Adaptational Approach to Cognitive Rehabilitation in Multiple Sclerosis: Description of Three Models of Care
|
|
- Rosa Norris
- 5 years ago
- Views:
Transcription
1 Adaptational Approach to Cognitive Rehabilitation in Multiple Sclerosis: Description of Three Models of Care Päivi Hämäläinen, PhD; Arja Seinelä, MA; Juhani Ruutiainen, MD Masku Neurological Rehabilitation Centre Finland Abstract Cognitive deficits are among the most harmful symptoms in multiple sclerosis (MS). Neuropsychological assessment methods have been extensively developed in MS, but rehabilitation of cognition is still in its infancy. At the Masku Neurological Rehabilitation Centre, we have developed 3 models of neuropsychological group rehabilitation in MS. 1. Information/family weekends for MS patients who are concerned about cognitive deficits 2. 1-week inpatient cognitive rehabilitation courses for MS patients and their spouses 3. 3-week inpatient cognitive rehabilitation courses for MS patients We used an adaptational approach to help participants live with cognitive impairments. Instead of retraining affected cognitive functions, we tried to help patients find better ways of coping with existing cognitive deficits in daily life. The course consisted of information at a general and at an individual level, neuropsychological evaluation and feedback, individual counseling, and group meetings. We evaluated the participants' experiences in the course by means of questionnaires. The participants reported that they received information and support they thought could help them to live with cognitive impairments. The experiences of these participants suggest that these types of rehabilitation interventions may be useful in treating patients with cognitive deficits and their family members. In this article, we report 3 models of care for cognitively impaired MS patients and an evaluation of participants' experiences on these rehabilitation courses. Introduction About 50% of patients with multiple sclerosis (MS) are assumed to have cognitive deficits. 1 The range of methods used to assess and evaluate neuropsychological deficits in MS is relatively wide. By contrast, the battery of interventions to alleviate the effects of cognitive impairments in MS patients is still extremely restricted. It is disputed whether cognitive rehabilitation is of any benefit in MS because (a) the evolution of cognitive impairments in MS is still unclear both progressive deterioration and cognitive preservation have been observed, 2 4 and (b) only a few studies have shown the effects of cognitive rehabilitation in MS. 5,6 Cognitive impairments can have a widespread effect on the psychological well-being of patients and their families. Cognitive deficits may threaten the patient's ability to work and handle other
2 personal responsibilities. 7 Moreover, cognitive deficits decrease the patient's self-confidence and the feeling of coping in daily activities. Often the reason for not coping with cognitive restrictions seems to be that patients and their family members do not have enough information about the patient's cognitive strengths and weaknesses and about possible ways to alleviate the effects of cognitive impairments. In clinical practice, we have adopted an adaptational approach in the rehabilitation of cognitively impaired MS patients and have included their family members. The intention is to alleviate the problems of living with cognitive impairments by offering information about cognitive deficits at general and individual levels rather than by retraining. The cognitive strengths and weaknesses of each patient are individually assessed by intermediate-length neuropsychological screening, after which feedback on the results is given to the patient and a family member or designee. The aim is to increase the awareness and understanding of cognitive impairments and their effects on daily living. Adaptational courses aim to help the participants achieve a more realistic view of the patient's cognitive strengths and weaknesses and find better ways to cope with the restrictions. Another goal of adaptation training is that the participants can get support and ideas from others with similar problems. Possible compensatory strategies and aids to improve coping with deficits are discussed both individually and in groups. In this article we present 3 different models of cognitive group rehabilitation and evaluate the experiences of the participants on these courses. Description of the Courses Information Weekend for Patients and Their Families An announcement about this course was published in the magazine of the Finnish MS Society. Six families submitted applications; one family was not selected because of the patient's psychiatric problems. Some of the background variables of the participants are reported in Table 1. The course included a lecture about cognitive deficits in MS. During the lecture, the etiology, frequency, characteristics, natural history, diagnostics, and rehabilitation of cognitive impairments in MS were discussed. The families were also given a booklet about cognitive impairments in MS. A neuropsychological evaluation had been performed in 3 of the 5 patients during their individual rehabilitation course at Masku Neurological Rehabilitation Centre within 3 months preceding the course. These patients were not re-evaluated during the weekend. Instead, the 2 patients who had not been assessed previously had a neuropsychological assessment using the Mild Deterioration Battery (MDB; 8 10). The battery consists of 8 cognitive tests; in each cognitive area assessed, the degree of impairments was evaluated (Table 2). The patients also received brief feedback, including a written report about their performance on each of the measures of the MDB. During the weekend, discussion groups were organized for the patients, for their spouses, and for the two groups together. The effects of cognitive deficits on daily living, as well as the ways to best cope with these restrictions, were discussed. The participants were also provided with a list of compensatory strategies and aids for different kinds of cognitive impairments. The youngsters of the families participated in the neuropsychological lecture; during the other adult sessions, the children had their own program, arranged by child minders.
