Providence VA Medical Center, Rhode Island
The Neuropsychology Service provides consultation to other providers throughout the medical center to assist with diagnosis and treatment of veterans with cognitive problems that significantly interfere with their daily activities. The term “cognitive” refers to high level thinking skills such as memory, language, problem solving, and attention. Primary conditions assessed by our department include dementia, TBI, stroke related impairments, and cognitive difficulties secondary to psychiatric disorder. Neuropsychological assessment appointments typically involve a diagnostic interview and several hours of cognitive tests. The results of the clinical interview and cognitive tests are used to develop a report that includes diagnostic impressions and treatment recommendations. Consistent with its role as a consultation service, the Neuropsychology Service does not generally provide ongoing care to veterans. Rather, based on assessment results, we provide diagnostic clarification and treatment recommendations to assist veterans and their providers in treatment planning and maximizing cognition and everyday functioning. The service does, however, offer a drop-in cognitive rehabilitation group where veterans can obtain strategies to help minimize everyday lapses in cognition. Access to the Neuropsychology Service, including both assessment and cognitive rehabilitation activities, is only by referral from another provider.