2. WhyUseStandardizedAssessments?
PROS:
-More tailored to the individual
(diagnosis and level of impairment)
-Standardized normative sample
-Easy to track change/improvement
-Being standardized
CONS:
-Take more time to administer
-More materials required
-May not be appropriate for all
patient profiles
-Being unfamiliar with
administering assessment
3. ScalesofCognitiveAbilityforTraumaticBrainInjury
(HigherFunctioningComposite)
Cognitive Assessment: perception, discrimination, organization (lower functioning
composite), recall of information, and problem solving skills (higher functioning
composite)
Higher Functioning Composite: Combination of “Recall” and “Reasoning” subtests
Ideal Patient: High Level Cognitive Patient
Standardization Sample: The standardization sample consisted primarily of patients with
closed-head injuries
WHAT YOU NEED TO ADMINISTER:
4. ClientProfileForSCATBI(HigherFunctioningComposite)
CASE EXAMPLE:
53 yo F w/Closed Head Injury
Onset: 12/4/15
d/c from rehab: 1/19/16
D/C summary from Rehab: Recommended
addressing higher level attention,
problem-solving, executive function
and pragmatics.
Higher Functioning Composite
completed in: 45 minutes
Based on results of assessment,
higher level memory, attention and
problem solving goals were selected.
5. WesternAphasiaBattery-Revised BedsideScreener
Ideal Patient: Adult with Left CVA
Will yield a Bedside Aphasia Score & Bedside Language Score
Scores can be converted into an Aphasia Classification based on Criterion
Scores for individual items: Spontaneous Speech: Content & Fluency, Auditory
Verbal Comprehension, Sequential Commands, Repetition, Object Naming, Reading,
Writing
WHAT YOU NEED TO ADMINISTER: Picture (for picture description), magazine or
reading passage, paper, pencil, 20 items in room, coin, paper, & pen
6. WAB-RBedside
CASE EXAMPLE:
65 yo F w/Basal Ganglia CVA
Onset Date: 3/15/16
Ax Date in Inpatient Rehab: 4/3/16
WAB Bedside Administered in
approximately 15 minutes.
Pt identified w/Anomic Aphasia
Goals selected included word finding
goals secondary to WAB-R assessment
findings.
7. BriefTestofHEadInjury(BTHI)
Areas Assessed: Orientation, Following Commands, Linguistic
Organization, Reading Comprehension, Naming, Memory, Visual-
Spatial Skills
Strengths: quick to administer, sensitive to small changes,
ideal to be used after a coma, good for identifying
treatment objectives
WHAT YOU NEED TO ADMINISTER: BTHI Record Form, BTHI Stimulus
items, pen, 3 pennies, 1 nickel, 2 dimes, 1 quarter
(included in binder in OP)
9. Cognitive-LInguisticQuickTest(CLQT)
quickly assess strengths and weaknesses in five cognitive
domains (Attention, Memory, Executive Functions, Language,
and Visuospatial Skills).
Scoring: Criterion Referenced
-5/10 test items have minimal language demands
-Very useful “Clinicians Notes” located on scoring forms
WHAT YOU NEED TO ADMINISTER: CLQT Record Form, CLQT Patient
Record book, CLQT Stimulus Items
10. SamplePatientfor
CLQT
49 yo F w/RCVA
Onset Date:7/2/15
D/C from inpatient Rehab:12/3/15
Rehab Goals: Orientation, Attention,
Problem Solving
Assessment completed in 60 minutes
(including pt interview)
11. AssessmentofLanguageRelatedFunctionalActivities
(ALFA)
WHAT IT TESTS: Functional Daily Activities: Subtests include: telling time, counting money,
addressing mail, solving daily math problems, writing checks, understanding medicine
labels, using a calculator for reading instructions, using a telephone, writing a message
WHO IS IT APPROPRIATE FOR: The ALFA’s subtests require use of all language modalities:
auditory comprehension, verbal expression, reading and writing, as well as cognitive and
motor skills. Also, the test allows you to observe multiple cognitive processes, which can
sometimes eliminate the need to administer specialized tests for the assessment of certain
areas.
WHAT YOU NEED TO ADMINISTER: ALFA stimulus book, ALFA Record Form, ALFA Stimulus Items
(inside box with ax)
12. ALFA
Can be given as a supplement to
shorter assessments (like the WAB-R)
Useful for assessment of medication
management and other functional
targets (ex:daily math, managing
finances, telling time)
Sample Item:
Writing a Check