3 Table 1. Background Variables of the Participants in the 3 Types of Courses Information Weekend 1-Week Course Week Course Week Course Patients (n) Gender (male/female) 2/3 4/2 0/4 2/6 Age (years) EDSS * Disease duration (years) Cognitive status Not measured Near normal moderate deficits Near normal moderate deficits Near normal moderate deficits Near normal severe deficits Spouses (n) None Children (n) 6 None None None * EDSS = Expanded Disability Status Scale 11 Table 2. Neuropsychological Assessment (MDB * ) Used in the Courses Cognitive Area Verbal reasoning Attention / working memory Visuomotor performance Visuoconstructive performance Word finding / naming Visual memory Verbal memory Verbal-visual memory Corresponding Test Degree of Impairments WAIS Similarities No/mild/moderate/severe WAIS Digit Span No/mild/moderate/severe WAIS Digit Symbol No/mild/moderate/severe WAIS Block Design No/mild/moderate/severe Naming Time of 20 Objects 8 Benton Visual Retention test 13 * Mild Deterioration Battery WAIS = Wechsler Adult Intelligence Scale 12 PWA = Paired Word Associates No/mild/moderate/severe No/mild/moderate/severe Immediate Recall of 8 No/mild/moderate/severe 30 PWA Immediate Recall of 20 objects 8 No/mild/moderate/severe
4 The experiences of the participants on the course were evaluated by means of a self-rating questionnaire. The participants were asked to comment on their overall sense of having benefited from the weekend. They were also asked to rate their feelings about the effects of the course on their awareness of their own or their spouse's cognitive strengths and weaknesses, on their ability to adapt to living with cognitive restrictions, on their use of cognitive aids, as well as the possible effects of the intervention on their daily life. The spouses were also asked to evaluate whether the course had possible effects on their understanding of the patient's cognitive problems. The questionnaire was distributed to the participants at the end of the intervention and 3 months later. The patients evaluated the effects of the weekend by means of a 5-centimeter visual analogue scale, the extreme left (0) meaning no effect, the extreme right (5) meaning a remarkable effect (Table 3). Table 3. Examples of Questions Assessing Participants Experiences on the Course Ratings for the Patients I think the course has had an effect on my awareness of my cognitive strengths and weaknesses. I think it is easier for me to cope with cognitive problems after the weekend. I have benefited from the course. Visual Analogue Scale (5 cm) Effect 0 5 None Remarkable Ratings for the Spouses I think the course has had an effect on my awareness of my spouse's cognitive strengths and weaknesses. I think it is easier for me to cope with my spouse's cognitive problems after the weekend. I have benefited from the course. One-Week Inpatient Cognitive Rehabilitation Course for Patients and Their Spouses We have run five 1-week inpatient cognitive rehabilitation courses. The two most recent courses have had the same program and are reported here. Each time, an announcement of the course was published in the magazine of the Finnish MS Society. We tried to select applicants who seemed to have the greatest need for help in living with cognitive problems. Some of the background variables of the participants are reported in Table 1. The program consisted of a neuropsychological lecture, a neuropsychological assessment (MDB) of the patients, a feedback session for the couple, and individual guidance and counseling as needed. Moreover, there were several discussion groups for patients, spouses, and the two groups together. The neuropsychological lecture and the assessment were similar to those described in the program for the information weekend. The feedback session included discussion of the results of the neuropsychological assessment. The patients were given a written report about their performance on each cognitive function evaluated. During the feedback session, discussion included the difference between the results of the MDB and the patient's and spouse's own views about the characteristics and degree of the patient's cognitive impairments. This discussion was based on the self-rating questionnaire, which the participants had filled in at the beginning of the course (examples of the questions are given in Table 4). The differences between the self-ratings of the patient and those of the spouse were also compared and discussed. We used the questionnaire to show the couples how realistic they
5 were with respect to the patient's cognitive impairments and how consistent their evaluations were. Also considered in the feedback session were the effects of cognitive problems on the relations between the partners and on family life. The individual guidance and counseling included discussion about reorganizing daily activities and how to take cognitive restrictions and fatigue into account more effectively. The topics of group discussions were similar to those during the weekend course. The emotional effects of cognitive restrictions on patients and also on spouses were, however, discussed more profoundly. In addition to the neuropsychological component, the program consisted of physiotherapy groups and occupational therapy groups, as well as an examination by a neurologist and a lecture on MS. Table 4. Examples of Questions Assessing Patients and Spouses Views of Patient s Cognitive Impairments Ratings for the Patients I think I have reasoning problems. I think I have problems in finding words. I think I have problems in remembering. I think I have problems in concentrating. Visual Analogue Scale (5 cm) Problems 0 5 None Remarkable Ratings for the Spouses I think my partner has reasoning problems. I think my partner has problems in finding words. I think my partner has problems in remembering. I think my partner has problems in concentrating. The questionnaire we used to evaluate the experiences of the participants was similar to that used for the weekend course (Table 3). The experiences were evaluated at the end of the course, as well as 3 months and 1 year later. At the end of the courses, the participants were also asked to answer the same questions as at the beginning of the course concerning the degree of the patient's cognitive deficits (Table 4). We tried to find out whether the course had changed patients' and spouses' views of the patient's cognitive impairments and whether the partners' ratings were more consistent with each other at the end of the course than at the beginning. Three-Week Inpatient Cognitive Rehabilitation Course for MS Patients We organized a cognitive rehabilitation course lasting 3 weeks for MS patients who were concerned about their cognitive deficits. This course was funded by the Finnish Slot Machine Association, as were the two other types of courses. An announcement about the course was published in the MS Society magazine. Eight out of 10 patients who had applied for the course were selected. Some of the background variables of the participants are reported in Table 1. The course program consisted of a neuropsychological lecture, individual assessment, individual feedback and counseling, and 3 group discussion sessions. The content of the neuropsychological program was similar to that of the 1-week course; however, the course was arranged only for the patients. The participants were asked to evaluate the degree of their cognitive impairments at the beginning of the course. The differences between their own evaluations and the results of the
6 MDB were discussed during the feedback session. For the group discussions, the patients with normal cognition (n=2) or mild impairments (n=2) were classified as one group and the patients with moderate (n=2) or severe impairments (n=2) as another. In addition to the neuropsychological segment, there were individual and group physiotherapy and occupational therapy sessions, lectures by a social worker and a neurologist, a neurological examination, and other programs tailored to the needs of the patient. The experiences of the patients on the course were evaluated using a questionnaire assessing the general feeling of benefit. The effects of the course on patients' awareness of their cognitive impairments were evaluated by comparing their self-ratings about the degree of their cognitive deficits (Table 4) at the beginning and at the end of the course. Evaluation of the Courses Information Weekend for Patients and Their Families At the end of the weekend course, both patients and spouses experienced the course as useful (mean benefit: patients 4.3/5.0; spouses 4.5/5.0). They thought they had obtained new information as well as support to cope with their problems in daily living. According to the patients, the most important benefit was that their awareness of their cognitive impairments increased during the course. For the spouses, the feeling of increased understanding toward the patient's cognitive problems was the most remarkable effect. Some of the patients' experiences on the course are described in Figure 1 and the spouses' experiences in Figure 2. Although most of the participants experienced the immediate effects of the brief course as substantial, it seems that the effects were not stable (mean benefit after 3 months: patients 3.6/5.0; spouses 4.0/5.0). It will be interesting to reconsider the effects again 1 year after the course. Figure 1. The mean effects of the information weekend on patients' awareness of cognitive impairments, adaptational skills, use of aids, and everyday coping at the end of the course and 3 months later (patients' subjective experiences: 0 = no effect, 5 = substantial effect).
