Professional Considerations for Improving the Neuropsychological Evaluation of Hispanics: A National Academy of Neuropsychology Education Paper

Judd, Tedd; Capetillo, Darla; Carrión-Baralt, José R.; Marmol, Leonardo M.; Miguel-Montes, Liza San; Navarrete, Marta; Puente, Antonio E.; Romero, Heather; Valdés, Juan Esteban Miño

doi:10.1093/arclin/acp016

Cited by 86 publications

(50 citation statements)

References 18 publications

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“…The issue of linguistic competence is particularly important for planning the evaluation. Although detailed discussion of linguistic competence is beyond the scope of the current chapter, useful guidance on determining one's own linguistic competence to examine nonEnglish or bilingual patients is available elsewhere [ 5,[76][77][78] . To further inform this decision, the neuropsychologist may also consider explicitly asking about a patient's linguistic preference.…”

Section: Considerations For Neuropsychological Evaluation With Ethnicmentioning

confidence: 99%

“…If such a referral is not feasible (due to geographic location or other barriers), then the neuropsychologist should consider how best to evaluate the patient, through use of a well-trained interpreter (which is less than ideal, but sometimes necessary) or in consultation with a neuropsychologist who does have the necessary cultural competence to ethically provide supervision. More thorough discussion of ethical obligations and competency issues related to neuropsychological evaluation with ethnic minority individuals is provided elsewhere and the interested reader is encouraged to review the available literature [ 13,70,71,[78][79][80][81] .…”

Section: Considerations For Neuropsychological Evaluation With Ethnicmentioning

confidence: 99%

“…As described in a recent position paper from the National Academy of Neuropsychology [ 78 ] , the following measures can be used to assess acculturation: Acculturation Rating Scale for Mexican Americans-II [ 119 ] , the Bidimensional Acculturation Scale for Hispanics [ 120 ] , and Short Acculturation Scale for Hispanics [ 121 ] . The abbreviated multidimensional acculturation scale (AMAS) is also a well-validated tool, which assesses both Latino and US American identity and acculturation [ 122 ] .…”

Section: Culture and Acculturationmentioning

confidence: 99%

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Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations

Mindt

Arentoft

Coulehan

et al. 2012

Handbook on the Neuropsychology of Aging and Dementia

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The US population is rapidly becoming both older and more culturally diverse [ 1 ] . These changes in the demographic profi le of the US highlight the need for clinical neuropsychologists to be equipped to competently evaluate the growing population of older individuals from culturally diverse backgrounds. However, there is a relative dearth of empirically based, practical resources specifi cally targeted toward serving such individuals. The aim of this chapter is to identify some of the most salient challenges in the evaluation of culturally diverse ethnic minority older adults and provide some guidelines to help face these challenges. We will examine sociocultural issues germane to older ethnic minority patients referred for neuropsychological evaluation and discuss relevant assessment considerations. Although the focus of this chapter is on ethnic minority older adults, this discussion may also be germane to other nontraditional, older populations including those from rural and low socioeconomic backgrounds.

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Section: Considerations For Neuropsychological Evaluation With Ethnicmentioning

confidence: 99%

Section: Considerations For Neuropsychological Evaluation With Ethnicmentioning

confidence: 99%

Section: Culture and Acculturationmentioning

confidence: 99%

See 1 more Smart Citation

Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations

Mindt

Arentoft

Coulehan

et al. 2012

Handbook on the Neuropsychology of Aging and Dementia

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“…More specifically, there is a lack of information regarding who professionals working in the field of neuropsychology are and exactly what type of activities they conduct in Latin American countries. Concerns about the practice of neuropsychology with Hispanics in the United States has been raised and documented (e.g., Judd et al, 2009;Llorente, 2007;Pontón & Ardila, 1999;Puente & Ardila, 2000), and this issue is frequently discussed and analyzed by the Hispanic Neuropsychological Society (http://hnps.org). However, a minimal amount is documented regarding professionals in the field of neuropsychology in Latin America.…”

