Systematic Review: A Prevention-Based Model of Neuropsychological Assessment for Children With Medical Illness

Many pediatric chronic illnesses have shown increased survival rates, leading to greater focus on cognitive and psychosocial issues. Neuropsychological services have traditionally been provided only after significant changes in the child's cognitive or adaptive functioning have occurred. This m...

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Bibliographic Details
Published in:Journal of pediatric psychology 2017-09, Vol.42 (8), p.815-822
Main Authors: Hardy, Kristina K, Olson, Katie, Cox, Stephany M, Kennedy, Tess, Walsh, Karin S
Format: Article
Language:English
Subjects:
Central Nervous System Diseases - diagnosis
Central Nervous System Diseases - etiology
Central Nervous System Diseases - psychology
Child
Chronic Disease
Clinical Decision-Making
Humans
Neuropsychological Tests
Public Health
Systematic Review with
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Summary:Many pediatric chronic illnesses have shown increased survival rates, leading to greater focus on cognitive and psychosocial issues. Neuropsychological services have traditionally been provided only after significant changes in the child's cognitive or adaptive functioning have occurred. This model of care is at odds with preventative health practice, including early identification and intervention of neuropsychological changes related to medical illness. We propose a tiered model of neuropsychological evaluation aiming to provide a preventative, risk-adapted level of assessment service to individuals with medical conditions impacting the central nervous system based on public health and clinical decision-making care models. Elements of the proposed model have been used successfully in various pediatric medical populations. We summarize these studies in association with the proposed evaluative tiers in our model. This model serves to inform interventions through the various levels of assessment, driven by evidence of need at the individual level in real time.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsx060