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  • Print publication year: 2007
  • Online publication date: August 2009

3 - Empirical bases for assessment and intervention

Summary

Complex neurocognitive disorders are challenging to diagnose and treat, particularly when they occur in the developmental context of childhood. Pediatric neuropsychologists have a wealth of background knowledge and expertise that contribute toward a better understanding of a child who has a neurocognitive disorder. Pediatric neuropsychological assessment is important for accurate diagnosis, effective treatment planning, and conflict resolution among parents, teachers, and others who work with the child.

At the most basic level, an intervention is an action that leads to change. In the context of pediatric neuropsychology, the primary goal of an intervention is to effect a change in the child. This can be accomplished through direct intervention with the child, or by altering the child's environment in some manner. At times, interventions require changing those who work with the child, including caregivers (parents, guardians, family members), childcare providers (after-school, nannies), teachers (general education and special education), therapists (mental health, speech-language, physical, occupational), and medical professionals.

A pediatric neuropsychological assessment can guide intervention by establishing the need for services or funding, providing general and specific treatment recommendations, assessing change in the child, and informing treatment decisions made by other professionals. In some ways, the assessment is a form of intervention, as the neuropsychologist may reframe perceptions, adjust expectations, motivate interveners, and address caregiver emotions. The assessment can also be conceptualized as an intervention, in that it may prevent development of secondary disorders.

In clinical practice, we assume that the pediatric neuropsychological assessment is important for intervention.

