONNAIRE Name: Sex M F Address: Home Number: Work Number: Cell Number: Email: SSN: Name and Address of Employer: Date of Birth: Age: Ethnicity: Referred By: Referral Question or
More informationPamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona
Neuropsychology Pamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona Top Ten Ways to Understand and Cope with a Brain Tumor
More informationNeuropsychology and Parkinson s Disease. Erin Holker, Ph.D., ABPP Neuropsychology Laboratory
Neuropsychology and Parkinson s Disease Erin Holker, Ph.D., ABPP Neuropsychology Laboratory Parkinson s disease and cognition Parkinson s disease is not just a disorder of movement The same circuits associated
More informationScams: Influencing the Aging Brain
Neuropsychology: study of the brain and how it relates to cognition, emotion, and behavior Neuropsychological Assessment: a comprehensive evaluation of how the brain is functioning. Examines cognitive
More informationAnosognosia, or loss of insight into one s cognitive
REGULAR ARTICLES Anosognosia Is a Significant Predictor of Apathy in Alzheimer s Disease Sergio E. Starkstein, M.D., Ph.D. Simone Brockman, M.A. David Bruce, M.D. Gustavo Petracca, M.D. Anosognosia and
More informationCapacity and Older Adults. Kenneth I. Shulman
Capacity and Older Adults Kenneth I. Shulman Increased Requests for Contemporaneous Assessments of Testamentary Capacity Increase in challenges to testamentary capacity Demographics/Economics Prevalence
More informationProf Tim Anderson. Neurologist University of Otago Christchurch
Prof Tim Anderson Neurologist University of Otago Christchurch Tim Anderson Christchurch Insidious cognitive loss From subjective memory complaints (SMC) to dementia Case 1. AR. 64 yrs Male GP referral
More informationCHAPTER 5 NEUROPSYCHOLOGICAL PROFILE OF ALZHEIMER S DISEASE
CHAPTER 5 NEUROPSYCHOLOGICAL PROFILE OF ALZHEIMER S DISEASE 5.1 GENERAL BACKGROUND Neuropsychological assessment plays a crucial role in the assessment of cognitive decline in older age. In India, there
More informationPERSONAL HISTORY QUESTIONNAIRE
PERSONAL HISTORY QUESTIONNAIRE Here are several pages of questions that we want you to answer about yourself. Please answer them to the best of your ability, as completely and honestly as you can. Completing
More informationNeuropsychology in Spina Bifida. Dr Ellen Northcott Clinical Neuropsychologist Kids Rehab, CHW
Neuropsychology in Spina Bifida Dr Ellen Northcott Clinical Neuropsychologist Kids Rehab, CHW Who are neuropsychologists? Undergraduate Degree (eg. BPsych, BSc, BA) Honours in Psychology Master or Doctor
More informationFunctional Neuroanatomy and Traumatic Brain Injury The Frontal Lobes
Functional Neuroanatomy and Traumatic Brain Injury The Frontal Lobes Jessica Matthes, Ph.D., ABN Barrow TBI Symposium March 23, 2019 jessica.matthes@dignityhealth.org Outline TBI Mechanisms of Injury Types
More informationTOPF (Test of Pre-Morbid Function)
TEST OF PREMORBID FUNCTIONING TOPF (Test of Pre-Morbid Function) Case Studies TOPF (Test of Pre-Morbid Function) Case Studies Case Study 1 Client C is a 62-year-old White male with 18 years of education,
More informationFrontal Behavioural Inventory (FBI)
This is a Sample version of the Frontal Behavioural Inventory (FBI) The full version of the Frontal Behavioural Inventory (FBI) comes without sample watermark. The full complete version includes Complete
More informationWHOS complex needs clients data survey: assessment and treatment options
2 WHOS complex needs clients data survey: assessment and treatment options Assessment options: peer-reviewed and grey literature; policy, procedure and practice (PPP) 1: People With Exceptionally Complex
More informationQuality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment National Quality Strategy Domain: Effective Clinical Care
Quality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE
More informationNeuropsychological Evaluation of
Neuropsychological Evaluation of Alzheimer s Disease Joanne M. Hamilton, Ph.D. Shiley-Marcos Alzheimer s Disease Research Center Department of Neurosciences University of California, San Diego Establish
More informationExecutive Function Impairment in Patients with Medical Illness. Jason E. Schillerstrom, M.D. UTHSCSA
Executive Function Impairment in Patients with Medical Illness Jason E. Schillerstrom, M.D. UTHSCSA schillerstr@uthscsa.edu Disclosure Clinical Trials: Myriad, Pfizer, GSK, Neurochem CLOX and EXIT25 were
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationInitial Evaluation Template
Demographic Information (Please complete all questions on this form) Member Name: Date: Name: Address: Phone (Home): Phone (Work): Date of Birth: Social Security #: Guardianship (for children and adults
More informationNEUROPSYCHOMETRIC TESTS
NEUROPSYCHOMETRIC TESTS CAMCOG It is the Cognitive section of Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) The measure assesses orientation, language, memory, praxis, attention, abstract
More informationLegal and Ethical Issues for Medical Students. Dr Robyn McGregor Rozelle Hospital and Dr. Bob Russell R.N.S.H.