7 Figure 2. The mean effects of the information weekend on spouses' awareness of cognitive impairments, adaptational skills, understanding of cognitive problems, and everyday coping at the end of the course and 3 months later (spouses' subjective experiences). One-Week Inpatient Cognitive Rehabilitation Course for Patients and Their Spouses The experienced benefit from one patient and spouse course (1997) was evaluated at the end of the course, after 3 months, and then 1 year later. The patients' mean benefit score was 4.1/5.0 at the end of the course, 3.9 after 3 months, and 4.3 after 1 year. The mean of the spouses' benefit score was 3.5/5.0 at the end of the course, 4.4 after 3 months, and 4.4 after 1 year. Thus, the feeling of experienced benefit in daily life carried over for at least 1 year. The subjective effects of the course on patients' awareness of cognitive problems, on adaptational skills, on the use of aids, and on daily living 3 months after the course and 1 year after the course are summarized in Figure 3. The equivalent ratings of the spouses are shown in Figure 4. Figure 3. The mean effects of the 1-week cognitive rehabilitation course on patients' awareness of cognitive impairments, adaptational skills, use of aids, and everyday coping 3 months and 1 year after the course.
8 Figure 4. The mean effects of the 1-week cognitive rehabilitation course on spouses' awareness of cognitive impairments, adaptational skills, understanding of cognitive problems, and everyday coping at 3 months and at 1 year after the course. We also tried to assess the effects of the rehabilitation intervention on the patients' and the spouses' ability to evaluate the patient's cognitive capacities realistically. Either or both of the partners in 8 couples out of 10 evaluated the degree and characteristics of cognitive restriction more realistically at the end of the course than at the beginning of the course. In these couples, the self-ratings were more consistent with the results of the neuropsychological assessment at the end than at the beginning of the course. In one of the couples, the self-ratings were realistic even at the beginning of the course, whereas in another couple, the ratings were more unrealistic at the end of the course than at the beginning. One of the aims of the rehabilitation intervention was to make the couple's view of the patient's cognitive difficulties consistent. When the difference between the patient's and spouse's evaluations at the beginning and at the end of the course was compared, it was found that in 7 out of the 10 couples the evaluations were more consistent at the end than at the beginning of the course. In 2 of the couples, the difference in the evaluations remained stable. In these couples, however, the evaluations were relatively consistent already at the beginning of the course. Three-Week Inpatient Cognitive Rehabilitation Course for Patients The patients were asked to evaluate the benefit experienced, both at the end of the course and after 3 months. The evaluations after a follow-up of 1 year will be ready at the beginning of the year The mean benefit score at the end of the course was 3.8/5.0 and after 3 months, 3.9. The use of aids for cognitive problems had increased from 2.5/5.0 at the beginning of the course to 3.0 after 3 months. When the results of the neuropsychological assessment and the patients' self-ratings about their cognitive impairments were compared, only 1 out of 8 patients was realistic about her cognitive strengths and weaknesses at the beginning of the course. At the end of the course, five out of 8 patients had a more realistic view of their cognitive capacities than at the
9 beginning of the course. One patient evaluated his deficits as similar at the beginning and end. Two of the patients with nearly normal cognition evaluated their restrictions as greater at the end of the course than at the beginning. The awareness of patients who had more prominent cognitive deficits increased during the course. However, after 3 months, only 3 out of 8 patients remained totally realistic with respect to their cognitive strengths and weaknesses. Two of them had mild cognitive deficits; 1 had moderate restrictions. Otherwise, patients with normal cognition or mild impairments seemed to slightly overestimate their deficits, whereas patients with more severe restrictions seemed to underestimate them. However, even after 3 months, the patients seemed to experience some benefit from the course: all of them reported that it had been easier to accept and to cope with cognitive deficits in daily life as a result of the course. Discussion In this article, we have reported 3 different models of care for patients who are concerned about their cognitive problems. These courses represent an adaptational approach to the rehabilitation of cognitive impairments. The aim is not to retrain the affected cognitive functions but to give the patients and their family members information and support to help them live with existing problems. In clinical practice, it seems that misconceptions and lack of information often make it difficult to cope with cognitive impairments. We think that it is important that the patients and their family members are aware of the patient's cognitive strengths and weaknesses, that they understand the effects of the deficits on daily life, and that they try to find ways to solve problems aroused by the deficits. It seems that if the cognitively intact partner understands the problems of the patient and is able to take them into account, it is also easier for the patient to cope with cognitive impairments. Offering information and support for MS patients and their family members has, therefore, been the main idea in developing models of care for MS patients who are concerned about cognitive deficits. The experiences we have reported in this article are associated with our attempts to develop models of care for cognitively affected MS patients. One-week cognitive rehabilitation courses for patients and spouses have been organized approximately once a year during the past 5 years. The evaluation of the effects of the courses is based on the participants' subjective feelings of general benefit as well as the possible effects on awareness of cognitive deficits, ability to understand the effects of the impairments, and ability to cope with the restrictions in daily life. Most of the participants have reported that their ability to cope with cognitive deficits has increased after the courses. The most important benefits have been a subjective increase in awareness of cognitive deficits and in understanding of cognitive problems. In fact, greater insight into cognitive strengths and weaknesses is evident in almost all the participants of the 1-week rehabilitation courses: they seemed to evaluate the degree and characteristics of deficits more realistically at the end than at the beginning of the course. How these findings are reflected in daily life is not clear to us since we did not measure it. It would certainly be useful to try to evaluate how the increased awareness, deeper understanding, and better coping abilities affect daily living. The efficacy of this kind of group rehabilitation could be evaluated only by means of more practical evaluations and larger study groups. Whereas 1-week cognitive rehabilitation courses are arranged routinely nowadays, the information weekend and the 3-week cognitive rehabilitation course represent newer attempts to develop models of care for cognitively impaired MS patients. The participants on these 2 courses have experienced them as beneficial: after the course, it has been easier to live with cognitive problems. It seems that the information weekend is especially useful for patients who have not participated in any other rehabilitation course and, therefore, do not have information about cognitive deficits in MS. The information weekend is suitable for families who do not have time for a longer course or have problems in arranging child care. The 3-week rehabilitation course was arranged for single MS patients who were not eligible to participate in family