REFERENCES
American Medical Association, . (2005). 2005 CPT: Current Procedural Terminology. Chicago: AMA Press.
Brenner, E. (2003). Consumer-focused psychological assessment. Professional Psychology: Research and Practice, 34, 240–7.
Castellanos, F. X., Sonuga-Barke, E. J. S., Scheres, A.et al. (2005). Varieties of attention-deficit/hyperactivity disorder-related intra-individual variability. Biological Psychiatry, 57, 1416–23.
Charman, T. (2003). Why is joint attention a pivotal skill in autism?Philosophical Transactions: Biological Sciences, 358, 315–24.
Eisman, E. J., Dies, R. R., Finn, S. E.et al. (2000). Problems and limitations in using psychological assessment in the contemporary health care delivery system. Professional Psychology: Research and Practice, 31, 131–40.
Fernández-Ballesteros, R., Bruyn, E. E. J., Godoy, A.et al. (2001). Guidelines for the assessment process (GAP): A proposal for discussion. European Journal of Psychological Assessment, 17, 187–200.
Finn, S. E. & Tonsager, M. E. (1997). Information-gathering and therapeutic models of assessment: Complementary paradigms. Psychological Assessment, 9, 374–85.
Fletcher, J. M., Francis, D. J., Morris, R. D.et al. (2005). Evidence-based assessment of learning disabilities in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 506–22.
Fouladi, M., Chintagumpala, M., Laningham, F. H.et al. (2004). White matter lesions detected by magnetic resonance imaging after radiotherapy and high-dose chemotherapy in children with medulloblastoma or primitive neuroectodermal tumor. Journal of Clinical Oncology, 22, 4551–60.
Fulmer, R. H., Cohen, S. & Monaco, G. (1985). Using psychological assessment in structural family therapy. Journal of Learning Disabilities, 18, 145–50.
Geller, D. A., Biederman, J., Faraone, S. V.et al. (2002). Attention-deficit/hyperactivity disorder in children and adolescents with obsessive-compulsive disorder: Fact or artifact?Journal of the American Academy of Child and Adolescent Psychiatry, 41, 52–8.
Gillott, A., Furniss, F. & Walter, A. (2001). Anxiety in high-functioning children with autism. Autism, 5, 277–86.
Hale, J. B., Fiorello, C. A. & Brown, L. L. (2005). Determining medication treatment effects using teacher ratings and classroom observations of children with ADHD: Does neuropsychological impairment matter?Educational and Child Psychology, 22, 39–61.
Hayes, S. C., Nelson, R. O. & Jarrett, R. B. (1987). The treatment utility of assessment: A functional approach to evaluating assessment quality. American Psychologist, 42, 963–73.
Hannay, H. J., Bieliauskas, L. A., Crosson, B. A.et al. (1998). Proceedings: The Houston Conference on Specialty Education and Training in Clinical Neuropsychology. Archives of Clinical Neuropsychology, 13, 157–250.
Hunsley, J. & Meyer, G. J. (2003). The incremental validity of psychological testing and assessment: Conceptual, methodological, and statistical issues. Psychological Assessment, 15, 446–55.
Johnston, C. & Murray, C. (2003). Incremental validity in the psychological assessment of children and adolescents. Psychological Assessment, 15, 496–507.
Kazdin, A. E. (2005). Evidence-based assessment for children and adolescents: Issues in measurement development and clinical application. Journal of Clinical Child and Adolescent Psychology, 34, 548–58.
Klein, D. N., Dougherty, L. R. & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–32.
Kubiszyn, T. W., Meyer, G. J., Finn, S. E.et al. (2000). Empirical support for psychological assessment in clinical health care settings. Professional Psychology: Research and Practice, 31, 119–30.
Lawrence, V., Houghton, S., Douglas, G.et al. (2004). Executive function and ADHD: A comparison of children's performance during neuropsychological testing and real-world activities. Journal of Attention Disorders, 7, 137–49.
Lee, G. P., Park, Y. D., Westerveld, M.et al. (2003). Wada memory performance predicts seizure outcome after epilepsy surgery in children. Epilepsia, 44, 936–43.
Martin, F. S. & Estevez, M. A. Q. (2005). Prevention of traffic accidents: The assessment of perceptual-motor alterations before obtaining a driving license. A longitudinal study of the first years of driving. Brain Injury, 19, 189–96.
Mash, E. J. & Hunsley, J. (2005). Evidence-based assessment of child and adolescent disorders: Issues and challenges. Journal of Clinical Child and Adolescent Psychology, 34, 362–79.
McMahon, R. J. & Frick, P. J. (2005). Evidence-based assessment of conduct problems in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 477–505.
Meyer, G. J., Finn, S. E., Eyde, L. D.et al. (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist, 56, 128–65.
Miller, L. J. & Donders, J. (2003). Prediction of educational outcome after pediatric traumatic brain injury. Rehabilitation Psychology, 48, 237–41.
Nelson-Gray, R. O. (2003). Treatment utility of psychological assessment. Psychological Assessment, 15, 521–31.
Ozonoff, S., Goodlin-Jones, B. L. & Solomon, M. (2005). Evidence-based assessment of autism spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 523–40.
Pelham, W. E. Jr., Fabiano, G. A. & Massetti, G. M. (2005). Evidence-based assessment of Attention-Deficit/Hyperactivity Disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–76.
Pearson, D. A., McGrath, N. M., Nozyce, M.et al. (2000). Predicting HIV disease progression in children using measures of neuropsychological and neurological functioning. Pediatrics, 106, 76–86. Retrieved November 23, 2005, from: http://pediatrics.aappublications.org/cgi/content/full/106/6/e76
President's New Freedom Commission on Mental Health. (2003). Achieving the Promise: Transforming Mental Health Care in America. Retrieved November 15, 2005, from: http://www.mentalhealthcommission.gov/reports/FinalReport/downloads/FinalReport.pdf
Reznick, J. S. & Schwartz, B. B. (2001). When is an assessment an intervention? Parent perception of infant intentionality and language. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 11–17.
Riva, D., Bova, S. M. & Bruzzone, M. G. (2000). Neuropsychological testing may predict early progression of asymptomatic adrenoleukodystrophy. Neurology, 54, 1651–6.
Silverman, W. K. & Ollendick, T. H. (2005). Evidence-based assessment of anxiety and its disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 380–411.
Social Security Administration. (2005). Disability Evaluation Under Social Security (Blue Book): Listing of Impairments — Childhood Listings (Part B). SSA Publication Number 64–039. http://www.ssa.gov/disability/professionals/bluebook/ChildhoodListings.htm
Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. (1996). Assessment: Neuropsychological testing of adults. Considerations for neurologists. Neurology, 47, 592–9.
Wilens, T.E., Faraone, S.V., Biederman, J.et al. (2003). Does stimulant therapy of attention-deficit/hyperactivity disorder beget later substance abuse? A meta-analytic review of the literature. Pediatrics, 111, 179–85.
Yates, B. T. & Taub, J. (2003). Assessing the costs, benefits, cost-effectiveness, and cost–benefit of psychological assessment: We should, we can, and here's how. Psychological Assessment, 15, 478–95.
Youngstrom, E. A., Findling, R. L., Youngstrom, J. K.et al. (2005). Toward an evidence-based assessment of pediatric bipolar disorder. Journal of Clinical Child and Adolescent Psychology, 34, 433–48.