Legal and Ethical Issues for Medical Students Dr Robyn McGregor Rozelle Hospital and Dr. Bob Russell R.N.S.H. CAPACITY TO DECIDE WHAT IS CAPACITY? Capacity, or competence, is the ability to make a particular
More informationFinal Report 2017 Authors: Affiliations: Title of Project: Background:
Final Report 2017 Authors: Dr Gershon Spitz, Ms Abbie Taing, Professor Jennie Ponsford, Dr Matthew Mundy, Affiliations: Epworth Research Foundation and Monash University Title of Project: The return of
More informationOverview. Case #1 4/20/2012. Neuropsychological assessment of older adults: what, when and why?
Neuropsychological assessment of older adults: what, when and why? Benjamin Mast, Ph.D. Associate Professor & Vice Chair, Psychological & Brain Sciences Associate Clinical Professor, Family & Geriatric
More informationDementia in Parkinson s disease:
Dementia in Parkinson s disease: A 20 year Prospective Neuropsychological Study Sydney Multicentre Study Associate Professor Wayne GJ Reid PhD FAPS 149 newly diagnosed community living Parkinson s Disease
More informationWednesday 8 March Behaviours of concern following traumatic brain injury Presenters:
Breakfast Club Lecture Series 2017 The Summer Foundation is proud to announce the Breakfast Club professional development lecture series on brain injury rehabilitation. These lectures, originally established
More informationFinancial Decision-Making: Stacey Wood, PhD, Professor Scripps College
Financial Decision-Making: Stacey Wood, PhD, Professor Scripps College Framework for Understanding Financial Decision-Making in SSI Beneficiaries Understand particular strengths, weaknesses and vulnerabilities
More informationEpilepsy and Neuropsychology
Epilepsy and Neuropsychology Dr. Sare Akdag, RPsych Neuropsychology Service, BC Children s Hospital Clinical Assistant Professor, Dept of Paediatrics, UBC November 24, 2008 BC Epilepsy Society Lecture
More informationEARLY ONSET FRONTOTERMPORAL DEMENTIA AND ALZHEIMERS DISEASE: DIAGNOSIS, TREATMENT AND CARE
EARLY ONSET FRONTOTERMPORAL DEMENTIA AND ALZHEIMERS DISEASE: DIAGNOSIS, TREATMENT AND CARE John Rudge, BA Hons This thesis is presented as partial requirement for the degree of Doctor of Psychology at
More information02/04/2015. The structure of the talk. Dementia as a motor disorder. Movement, cognition & behaviour. Example 1. Example 2
The th Annual Memory Clinic Conference Dublin, Trinity College, 27 March 1 The structure of the talk Dementia as a motor disorder Thomas H. Bak Human Cognitive Neuroscience & Centre for Clinical Brain
More informationGender Sensitive Factors in Girls Delinquency
Gender Sensitive Factors in Girls Delinquency Diana Fishbein, Ph.D. Research Triangle Institute Transdisciplinary Behavioral Science Program Shari Miller-Johnson, Ph.D. Duke University Center for Child
More informationFactors related to neuropsychological deficits in ADHD children
Factors related to neuropsychological deficits in ADHD children MD S. DRUGĂ Mindcare Center for Psychiatry and Psychotherapy, Child and Adolescent Psychiatry Department, Bucharest, Romania Clinical Psychologist
More informationInformation Gathering Obtaining history is the most critical first step Patient-provided history may not be reliable Need info from relatives, friends
ASSESSING COMPETENCE Michael A Hill MD UNC Psychiatry 2008 Information Gathering Obtaining history is the most critical first step Patient-provided history may not be reliable Need info from relatives,
More informationDental Services Referral Form- Special Needs Clinic
