Neuropsychologists are being increasingly called upon to demonstrate the value of their services. This edited book introduces clinical neuropsychologists to the concepts and challenges involved in conducting cost outcome research. It provides examples of how such research can be conducted within clinical neuropsychology and therefore is a "beginning" step in what must become an interdisciplinary effort. The text suggests that more than cost effectiveness studies should be considered when demonstrating the clinical utility of neuropsychological services. The concept of "objective" and "subjective" markers of value is emphasized, particularly as it relates to measuring the impact of a neuropsychological examination. Chapters review the economic burdens associated with different neurological conditions commonly seen by neuropsychologists. They also provide examples of how clinical neuropsychological services to different patient populations may reduce "costs" and increase "benefits" and suggest directions for beginning cost outcome research. Furthermore, the book summarizes the utility of various neuropsychological services that may be helpful to readers concerned with healthcare economies. The book is intended as a resource for clinical neuropsychologists who wish to explain to healthcare providers the value of their work. It is the first book of the National Academy of Neuropsychology book series entitled: Neuropsychology: Scientific Bases and Clinical Application.
Table of Contents
G.P. Prigatano, Healthcare Economics and Neuropsychology. G.P. Prigatano, L.Y. Zigler, L.D. Rosenstein, The Clinical Neuropsychological Examination: Scope, Cost, and Healthcare Value. M. Sherer, T.A. Novack, Neuropsychological Assessment After Traumatic Brain Injury in Adults. R.M. Ruff, P.M. Richards, Neuropsychological Assessment and Management of Patients with Persistent Postconcussional Disorders. P.S. Complair, R.W. Butler, M.D. Lezak, Providing Psychological Services to Families of Brain Injured Adults and Children in the Present Healthcare Environment. N.H. Pliskin, L.A. Sworowski, Neuropsychological Assessments of Patients with Cerebral Vascular Accidents. J. DeLuca, M.T. Schultheis, Neuropsychological Assessment of Patients who have Undergone Surgical Repair of Anterior Communicating Artery Aneurysms. C.A. Meyers, S.B. Cantor, Neuropsychological Assessment and Treatment of Patients with Malignant Brain Tumors. K.A. Welsh-Bohmer, D.C. Koltai, D.J. Mason, The Clinical Utility of Neuropsychological Evaluation of Patients with Known or Suspected Dementia. D.C. Koltai, D.J. Mason, K.A. Welsh-Bohmer, Neuropsychological Consultation and Training of Family Members of Patients with Dementia. C.B. Dodrill, Neuropsychological Evaluation of Patients with Epilepsy. R. Martin, B. Bell, B. Hermann, S. Mennemeyer, Non-Epileptic Seizures and their Costs: The Role of Neuropsychology. L.A. Humphrey, P. Satz, The Use of Neuropsychological Evaluation in Clarifying the Educational Needs of Children with Learning Disabilities. L. Diller, Y. Ben-Yishay, The Clinical Utility and Cost Effectiveness of Comprehensive (Holistic) Brain Injury Day Treatment Programs. M. Pepping, G.P. Prigatano, Psychotherapy After Brain Injury: Costs and Benefits. B.A. Wilson, J. Evans, Does Cognitive Rehabilitation Work? Clinical and Economic Considerations and Outcome. R.J. Echemendia, M. Lovell, J. Barth, Neuropsychological Assessment of Sports-Related Traumatic Brain Injury. L.L. Thompson, Neuropsychological Assessments of Physicians Whose Competence to Practice Medicine is Questioned. R. Heilbronner, N.H. Pliskin, Clinical Neuropsychology in the Forensic Arena. W.D. Gouvier, P. Lees-Haley, J. Hayes Hammer, The Neuropsychological Examination in the Detection of Malingering in the Forensic Arena: Cost and Benefits. T.M. Kashner, C.M. Cullum, R.I. Naugle, Measuring the Economics of Neuropsychology. G.P. Prigatano, N.H. Pliskin, Postscript: Reflections and Future Directions.
George R PrigatanoNeil H Pliskin,
"It is uncontestable that this book is without peer. The economic content breaks new ground and in doing so appropriately raises expectations that our clinical services can be shown to produce demonstrable positive cost outcomes. This publication could not be more timely." -- Jerry Sweet, PhD. ABPP, Evanston Northwestern Healthcare and Northwestern University Medical School
"George Prigatano has a knack for focusing on critical professional issues before others recognize their importance. In Clinical Neuropsychology and Cost Outcome Research, Dr. Prigatano has again demonstrated his ability to provide insight into topics changing psychology. By examining the value of neuropsychology, Prigatano and colleagues squarely address the most important challenging issue for the profession. The text provides psychologists with the information needed to join the dialogue on reimbursement as knowledgeable participants and will launch a plethora of other reviews on the value of psychology services. Prigatano's informative volume will set the standard by which others are measured." -- Robert G. Frank, PhD, University of Florida