10 courses. This longer course seem to be useful for patients who have problems in coping with daily activities due to cognitive as well as other restrictions and, therefore, benefit from multidisciplinary rehabilitation. Table 5. Steps to Help Live with Cognitive Impairments 1. Provision of information about cognitive deficits associated with MS 2. Neuropsychological assessment 3. Evaluation of patient's characteristics of cognitive decline 4. Determination of and feedback on individual cognitive strengths and weaknesses 5. Counseling to optimally use one's cognitive abilities (individually/in group) 6. Teaching to use compensatory strategies and aids (individually/in group) 7. Adaptation training groups for patients 8. Adaptation training groups for family members To conclude, our own experiences as well as the feedback received from the patients and their spouses encourage us to consider cognitive rehabilitation courses as one possible way of rehabilitating cognitive problems. It is not our intention, however, to underestimate the importance of individual neuropsychological rehabilitation and personal retraining. On the contrary, we suggest that the intervention steps described in Table 5 could be followed to alleviate the effects of cognitive impairments in MS. References 1. Fischer J, La Rocca NG, Sorensen P. Cognition. In: Kalb RC, ed. Multiple Sclerosis. The Questions You Have The Answers You Need. New York, NY: Demos Vermande; 1996: Jennekens-Schinkel A, La Boyrie PM, Lanser JBK, Van Der Velde EA. Cognition in patients with multiple sclerosis after four years. J Neurol Sci. 1990;99: Amato MP, Ponziani G, Pracucci G, Bracco L, Siracusa G, Amaducci L. Cognitive impairment in early-onset multiple sclerosis. Pattern, predictors, and impact on everyday life in 4-year follow-up. Arch Neurol. 1995;52: Kujala P, Portin R, Ruutiainen J. The progress of cognitive decline in multiple sclerosis: A controlled 3-year follow-up. Brain. 1997;120: Jonsson A, Korfitzen EM, Heltberg A, Ravnborg MH, Byskov-Ottosen E. Effects of neuropsychological treatment in patients with multiple sclerosis. Acta Neurol Scand. 1993;88:
11 6. Plohmann AM, Kappos L, Ammann W, et al. Computer assisted retraining of attentional impairments in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry. 1998;64: Rao SM, Leo GJ, Ellington L, Nauertz T, Bernardin L, Unverzagt F. Cognitive dysfunction in multiple sclerosis. Impact on employment and social functioning. Neurology. 1991;41: Portin R, Rinne UK. Neuropsychological responses of Parkinsonian patients to long-term levodopa treatment. In: Rinne UK, Klinger M, and Stamm G, eds. Parkinson's disease: Current progress, problems, and management: Proceedings of the Northern European Symposium on Parkinson's Disease, Helsinki, November 6 8, Amsterdam; New York: Elsevier/North-Holland Biomedical Press; 1980: Kujala P, Portin R, Revonsuo A, Ruutiainen J. Automatic and controlled information processing in multiple sclerosis. Brain. 1994;117: Kujala P, Portin R, Ruutiainen J. Memory deficits in early cognitive deterioration in MS. Acta Neurol Scand. 1996;93: Kurtzke JF. Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology. 1983;33: Wechsler D. Manual for Wechsler Adult Intelligence Scale, Revised. San Antonio, TX, Psychological Corporation; Benton Sivan AL. Benton Visual Retention Test 5th Edition. Odessa, FL: Psychological Assessment Resources, Inc; 1981.
Impairments in cognitive abilities are among the. Promising New Approaches to Assess Cognitive Functioning in People with Multiple Sclerosis
Promising New Approaches to Assess Cognitive Functioning in People with Multiple Sclerosis Heather Becker, PhD; Alexa Stuifbergen, PhD, RN, FAAN; Janet Morrison, MSN, RN Cognitive impairment has a major
More informationCognitive patterns and progression in multiple sclerosis: construction and validation of percentile curves
744 SHORT REPORT Cognitive patterns and progression in multiple sclerosis: construction and validation of percentile curves A Achiron, M Polliack, S M Rao, Y Barak, M Lavie, N Appelboim, Y Harel... Background
More informationUsing Neuropsychological Experts. Elizabeth L. Leonard, PhD
Using Neuropsychological Experts Elizabeth L. Leonard, PhD Prepared for Advocate. Arizona Association for Justice/Arizona Trial Lawyers Association. September, 2011 Neurocognitive Associates 9813 North
More informationTrail making test A 2,3. Memory Logical memory Story A delayed recall 4,5. Rey auditory verbal learning test (RAVLT) 2,6
NEUROLOGY/2016/790584 Table e-1: Neuropsychological test battery Cognitive domain Test Attention/processing speed Digit symbol-coding 1 Trail making test A 2,3 Memory Logical memory Story A delayed recall
More informationCRITICALLY APPRAISED PAPER
CRITICALLY APPRAISED PAPER FOCUSED QUESTION For individuals with memory and learning impairments due to traumatic brain injury, does use of the self-generation effect (items self-generated by the subject)
More informationThe Use of Brief Assessment Batteries in Multiple Sclerosis. History of Cognitive Studies in MS
This is the html version of the file http://wwwvagov/ms/library/managing/robert_kane_brief_assessment_batteries_in_msppt Google automatically generates html versions of documents as we crawl the web 1
More informationPlenary Session 2 Psychometric Assessment. Ralph H B Benedict, PhD, ABPP-CN Professor of Neurology and Psychiatry SUNY Buffalo
Plenary Session 2 Psychometric Assessment Ralph H B Benedict, PhD, ABPP-CN Professor of Neurology and Psychiatry SUNY Buffalo Reliability Validity Group Discrimination, Sensitivity Validity Association
More informationImportance of Neuropsychological Rehabilitation on Retraining Cognitive Functioning in School Going Children with Congenital Heart Disease (CHD)
International Academic Institute for Science and Technology International Academic Journal of Humanities Vol. 3, No. 8, 2016, pp. 10-15. ISSN 2454-2245 International Academic Journal of Humanities www.iaiest.com
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 informationIC ARTICLE MARRIAGE AND FAMILY THERAPISTS
IC 25-23.6 ARTICLE 23.6. MARRIAGE AND FAMILY THERAPISTS IC 25-23.6-1 Chapter 1. Definitions IC 25-23.6-1-1 Application of definitions Sec. 1. The definitions in this chapter apply throughout this article.