Dental Services Referral Form- Special Needs Clinic Date Title: Surname Given name Date of birth: Street address Suburb Postcode Name of residential facility (if applicable) Room: Type of residence: Supported
More informationA Fresh View of Cognitive Disorders in Older Adults: New Classification and Screening Strategies
A Fresh View of Cognitive Disorders in Older Adults: New Classification and Screening Strategies Lynda Mackin, PhD, AGPCNP-BC, CNS University of California San Francisco School of Nursing 1 Alzheimer s
More informationThe NYC Elder Abuse Center
The NYC Elder Abuse Center Brooklyn Geriatric Mental Health and Medical Provider Survey You can also complete this survey online: http://www.surveymonkey.com/s/geriatricproviders PLEASE PRINT CLEARLY Preamble
More informationNeuropsychology and Metabolic Conditions: The Neurocognitive Profile of FOD/OAA and the benefits of neuropsychological assessment
Neuropsychology and Metabolic Conditions: The Neurocognitive Profile of FOD/OAA and the benefits of neuropsychological assessment Christopher Boys, PhD, LP Pediatric Neuropsychologist Associate Professor
More informationNeuropsychiatric Manifestations in Vascular Cognitive Impairment Patients with and without Dementia
86 Neuropsychiatric Manifestations in Vascular Cognitive Impairment Patients with and without Dementia Pai-Yi Chiu 1,3, Chung-Hsiang Liu 2, and Chon-Haw Tsai 2 Abstract- Background: Neuropsychiatric profile
More informationPACTS Family Violence: Risk Assessment DR DEBORAH WESTERN
PACTS Family Violence: Risk Assessment DR DEBORAH WESTERN Outline of Lecture What is risk assessment? What do you need to know about undertaking a risk assessment? Some guidelines for undertaking a family
More informationThinking and Memory in MS
Thinking and Memory in MS Ben Harris (MPsych, PhD) Clinical Neuropsychologist Overview Basic structure of the brain and how signals are communicated between different areas Changes to the brain associated
More informationCALYPSOS BRIEF FINAL REPORT ON THE INTELLECTUAL OUTPUTS OF THE PROJECT
CALYPSOS BRIEF FINAL REPORT ON THE INTELLECTUAL OUTPUTS OF THE PROJECT The "Calypsos" Project, supporting social inclusion, specific needs and the improvement of basic skills for prisoners in Europe (2016-1-ES01-KA204-025656),
More informationCritical illness- A new co-morbidity?
Critical illness- A new co-morbidity? Brian H Cuthbertson Chief, Department of Critical Care Medicine Sunnybrook Health Sciences Centre Professor of Anaesthesia University of Toronto Toronto, Canada Critical
More informationPiano playing skills in a patient with frontotemporal dementia: A longitudinal case study
International Symposium on Performance Science ISBN 978-94-90306-01-4 The Author 2009, Published by the AEC All rights reserved Piano playing skills in a patient with frontotemporal dementia: A longitudinal
More informationRisk Factors Associated with Cognitive Aging. Andrea Z. LaCroix, PhD. for the IOM Committee on the Public Health Dimensions of Cognitive Aging
Risk Factors Associated with Cognitive Aging Andrea Z. LaCroix, PhD. for the IOM Committee on the Public Health Dimensions of Cognitive Aging Lifestyle and Physical Environment Risk & Protective Factors
More informationUDS version 3 Summary of major changes to UDS form packets
UDS version 3 Summary of major changes to UDS form packets from version 2 to VERSION 3 february 18 final Form A1: Subject demographics Updated question on principal referral source to add additional options
More informationDriving and Dementia. By Alison Morris OT.
