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Child Neuropsychol ; 27(2): 251-279, 2021 02.
Article in English | MEDLINE | ID: covidwho-872841

ABSTRACT

This paper aims to provide pediatric neuropsychologists with suggested processes and procedures to continue to provide neuropsychology services during the COVID-19 global pandemic. Our practice is located within an academic medical center/children's hospital, and setting-specific recommendations may not extend to all practices, though our hope is that others find guidance from our approach to providing pediatric neuropsychology evaluations when physical distancing is required. With consideration of ethics, equity, and assessment validity, we provide suggestions for a) modifying practices around seeing patients during COVID-19, b) tele-health for the pediatric neuropsychologist, c) safety standards and requirements, and d) working with special populations (e.g., Autism Spectrum Disorder, bilingual populations, immunocompromised patients, and acute inpatient assessment).


Subject(s)
COVID-19 , Neuropsychology/organization & administration , Practice Guidelines as Topic , Telemedicine/methods , Adult , Child , Humans , Inpatients/psychology , Middle Aged , Neuropsychological Tests , Neuropsychology/methods , Pandemics , SARS-CoV-2
2.
Clin Neuropsychol ; 35(1): 99-114, 2021 01.
Article in English | MEDLINE | ID: covidwho-696466

ABSTRACT

Objective: Despite a movement toward tele-based clinical services in other healthcare domains, implementation of these services within neuropsychology, particularly with pediatric populations, is limited. With the onset of social distancing due to COVID-19, the field of pediatric neuropsychology is encouraged to consider the utility of non-traditional, tele-neuropsychological assessments. In order to accommodate ongoing service needs for medically and neurodevelopmentally complex children, a novel three-tiered telehealth service model of care was developed and implemented in a large pediatric outpatient neuro/psychological clinic within an academic medical center.Method: In this article, we provide case examples that illustrate the clinical implementation of this three-tiered telehealth service model of care for serving children during this uncertain time.Conclusion: The primary aim of this article is to provide examples outlining how clinical service decisions were made in the application of this three-tiered model for children with complex medical and neurodevelopmental histories. This article is intended to serve as a guide for other pediatric neuropsychology providers considering tele-neuropsychological services for complex pediatric patients during social distancing.


Subject(s)
COVID-19 , Cognitive Dysfunction/diagnosis , Delivery of Health Care/organization & administration , Models, Organizational , Neurodevelopmental Disorders/diagnosis , Neuropsychology/organization & administration , Telemedicine/organization & administration , Child , Female , Humans , Male
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