More informationProceedings of the Annual Meeting of the American Statistical Association, August 5-9, 2001
Proceedings of the Annual Meeting of the American Statistical Association, August 5-9, 1 SCREENING FOR DEMENTIA USING LONGITUDINAL MEASUREMENTS OF COGNITION Christopher H. Morrell, Mathematical Sciences
More informationAnosognosia and rehabilitation: Definitions, practice implications, and directions for future research. Nicole Matichuk* and Liv Brekke **
Main Article Health Professional Student Journal 2016 1(3) Anosognosia and rehabilitation: Definitions, practice implications, and directions for future research Nicole Matichuk* and Liv Brekke ** Abstract:
More informationWelcome! South Central Chapter Annual Meeting & Research Update. December 2, 2015
Welcome! South Central Chapter Annual Meeting & Research Update December 2, 2015 Annual Meeting & Research Update Society Impact Annual Meeting & Research Update Board of Trustees, Finance Committee Financial
More informationConcurrent validity of WAIS-III short forms in a geriatric sample with suspected dementia: Verbal, performance and full scale IQ scores
Archives of Clinical Neuropsychology 20 (2005) 1043 1051 Concurrent validity of WAIS-III short forms in a geriatric sample with suspected dementia: Verbal, performance and full scale IQ scores Brian L.
More informationC ognitive problems are common in patients with
PAPER Evaluation of cognitive assessment and cognitive intervention for people with multiple sclerosis N B Lincoln, A Dent, J Harding, N Weyman, C Nicholl, L D Blumhardt E D Playford... See end of article
More informationHONE-In Phase I Full Table of Contents BRAIN INJURY, CONCUSSION, REHABILITATION... 3
HONE-In Phase I Full Table of Contents BRAIN INJURY, CONCUSSION, REHABILITATION... 3 Brief cognitive behavioral interventions in mild traumatic brain injury... 3 Treatment of post-concussion syndrome following
More informationGlobal N-acetyl aspartate correlates with. cognitive dysfunction in multiple sclerosis
Global N-acetyl aspartate correlates with cognitive dysfunction in multiple sclerosis 1 Henrik Kahr Mathiesen, MD; 2 Agnete Jonsson, Psychologist; 2 Thomas Tscherning, MD; 1 Lars G. Hanson, Physicist,
More informationMEDIA BACKGROUNDER. Multiple Sclerosis: A serious and unpredictable neurological disease
MEDIA BACKGROUNDER Multiple Sclerosis: A serious and unpredictable neurological disease Multiple sclerosis (MS) is a complex chronic inflammatory disease of the central nervous system (CNS) that still
More informationAdapting Dialectical Behavior. Therapy for Special Populations
Adapting Dialectical Behavior Therapy for Special Populations Margaret Charlton, PhD, ABPP Aurora Mental Health Center Intercept Center 16905 E. 2nd Avenue Aurora, CO 80011 303-326-3748 MargaretCharlton@aumhc.org
More informationDr Dana Wong Lecturer, School of Psychology & Psychiatry, Monash University & Clinical Neuropsychologist in Private Practice
Dr Dana Wong Lecturer, School of Psychology & Psychiatry, Monash University & Clinical Neuropsychologist in Private Practice To illustrate why ACT might be useful for someone with a brain injury To present
More informationTest Assessment Description Ref. Global Deterioration Rating Scale Dementia severity Rating scale of dementia stages (2) (4) delayed recognition
Table S. Cognitive tests used in the Georgia Centenarian Study. Test Assessment Description Ref. Mini-Mental State Examination Global cognitive performance A brief screening of orientation, memory, executive
More informationCOGNITIVE AND BRAIN CHANGES IN MULTIPLE SCLEROSIS
1 COGNITIVE AND BRAIN CHANGES IN MULTIPLE SCLEROSIS MARCH 27, 2017 Esther Fujiwara, Ph.D. (efujiwara@ualberta.ca) Department of Psychiatry, University of Alberta 2 Objectives 1. Identify cognitive challenges
More informationCOGNITIVE REHABILITATION OF INDIVIDUALS WITH MS CMSC 2015
COGNITIVE REHABILITATION OF INDIVIDUALS WITH MS CMSC 2015 Aaron Turner, Ph.D. (ABPP-RP) Director, Rehabilitation Psychology VA Puget Sound Health Care System Associate Professor Department of Rehabilitation
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 informationCognitive Impairment Among Patients with Multiple Sclerosis. Associations with Employment and Quality of Life.
Cognitive Impairment Among Patients with Multiple Sclerosis. Associations with Employment and Quality of Life. J Campbell 1, W Rashid 2, M Cercignani 1, D Langdon 3. 1 Clinical Imaging Sciences Centre,
More informationMEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION. POLICY NUMBER: CATEGORY: Therapy/Rehabilitation
MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including
More informationEmpire BlueCross BlueShield Professional Commercial Reimbursement Policy
Subject: Documentation Guidelines for Central Nervous System Assessments and Tests NY Policy: 0046 Effective: 12/01/2014 11/30/2015 Coverage is subject to the terms, conditions, and limitations of an individual
More informationPD ExpertBriefing: Cognition and PD: What You ve Always Wanted to Know But Were Too Afraid to Ask. Presented By: Tuesday, March 22, 2011 at 1:00 PM ET
PD ExpertBriefing: Cognition and PD: What You ve Always Wanted to Know But Were Too Afraid to Ask Presented By: Alexander I. Tröster, PhD, ABPP University of North Carolina, Chapel Hill, NC Tuesday, March
More informationStroke Rehabilitation Issues: Depression and Fatigue
Stroke Rehabilitation Issues: Depression and Fatigue Background Post-stroke depression (PSD) occurs in onethird of stroke survivors PSD can occur at any point within 5 years of stroke PSD negatively affects
More informationPASAT in Detecting Cognitive Impairment in Relapsing-Remitting MS
Applied Neuropsychology 2007, Vol. 14, No. 2, 101 112 Copyright # 2007 by Lawrence Erlbaum Associates, Inc. PASAT in Detecting Cognitive Impairment in Relapsing-Remitting MS Eija Rosti Seinäjoki Central
More informationTraumatic Brain Injury for VR Counselors Margaret A. Struchen, Ph.D. and Laura M. Ritter, Ph.D., M.P.H.