Driving and Dementia. By Alison Morris OT. Introduction. Early memory assessment has meant that more people are being diagnosed sooner with MCI or early dementia. This means that professionals are having
More information21/05/2018. Today s webinar will answer. Presented by: Valorie O Keefe Consultant Psychologist
Today s webinar will answer. 1. What is the RBANS, and how is the updated version different than the original version? 2. What are the neurocognitive areas assessed by the RBANS and what scores are available?
More informationDEMENTIA 101: WHAT IS HAPPENING IN THE BRAIN? Philip L. Rambo, PhD
DEMENTIA 101: WHAT IS HAPPENING IN THE BRAIN? Philip L. Rambo, PhD OBJECTIVES Terminology/Dementia Basics Most Common Types Defining features Neuro-anatomical/pathological underpinnings Neuro-cognitive
More informationMark R Peltan, Ph.D Director - Clinical Psychologist. Behavioral Services Access Center
Mark R Peltan, Ph.D Director - Clinical Psychologist Facts and figures Behavioral Services Access Center 641-428-6070 30-bed Inpatient Psychiatric Unit 641-428-7737 Manager Joellen Steil, MSN --14 psychiatric
More informationAccessibility and Disability Service. A Guide to Services for Students with
Accessibility and Disability Service 4281 Chapel Lane ~ 0106 Shoemaker 301.314.7682 Fax: 301.405.0813 adsfrontdesk@umd.edu www.counseling.umd.edu/ads A Guide to Services for Students with Attention-Deficit
More informationCOGNITIVE ALTERATIONS IN CHRONIC KIDNEY DISEASE K K L E E
COGNITIVE ALTERATIONS IN CHRONIC KIDNEY DISEASE K K L E E Attention Problem Solving Language Cognitive Domains Decision Making Memory Reasoning The Cardiovascular Health Cognition Study shows higher S
More informationForm D1: Clinician Diagnosis
Initial Visit Packet Form D: Clinician Diagnosis NACC Uniform Data Set (UDS) ADC name: Subject ID: Form date: / / Visit #: Examiner s initials: INSTRUCTIONS: This form is to be completed by the clinician.
More informationPhysiotherapy Department
POSITION DESCRIPTION Grade 3 Physiotherapist Physiotherapy Department Date revised: April 2013 POSITION: AWARD/AGREEMENT: Senior Clinician Physiotherapist Neurological and Spinal Cord Injury Rehabilitation
More informationLong term effects of Acquired Brain Injury. Dr Alyson Norman
Long term effects of Acquired Brain Injury Dr Alyson Norman Overview Consequences of Acquired Brain Injury (ABI): Cognitive (the way people think) Physical Affective (emotional effects) Behavioural Psychosocial
More informationASHA Comments* (ASHA Recommendations Compared to DSM-5 Criteria) Austism Spectrum Disorder (ASD)
DSM-5 (Criteria and Major Changes for SLP-Related Conditions) Individuals meeting the criteria will be given a diagnosis of autism spectrum disorder with three levels of severity based on degree of support
More informationNeuropsychiatric Syndromes
Neuropsychiatric Syndromes Susan Czapiewski,MD VAHCS December 10, 2015 Dr. Czapiewski has indicated no potential conflict of interest to this presentation. She does intend to discuss the off-label use
More informationUse a diagnostic neuropsychology HOW TO DO IT PRACTICAL NEUROLOGY
170 PRACTICAL NEUROLOGY HOW TO DO IT Pract Neurol: first published as 10.1046/j.1474-7766.2003.08148.x on 1 June 2003. Downloaded from http://pn.bmj.com/ Use a diagnostic neuropsychology on 16 October
More informationOLD AGE PSYCHIATRY. Dementia definition TYPES OF DEMENTIA. Other causes. Psychiatric disorders of the elderly. Dementia.
