Adolescents/Adults (ages 16 to 89) 30 minutes

1. RivermeadBehavioural Memory Test-third edition (RBMT-3)wilson, greenfield, clare, et al, 2008 • Adolescents/Adults (ages 16 to 89) • 30 minutes

2. RBMT-3

3. RBMT-3 • First & Second Names – Delayed Recall • Belongings – Delayed Recall • Appointments – Delayed Recall • Picture Recognition – Delayed Recognition • Story – Immediate & Delayed Recall • Face Recognition – Delayed Recognition • Route – Immediate & Delayed Recall • Messages – Immediate & Delayed Recall • Orientation & date • Novel Task – Immediate & Delayed Recall **

4. Rbmt-3 novel task • Add video

5. RBMT-3 • Normed on uninjured population • In RBMT-3 – 2 versions • Scoring: you have the option of a screening score or a full test score • Score correlates with severity ratings of severely impaired, moderately impaired, mildly impaired or average memory 2012 MSHA Conference

6. Mini Inventory of Right Brain Injury-second edition (MIRBI-2)Pimental & Kingsbury, 2000 • 20 – 80 years • 30 minutes

7. MIRBI-2

8. MIRBI-2 Sensitive to common right BI deficits Assesses the following: • Attention • ability to explain incongruities • Absurdities • figurative language • Similarities • affective language • emotions and affect processing • understanding humor, praxis, and expressive ability

9. MIRBI Add info on scoring

10. MIRBI • Scoring: Total MIRBI point score that correlates to severity level: -Profound -Severe -Moderate-Severe -Moderate -Mild-Moderate -Mild -Normal

11. Test of memory and learning – second edition (TOMAL-2)Reynolds & Voress, 2007 • 5 to 59 years • 30 - 60 minutes

12. Tomal-2 2012 MSHA Conference

13. Tomal-2 • Memory for Stories (MFS) • Facial Memory (FM) • Word Selective Reminding (WSR) • Visual Selective Reminding (VSR) • Object Recall (OR) • Abstract Visual Memory (AVM) • Digits Forward (DF) • Visual Sequential Memory (VSM)

14. Tomal-2 facial memory subtest • Insert video

15. Tomal-2 • Paired Recall (PR) • Memory for Location (MFL) • Manual Imitation (MI) • Letters Forward (LF) • Digits Backward (DB) • Letters Backward (LB) • 2 verbal delayed recall tasks

16. Tomal Core Indexes • Verbal Memory Index • Nonverbal Memory Index • Composite Memory Index.   • Supplementary Indexes • Verbal Delayed Recall Index

17. Tomal Learning Index • Attention and Concentration Index • Sequential Memory Index • Free Recall Index • Associative Recall Index Scaled scores, standard scores, %iles

18. dynavision

19. abcd • ADD INFO

20. Summary of Evaluation for Moderate Cognitive Impairment • For individuals at moderate impairment level, often have strength and deficit areas – identify them • Patients at this level may have many deficit areas – assess to determine what is priority for treatment • Use specific subtests versus tests in their entirety

21. Mild Severity/High Functioning Cognition

22. Mild Severity/High Functioning Cognition • Add video

23. Mildly Impaired Cognition • “Although post-mTBI symptoms quickly and completely resolve in the vast majority of cases, a significant number of patients will complain of lasting problems that may cause significant disability.” Blyth, B. & Bazarian, J. 2010

24. Mild Severity/High Functioning Cognition • Rancho Levels 8, 9, 10 • FIM/FAM cognitive scores of high 5, 6 • ASHA NOMS cognitive scores of high 5, 6

25. Mildly Impaired Cognition • A person at this level “looks fine” and can have a conversation with someone without them realizing anything is wrong • The cognition of many persons at this level are determined to be “fine” by inexperienced clinicians • These persons will have difficulty with independent living and/or vocational skills. • Awareness of deficits is usually good

26. Mildly Impaired Cognition Deficits lie in: -mild difficulty recognizing subtle social cues -high level attention -multi-step reasoning -complex thought organization -complex executive function -reduced processing speed

27. Evaluation of Mildly Impaired Cognition • TEA • RANDT MEMORY TEST • BADS • FAVRES • DKEFS • Wcst • EFRT

28. Test of Everyday Attention (TEA)Robertson, I. et al, 1994 • 18 to 80 years • 45 – 60 minutes

29. TEA 2012 MSHA Conference

30. TEA Has 8 subtests: • Map Search (visual scanning/attention) • Elevator Counting (simple sustained auditory attn) • Elevator Counting with Distraction (auditory attn with distraction) • Visual Elevator (visual alternating attention) • Elevator Counting with Reversal (alternating auditory attention)

31. TEA • Telephone Search (visual scanning) • Telephone Search While Counting (dual attention) • Lottery (auditory attention endurance) • With the exception of the final subtest, all other subtests assess processing speed and some assess accuracy and processing speed

32. TEA – Elevator Counting with Distraction • Insert video clip

33. TEA – Elevator Counting with Reversal • Insert video clip

34. TEA – Visual Elevator • Insert video clip

35. TEA • Normed on healthy population • Scoring with scaled scores; can determine standard deviation AND Z-SCORES

36. Randt Memory TestRANDT, C.T. & BROWN, E.R., 1983 • ages 20 to 90 • 45 minutes

37. Randt Memory Test 2012 MSHA Conference

38. Randt Memory Test Subtests: • General Information • Five Items* • Paired Words* • Short Story* • Picture Recall* • Incidental Learning *Have 24 hour recall trials

39. Randt Memory Test • Has 5 versions – good for pre-/post- treatment • Normed on healthy population; norms are in 10-year increments • Obtain scaled scores per subtest and standard scores for: • Acquisition and Recall • Delayed Recall • Total Memory Score

40. Behavioural Assessment of the Dysexecutive Syndrome (BADS)Wilson, B., Alderman, N., Burgess, P., Emslie, H. & Evans, J. • 16 to 87 years • 40 minutes

41. BADS