Training Session 3a: Understanding Roles of Members of the Interdisciplinary Treatment Team, Evaluations by Team Members and the Utility of Evaluations Conducted by such Team Members. The Interdisciplinary
More informationNeuropsychology of Attention Deficit Hyperactivity Disorder (ADHD)
Neuropsychology of Attention Deficit Hyperactivity Disorder (ADHD) Ronna Fried, Ed.D. Director of Neuropsychology in the Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts
More informationRehabilitation Services. VAKE development project
Rehabilitation Services VAKE development project The Social Insurance Institution, Finland 22.9.2011 Tiina Suomela-Markkanen Medical Advisor, MD The Social Insurance Institution (Kela) Health Department
More informationSocial relationships, knowledge and adjustment to multiple sclerosis
Journal of Neurology, Neurosurgery, and Psychiatry 1984;47: 372-376 Social relationships, knowledge and adjustment to multiple sclerosis CP MAYBURY,* CR BREWINt From the Department of Psychology, Clifton
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 informationPART II PSYCHOSOCIAL TREATMENT PRINCIPLES
PART II PSYCHOSOCIAL TREATMENT PRINCIPLES 132 Psychosocial Treatment Principles EDITOR'S COMMENTARY: PART II This section addresses the individual in the psychosocial context of his family, his work, his
More informationNEUROPSYCHOLOGICAL ASSESSMENT S A R A H R A S K I N, P H D, A B P P S A R A H B U L L A R D, P H D, A B P P
NEUROPSYCHOLOGICAL ASSESSMENT S A R A H R A S K I N, P H D, A B P P S A R A H B U L L A R D, P H D, A B P P NEUROPSYCHOLOGICAL EXAMINATION A method of examining the brain; abnormal behavior is linked to
More informationAre people with Intellectual disabilities getting more or less intelligent II: US data. Simon Whitaker
Are people with Intellectual disabilities getting more or less intelligent II: US data By Simon Whitaker Consultant Clinical Psychologist/Senior Visiting Research Fellow The Learning Disability Research
More informationCognition, mood and fatigue in patients in the early stage of multiple sclerosis
Original article Peer reviewed article SWISS MED WKLY 2007;137:496 501 www.smw.ch 496 Cognition, mood and fatigue in patients in the early stage of multiple sclerosis S. Simioni a, C. Ruffieux b, L. Bruggimann
More informationInterpreting change on the WAIS-III/WMS-III in clinical samples
Archives of Clinical Neuropsychology 16 (2001) 183±191 Interpreting change on the WAIS-III/WMS-III in clinical samples Grant L. Iverson* Department of Psychiatry, University of British Columbia, 2255 Wesbrook
More informationRatified by: Care and Clinical Policies Date: 17 th February 2016
Clinical Guideline Reference Number: 0803 Version 5 Title: Physiotherapy guidelines for the Management of People with Multiple Sclerosis Document Author: Henrieke Dimmendaal / Laura Shenton Date February
More informationORIGINAL CONTRIBUTION. Neuropsychologic Status in Multiple Sclerosis After Treatment With Glatiramer
ORIGINAL CONTRIBUTION Neuropsychologic Status in Multiple Sclerosis After Treatment With Glatiramer Amy Weinstein, PhD; Steven I. L. Schwid, MD; Randolph B. Schiffer, MD; Michael P. McDermott, PhD; Daniel
More informationIncreasing awareness following acquired brain injury: A quantative analysis of an outpatient education group
Increasing awareness following acquired brain injury: A quantative analysis of an outpatient education group Lead Investigator: Orla McEvoy, Occupational Therapist, NRH Co-Facilitator: Joan Monahan, Speech
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 informationTreatment of AD with Stabilized Oral NADH: Preliminary Findings
MS # 200 000 128 Treatment of AD with Stabilized Oral NADH: Preliminary Findings G.G. Kay, PhD, V. N. Starbuck, PhD and S. L. Cohan, MD, PhD Department of Neurology, Georgetown University School of Medicine
More informationComputer based cognitive rehab solution
Computer based cognitive rehab solution Basic Approach to Cognitive Rehab RPAAEL ComCog approaches cognitive rehabilitation with sprial structure, so as to promotes relearning and retraining of damaged
More informationThe Chinese University of Hong Kong The Nethersole School of Nursing. CADENZA Training Programme
The Chinese University of Hong Kong The Nethersole School of Nursing CTP 004 Evidence-based Practice for Dementia Care Web-based Course Module II for Professional Social and Health Care Workers. 1 Chapter
More informationIlpo Kuhlman. Kuopio Mental Health Services, Kuopio Psychiatric Center
Ilpo Kuhlman Kuopio Mental Health Services, Kuopio Psychiatric Center ilpo.kuhlman@kuopio.fi Turku 14.8.2014 Understanding the client s and the therapist s perceptions of the therapy and assessing symptom
More informationCOGNITION PART TWO HIGHER LEVEL ASSESSMENT FUNCTIONAL ASSESSMENT
COGNITION PART TWO HIGHER LEVEL ASSESSMENT FUNCTIONAL ASSESSMENT RECAP ON PART ONE BASIC ASSESSMENT Cognitive screening tests are one component of the cognitive assessment process and NOT equivalent to
More informationDisclosure : Financial No relevant financial relationship exists. Nonfinancial received partial support for my research from BioGen
Innovative assessments and treatments in cognitive rehabilitation with persons with MS Yael Goverover Disclosure : Financial No relevant financial relationship exists. Nonfinancial received partial support
More informationUnderstanding and managing cognitive changes after traumatic brain injury
Module 4 Understanding and managing cognitive changes after traumatic brain injury Compiled by Kim Ferry Senior Neuropsychologist Revised by Rebecca Bowen Rehabilitation Psychologist Brain Injury Rehabilitation
More informationMost patients with multiple sclerosis (MS) experience a
Cognitive Function in Patients with Multiple Sclerosis: Impairment and Treatment Stephen M. Rao, PhD Cognitive impairment is common in multiple sclerosis (MS), with up to 65% of patients exhibiting some
More informationFor the OT2019 Class of MScOT students entering fall 2017: Occupational Therapy Year One Course Descriptions 44 credits
For the OT2019 Class of MScOT students entering fall 2017: Occupational Therapy Year One Course Descriptions 44 credits OT 801 Conceptual Models in Occupational Therapy This course introduces students
More informationJournal of Pharmaceutical and Scientific Innovation
