Screening and Assessment of Cognitive Impairment

Authored by: Ryan R. Landoll , Corinn A. Elmore , Andrea F. Weiss , Hannah R. Martinez

Handbook of Pediatric Psychological Screening and Assessment in Primary Care

Print publication date:  May  2018
Online publication date:  May  2018

Print ISBN: 9781138723139
eBook ISBN: 9781315193199
Adobe ISBN:


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Cognitive screening in primary care can be a valuable tool for determining whether further cognitive, psychoeducational, or neuropsychological testing is indicated. There are several self, parent, and teacher reports available to evaluate adaptive functioning, executive functioning, and other indicators of cognitive potential. This chapter reviews three examples of brief cognitive screeners appropriate for primary care: the School Years Screening Test for Evaluation of Mental Status-Revised, the Test of Nonverbal Intelligence, Fourth Edition (TONI-4), and the Wechsler Abbreviated Scale of Intelligence, Second Edition. Test development, norms, and scoring information are presented, along with administration and diagnostic considerations in a primary care environment. It is important to recognize that the primary care setting is not appropriate for comprehensive diagnosis of cognitive impairment or learning disability, but it can be a critical step in identifying when further testing is indicated. Case examples are presented to illustrate key considerations.

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