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confidence: 99%

Profession of neuropsychology in Latin America

Arango-Lasprilla

Stevens

Paredes

et al. 2016

Applied Neuropsychology: Adult

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The purpose of this study was to analyze characteristics of individuals working in the profession of neuropsychology in Latin America in order to understand their background, professional training, current work situation, assessment and diagnostic procedures used, rehabilitation techniques employed, population targeted, teaching responsibilities, and research activities. A total of 808 professionals working in neuropsychology from 17 countries in Latin America completed an online survey between July 2013 and January 2014. The majority of participants were female and the mean age was 36.76 years (range 21-74 years). The majority of professionals working in neuropsychology in Latin America have a background in psychology, with some additional specialized training and supervised clinical practice. Over half work in private practice, universities, or private clinics and are quite satisfied with their work. Those who identify themselves as clinicians primarily work with individuals with learning problems, ADHD, mental retardation, TBI, dementia, and stroke. The majority respondents cite the top barrier in the use of neuropsychological instruments to be the lack of normative data for their countries. The top perceived barriers to the field include: lack of academic training programs, lack of clinical training opportunities, lack of willingness to collaborate between professionals, and lack of access to neuropsychological instruments. There is a need in Latin America to increase regulation, improve graduate curriculums, enhance existing clinical training, develop professional certification programs, validate existing neuropsychological tests, and create new, culturally-relevant instruments.

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“…However, it is important to ensure that these tests perform well across culturally and ethnically diverse populations, including athletes who speak English as a second language. 46 Further work is needed to ensure that neuropsychological testing is valid and generalizable to all athletes.…”

mentioning

confidence: 99%

Legal and ethical implications in the evaluation and management of sports-related concussion

Kirschen¹,

Tsou²,

Nelson³

et al. 2014

Neurology

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Objective: To examine the ethical and legal issues physicians face when evaluating and managing athletes with sports-related concussions, and to offer guidance to physicians as they navigate these situations.Results: This position paper reviews and compares the components of sports-related concussion laws, including education, removal from play, and clearance for return to play. It highlights the challenges privacy laws present relevant to providing care to concussed athletes and suggests ways to help physicians overcome these obstacles. The report also explores the ethical considerations physicians should bear in mind as they evaluate and manage concussed athletes, addressing them through a framework that includes considerations of professionalism, informed decision-making, patient autonomy, beneficence, nonmaleficence, conflicts of interest, and distributive justice.Conclusions: Physicians caring for concussed athletes have an ethical obligation to ensure that their primary responsibility is to safeguard the current and future physical and mental health of their patients. Physicians have a duty to provide athletes and their parents with information about concussion risk factors, symptoms, and the risks for postconcussion neurologic impairments. Physicians should facilitate informed and shared decision-making among athletes, parents, and medical teams while protecting athletes from potential harm. Additionally, including concussion evaluation and management training in neurology residency programs, as well as developing a national concussion registry, will benefit patients by the development of policies and clinical guidelines that optimize prevention and treatment of concussive head injury. Over the past few years, sports-related concussion has become a major health concern in the United States. The Centers for Disease Control and Prevention (CDC) estimates that 1.6-3.8 million sports-related concussions occur each year.1 Although a majority of these injuries occur while playing football, concussions are also common in other contact sports, like soccer, lacrosse, hockey, rugby, and basketball. [2][3][4][5] Concussions can have devastating effects, such as shortterm impairments in athletes' cognitive and athletic performance. Repetitive concussions, and even subconcussive impacts, have been associated with long-term impairments in neurocognitive functioning, behavioral problems, premature dementia, and chronic traumatic encephalopathy. 5-12Evaluating and managing sports-related concussion raises a variety of distinctive ethical and legal issues for physicians, especially relating to return-to-play decisions. A recent survey conducted by the American Academy of Neurology (AAN) demonstrated that while a majority of neurologists see patients with sportsrelated neurologic concerns, most do not receive formal or informal training regarding concussion. 13 The purpose of this position paper is to explore the ethical and legal issues physicians face when evaluating and managing athletes with sports-related conc...

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Professional Considerations for Improving the Neuropsychological Evaluation of Hispanics: A National Academy of Neuropsychology Education Paper

Cited by 86 publications

References 18 publications

Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations

Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations

Profession of neuropsychology in Latin America

Legal and ethical implications in the evaluation and management of sports-related concussion

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