Journal of Pharmaceutical and Scientific Innovation www.jpsionline.com Research Article IMPACT OF ALTERNATIVE MEDICINE THERAPY PROGRAMME ON WORK RELATED STRESS MANAGEMENT OF IT PROFESSIONALS Jithesh Sathyan*
More informationWhat the Clinician Needs to Know about Reviewing the Cognitive Literature. Joshua Sandry, PhD
What the Clinician Needs to Know about Reviewing the Cognitive Literature Joshua Sandry, PhD Neuropsychology & Neuroscience Research Kessler Foundation Department of Physical Medicine & Rehabilitation
More informationBehavior in Cardiofaciocutaneous (CFC) Syndrome
Behavior in Cardiofaciocutaneous (CFC) Syndrome What is CFC? How does it affect a person? CFC is a rare genetic syndrome that typically affects a person's heart (cardio ), facial features (facio ), and
More information6-7 October 2016 Valens, Switzerland
PRACTICE TEACHING COURSE PRELIMINARY PROGRAMME Residential course on rehabilitation in multiple sclerosis 6-7 October 2016 Residential course on rehabilitation in multiple sclerosis Overview This residential
More informationNICE Clinical Guidelines recommending Family and Couple Therapy
Association for Family Therapy and Systemic Practice NICE Clinical Guidelines recommending Family and Couple Therapy August 2016 Compiled by: Dr Lucy Davis (Chartered and Clinical Psychologist/Trainee
More informationAssessment of Memory
Journal of the K. S. C. N. Vol. 2, No. 2 Assessment of Memory Juhwa Lee Department of Neurology, College of Medicine, Kaemyung University - Abstract - The characteristics of human memory structure and
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 informationCOGMED CLINICAL EVALUATION SERIES
COGMED CLIICAL EVALUATIO SERIES Cogmed Working Memory Training Pearson Clinical Assessment Part II Prepared by: Sissela utley, Ph.D. Stina Söderqvist, Ph.D. Kathryn Ralph, M.A. R&D Project Manager R&D
More informationReflections of a Psychology Intern in Participant-Supervision
124 Psychotherapy and the Ultra-Orthodox Community Reflections of a Psychology Intern in Participant-Supervision Sivan Shragay, M. A. Seymour Hoffman, Ph. D Participant supervision refers to supervision
More informationALCOHOL ABUSE CLIENT PRESENTATION
ALCOHOL ABUSE CLIENT PRESENTATION 1. Frequent Use of Alcohol (1) A. The client frequently abuses alcohol. B. The client s partner frequently abuses alcohol. C. The client s use of alcohol has been so severe
More informationGroup memory rehabilitation for people with multiple sclerosis: a feasibility randomized controlled trial
Citation: Carr, S., dasnair, R., Schwartz, A., & Lincoln, N.B. (2014). Group Memory Rehabilitation for People with Multiple Sclerosis: A pilot randomised controlled trial. Clinical Rehabilitation, 28(6),
More informationEnhancing the evidence-base on cognitive rehabilitation: what do we know and what do we need? Caroline van Heugten
Enhancing the evidence-base on cognitive rehabilitation: what do we know and what do we need? Caroline van Heugten Lund Sept 4-5 2017 Cognitive functioning after cardiac arrest (Steinbusch et al, 2017)
More informationPatient education : The Effects of Epilepsy on Memory Function
Patient education : The Effects of Epilepsy on Memory Function Patricia G. Banks, RN, MSNEd, CCRP, VHACM Program Coordinator National office of Neurology Louis Stoke Cleveland VAMC Thursday, June 6, 2013
More informationPrevalence of Cognitive Impairment in Newly Diagnosed Relapsing-Remitting Multiple Sclerosis
SHORT REPORT Prevalence of Cognitive Impairment in Newly Diagnosed Relapsing-Remitting Multiple Sclerosis Giulia DiGiuseppe, BSc; Mervin Blair, PhD; Sarah A. Morrow, MD Background: Cognitive impairment
More informationNo An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.
No. 158. An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.223) It is hereby enacted by the General Assembly of the State
More informationSocial recovery during the year following severe head injury
Journal of Neurology, Neurosurgery, and Psychiatry, 1980, 43, 798-802 Social recovery during the year following severe head injury MICHAEL ODDY AND MICHAEL HUMPHREY From St Francis Hospital, Haywards Heath,
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 informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationMany people are confused about what Social Security benefits might be available to them. Here are answers to frequently asked questions.
Many people are confused about what Social Security benefits might be available to them. Here are answers to frequently asked questions. What is the difference between SSI and SSDI? SSDI or Social Security
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Tsang, M. H., Sze, K. H., & Fong, K. N. K. (2008). Occupational therapy treatment with right half-field eye-patching for patients with subacute stroke and unilateral neglect:
More informationNEUROPSYCHOLOGICAL ASSESSMENT
English 3 CANADIAN STUDY OF HEALTH AND AGING - 3 NEUROPSYCHOLOGICAL ASSESSMENT Interview date: / / DD MM YYYY Time started : (24 Hour clock) Page 2 completed by coordinator Pages 3 to 16 completed by psychometrist
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 informationCognitive Impairment and Magnetic Resonance Changes in Multiple Sclerosis. Background
Cognitive Impairment and Magnetic Resonance Changes in Multiple Sclerosis Victoria A Levasseur 1,2, Samantha Lancia 1, Gautam Adusumilli 1, Zach Goodman 1, Stuart D. Cook 3, Diego Cadavid 4, Robert T.
More informationDeep Brain Stimulation Support Group Newsletter March 2009
DBS Support Group, PO Box 9060, Dunedin, P: 03 4557260, E: paularyan@xtra.co.nz Deep Brain Stimulation Support Group Newsletter March 2009 Welcome to our very first DBS newsletter. It has been approximately
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Twamley, E. W., Jak, A. J., Delis, D. C., Bondi, M. W., & Lohr, J. B. (2014). Cognitive Symptom Management and Rehabilitation Therapy (CogSMART) for Veterans with traumatic
More informationOccupational therapy after stroke
Call the Stroke Helpline: 0303 3033 100 or email: info@stroke.org.uk Occupational therapy after stroke This guide explains how occupational therapy can help your recovery and rehabilitation after a stroke.
More informationTable 1: Summary of measures of cognitive fatigability operationalised in existing research.