Psychiatric disorders of the elderly OLD AGE PSYCHIATRY Dementia Depression Delusional disorder/late onset schizophrenia Delirium Dementia definition LOCALISATION OF CEREBRAL FUNCTION Impairment of multiple
More informationCognitive functioning in chronic fatigue syndrome
Cognitive functioning in chronic fatigue syndrome Susan Jayne Cockshell School of Psychology The University of Adelaide Thesis submitted for the degree of Doctor of Philosophy October 2015 Table of Contents
More informationNUMERATOR: All patients with a diagnosis of Parkinson s Disease who were assessed for cognitive impairment or dysfunction in the past 12 months
Quality ID #291: Parkinson s Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson s Disease National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area:
More informationWhen to refer to a psychologist. Author. Published. Journal Title. Copyright Statement. Downloaded from. Link to published version
When to refer to a psychologist Author Meadows, Graham, Martin, Paul Published 2007 Journal Title Medicine Today: the peer reviewed journal of clinical practice Copyright Statement 2007 Medicine Today
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality Disorder: the clinical management of borderline personality disorder 1.1 Short title Borderline personality disorder
More informationNeuropsychological Testing (NPT)
Neuropsychological Testing (NPT) POLICY Psychological testing (96101-03) refers to a series of tests used to evaluate and treat an individual with emotional, psychiatric, neuropsychiatric, personality
More informationAdmission Criteria Continued Stay Criteria Discharge Criteria. All of the following must be met: 1. Member continues to meet all admission criteria
CMS Local Coverage Determination (LCD) of Psychiatry and Psychology Services for Massachusetts, New York, and Rhode Island L33632 Outpatient Services Coverage Indications and Limitations Hospital outpatient
More informationFRONTOTEMPORAL DEGENERATION: OVERVIEW, TRENDS AND DEVELOPMENTS
FRONTOTEMPORAL DEGENERATION: OVERVIEW, TRENDS AND DEVELOPMENTS Norman L. Foster, M.D. Director, Center for Alzheimer s Care, Imaging and Research Chief, Division of Cognitive Neurology, Department of Neurology
More informationNon Alzheimer Dementias
Non Alzheimer Dementias Randolph B Schiffer Department of Neuropsychiatry and Behavioral Science Texas Tech University Health Sciences Center 9/11/2007 Statement of Financial Disclosure Randolph B Schiffer,,
More informationWhite matter hyperintensities correlate with neuropsychiatric manifestations of Alzheimer s disease and frontotemporal lobar degeneration
White matter hyperintensities correlate with neuropsychiatric manifestations of Alzheimer s disease and frontotemporal lobar degeneration Annual Scientific Meeting Canadian Geriatric Society Philippe Desmarais,
More information1/26/2018 PREVENTING THE RETRAUMITIZATION OF CHILDREN FROM ADDICTED FAMILIES THE PROBLEM RISK FACTORS FOR ENDANGERMENT
PREVENTING THE RETRAUMITIZATION OF CHILDREN FROM ADDICTED FAMILIES Susan Kilman LCSW, AADC THE PROBLEM ABOUT 1 IN 8 (8.7 MILLION) AGED 17 OR YOUNGER LIVE IN HOUSEHOLDS WITH AT LEAST ONE PARENT WHO HAD
More informationThe prevalence of YOD increases almost exponentially with age (as does the prevalence of late onset dementia).
Factsheet 1 Young Onset Dementia (YOD) Dementia is commonly seen as a health and social problem of older adults. Nevertheless dementia can occur earlier in life. Young onset dementia is defined by an onset
More information72 participants 60% 50% % Participants 40% 30% 20% 10% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% % Participants
Hong Kong Psychological Society The WHO-IUPsyS Global Survey of Psychologists Attitudes Toward Mental Disorders Classification Results for the Hong Kong Psychological Society 72 participants Language of
More informationPost Stroke Cognitive Decline
Post Stroke Cognitive Decline Deborah A. Levine, MD, MPH Departments of Medicine & Neurology University of Michigan deblevin@umich.edu Presenter Disclosure Information Deborah A. Levine, MD, MPH Post Stroke
More information