An Introduction to Clinical Neuropsychology New Hanover Regional Medical Center March 6, 2003 Antonio E. Puente Department of Psychology, UNCW Private.

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Presentation transcript:

An Introduction to Clinical Neuropsychology New Hanover Regional Medical Center March 6, 2003 Antonio E. Puente Department of Psychology, UNCW Private Practice, Wilmington

Outline of Presentation Defining Clinical Neuropsychology Neuropsychological Assessment Neuropsychological Intervention Sample Cases & Resources

Type of Doctoral Degree (All Doctoral Licensed Clinicians) Percent

Field of Doctoral Degree (All Doctoral Licensed Clinicians) Percent

Work Setting (All Doctoral Licensed Clinicians) Percent

Board Certification Status (Doctoral Licensed Clinicians) Percent

Weekly Professional Activities by Organization (All Doctoral Licensed Clinicians, exc. Part time) Percent

Weekly Professional Activities by Organization (% for All Doctoral Licensed Clinicians, exc. Part time) Percent

Hours Per Week Per Clinical Activity (Full-time and Full-time plus Doctoral Licensed Clinicians)

Evaluation Time by Evaluation Goal (Hrs. for All Doctoral Licensed Clinicians; 5 th & 95 th %ile in parens.) (Except forensic, those using assistants test more hours (e.g., for determination of diagnosis, 6.6 hrs vs. 5.8 hrs, p=.017.) However, hours billed are similar.

Time-Related Case Activities (All Doctoral Licensed Clinicians) Hours billed: Private=11.1 (SD=5.0); Institution=8.2 (SD=3.3) * Only scoring is not significant between groups; covarying amount of forensic practice did not eradicate group differences Minutes

The Purpose of a Neuropsychological Evaluation Origin to Disposition Educational Forensic Competency Social Security Workers Compensation Personal Injury Capital Felony Clinical Surgical Interventions Treatment Decisions Psychopharmaceutical Psychotherapeutic Cognitive Rehabilitation Pain Management Physical Intervention Medical Compliance

Components of a Neuropsychological Evaluation Record Review Interview (including collateral) Neuropsychological Testing Summary and Disposition

Sample Neuropsychological Tests Attention (Cancellation tests) Visuomotor (Trail making) Fluency (FAS) Communication (Boston) Problem Solving (Category) Learning & Memory (WMS) Intellectual (WAIS) Academic Achievement (WRAT) Personality & Affective (MMPI Tests of Effort (Rey) (see Camara, Nathan, & Puente, 2000, Professional Psychology, for a complete list of neuropsychological and psychological tests currently in use)

Components of a Neuropsychological Intervention Psychotherapy Cognitive Rehabilitation Biofeedback Vocational Intervention Health Behavior Management

Sample Neuropsychological Interventions Psychotherapy Individual vs Family/Group Problem-Focused Time-Limited Cognitive Rehabilitation Problem-Solving Learning & Memory Biofeedback EMG

Sample Forensic Cases Competency Social Security Workers Compensation Personal Injury Capital Felony

Sample Clinical Cases Pain Head Injury Dementia Coronary Bypass Stroke Degenerative Disorders

Resources web