Table 1: Summary of measures of cognitive fatigability operationalised in existing research. Candidate Mmeasures Studies Procedure Self-reported fatigue measure Key Findings The auditory As and auditory
More informationStroke Rehab Definitions Framework Self-Assessment Tool Acute Integrated Stroke Unit
rth & East GTA Stroke Network Stroke Rehab Definitions Framework Self-Assessment Tool Acute Integrated Stroke Unit Purpose of the Self-Assessment Tool: The GTA Rehab Network and the GTA regions of the
More informationPsychological & Neuropsychological Test
An Independent Licensee of the Blue Cross and Blue Shield Association Psychological & Neuropsychological Test BEACON HEALTH STRATEGIES, LLC ORIGINAL EFFECTIVE DATE HAWAII LEVEL OF CARE CRITERIA 2013 CURRENT
More informationSurgery saved my life. Rehab is restoring my future.
The Best Way Back Baylor Institute for Rehabilitation offers care for the most challenging and medically complex patients, including those with traumatic brain injury, traumatic spinal cord injury and
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Masiero, S., Boniolo, A., Wassermann, L., Machiedo, H., Volante, D., & Punzi, L. (2007). Effects of an educational-behavioral joint protection program on people with moderate
More informationNeuropsychological Changes After Surgical Treatment for Temporal Lobe Epilepsy
Epilepsia, 42(Suppl. 6):4 8, 2001 Blackwell Science, Inc. International League Against Epilepsy Symposium I Neuropsychological Changes After Surgical Treatment for Temporal Lobe Epilepsy *Manabu Wachi,
More informationCRITICALLY APPRAISED PAPER
CRITICALLY APPRAISED PAPER Kesler, S., Hadi Hosseini, S. M., Heckler, C., Janelsins, M., Palesh, O., Mustian, K., & Morrow, G. (2013). Cognitive training for improving executive function in chemotherapy-treated
More informationCURRICULUM VITAE Michelle M. Manasseri, M.A., M.S.
Page 1 of 6 CURRICULUM VITAE Michelle M. Manasseri, M.A., M.S. Updated November 12, 2007 BUSINESS: BUSINESS ADDRESS: Regency Executive Offices 2173 Embassy Drive, Suite 366 17603 BUSINESS TELEPHONE: (717)
More informationTime Frame Content (Topics) Objectives Faculty Teaching Methods. Identify objectives and methods
Time Frame Content (Topics) Objectives Faculty Teaching Methods State the timeframes for each session Sunday 7:00-8:30PM Sunday 8:30-10:00 PM Provide an outline of the content of each session/objective
More informationAn empirical analysis of the BASC Frontal Lobe/Executive Control scale with a clinical sample
Archives of Clinical Neuropsychology 21 (2006) 495 501 Abstract An empirical analysis of the BASC Frontal Lobe/Executive Control scale with a clinical sample Jeremy R. Sullivan a,, Cynthia A. Riccio b
More informationReview of the Effectiveness and Cost Effectiveness of Interventions, Strategies, Programmes and Policies to reduce the number of employees who take
Document 5 Review of the Effectiveness and Cost Effectiveness of Interventions, Strategies, Programmes and Policies to reduce the number of employees who take long-term sickness absence on a recurring
More informationPOSITION DESCRIPTION Grade 4 Physiotherapist Physiotherapy Department
POSITION DESCRIPTION Grade 4 Physiotherapist Physiotherapy Department Date revised: June 2015 POSITION: AWARD/AGREEMENT: Grade 4 Physiotherapists Health Professionals (Public Sector Victoria) CLASSIFICATION
More informationOhio. SAMPLE NCCI Edits*** Navigate to the Overall Coding Sheet
SAMPLE NCCI *** Encounter +90785 Use 90785 in conjunction with codes for diagnostic psychiatric evaluation [90791, 90792], psychotherapy [90832, 90834, 90837], psychotherapy when performed with an evaluation
More informationBehavioral Health Authorization Requirements*
100 All inclusive room and board MN 0 MN 0 101 All inclusive room and board MN Use MN Criteria for IP Medically-Supervised detox MN 0 104 Anesthesia, ECT MN 0 MN 0 114 Room and Board- private psychiatric
More informationSPINAL CORD INJURY Rehab Definitions Framework Self-Assessment Tool inpatient rehab Survey for Spinal Cord Injury (SCI)
SPINAL CORD INJURY Rehab s Framework Self-Assessment Tool inpatient rehab Survey for Spinal Cord Injury (SCI) INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered
More informationDemystifying the Neuropsychological Evaluation Report. Clinical Neuropsychologist 17 March 2017 Program Director, Neurobehavioral Program
Demystifying the Neuropsychological Evaluation Report Jennifer R. Cromer, PhD BIAC Annual Conference Clinical Neuropsychologist 17 March 2017 Program Director, Neurobehavioral Program 84% of neuropsychologists
More informationBedfordshire Mental Health Crisis Care
Bedfordshire Mental Health Crisis Care BCCG is asking patients and the public to think about the following questions when considering the crisis response in Bedfordshire:- What do you need when in crisis?
More informationCraig B. Liden, MD. The Being Well Center. 30 years & 10,000 patients. Acclaimed Author
Craig B. Liden, MD The Being Well Center International Speaker Board Certified Physician 30 years & 10,000 patients Acclaimed Author Dr. Craig B. Liden, MD The Being Well Center 4156 Kenneth Drive, Pittsburgh
More informationConcise Reference Cognitive Dysfunction in Schizophrenia Richard Keefe, Martin Lambert, Dieter Naber
Concise Reference Cognitive Dysfunction in Schizophrenia Richard Keefe, Martin Lambert, Dieter Naber Concise Reference Cognitive Dysfunction in Schizophrenia Extracted from Current Schizophrenia, Third
More informationTHE ROLE OF ACTIVITIES OF DAILY LIVING IN THE MCI SYNDROME
PERNECZKY 15/06/06 14:35 Page 1 THE ROLE OF ACTIVITIES OF DAILY LIVING IN THE MCI SYNDROME R. PERNECZKY, A. KURZ Department of Psychiatry and Psychotherapy, Technical University of Munich, Germany. Correspondence
More informationMental Health Disorders Civil Commitment UNC School of Government
Mental Health Disorders 2017 Civil Commitment UNC School of Government Edward Poa, MD, FAPA Chief of Inpatient Services, The Menninger Clinic Associate Professor, Baylor College of Medicine NC statutes
More information