Training

The NCI offers training programs that train staff how to manage the behavioral symptoms of patients with neurological and psychiatric disorders. The training is conducted on-site at the HealthCare’s own facility by clinical psychologists or neuropsychologists. Our programs offer training to clinicians on the front-lines such as nurses, rehab and nurses’ aides, physical, occupational and speech therapists, as well as, programs that train the healthcare facility trainers. All our training is conducted via videotape with the facilities’ own patients and staff. Staff learn how to differentiate acute from chronic conditions such as Delirium from chronic cognitive impairment. Also, they learn how to conduct a quick behavioral analysis to identify the ABCs of the problem. They will learn how to then implement behavioral interventions such as manipulation of triggers, ADL desensitization, extinction, flooding, etc.

We have training courses for various types of healthcare facilities from acute through long-term care. We offer a 4, 8 or a 10-week training program.

Training programs vary slightly depending on the type of facility. For example, the training goal at hospitals and general medical centers typically focuses on enhancing nonpharmacological management strategies of the agitated and confused patient to achieve the goal of reducing the reliance on physical and chemical restraints. For example:

**Case Study A female geriatric patient was admitted to the hospital with acute mental status change. While she was undergoing her evaluation in the hospital, she had periods of acute agitation. A neurobehavioral analysis determined that her agitation was most pronounced subsequent to redirection by staff. Staff was trained on ways to manipulate the antecedent of redirection and the agitation markedly decreased.

In psychiatric and rehab hospitals, the training goal typically focuses on preventing aggressive and disruptive behaviors and acute behavioral crisis management. For example:

**Case Study /A young male patient frequently made attempts to elope. A neurobehavioral analysis concluded that the patient associated the rehab hospital with confinement. Staff was instructed to take the patient off the unit and out of the hospital several times per shift. After one week, the patient was no longer an elopement risk.

Our training programs are designed to:

 

  • Eliminate Iatrogenic Behavioral Disorders
  • Improve the quality of care delivered by healthcare workers
  • Reduce staff-to-patient ratios
  • Increase patient and staff safety

 

Booster training courses are also available. These typically occur once every 12 weeks. Follow-up phone, e-mail or live consultations are also available at any time. Other certifications include our Behavioral Crisis Management program.

Clinical Research

Clinical research is a critical pathway in the development of new diagnostic tools and more effective treatments for patients. Historically, clinical research which is sometimes referred to as clinical trials has been conducted at academic medical centers. If your doctor was not affiliated with these centers and not aware of these trials, you like most patients would not have considered treatment options through a clinical trial. At the NCI all of our patients are aware of and have access to clinical trials as a possible treatment option for their central nervous system related condition.

At the NCI we have a newly renovated clinical research unit. Here we study promising new diagnostic and treatment options with our patients and their family members. The clinical research unit is managed by Exodon, one of the world’s leading clinical research organization. Our clinical research unit offers all the latest safety equipment and medications. It is supervised by doctors and nurses trained in critical care and internal medicine. Our clinical research unit is an integral part of the comprehensive clinical services we offer to our patients with cognitive, neurobehavioral and neuropsychiatric disorders.

Presently we are conducting the following clinical trials investigating:

  • Monoclonal anti-bodies against amyloid beta as a potential treatment for Alzheimer’s disease
  • Mitochondrial stabilization of brain cells as a potential treatment for dementia due to Alzheimer’s disease
  • An experimental dose of the Exelon transdermal patch as a potential treatment for advanced dementia in Alzheimer’s disease
  • Three nutracerutical formulations as a potential cognitive enhancer in treating Age Related Cognitive Decline, Mild Cognitive Impairment and Dementia
  • A dopaminergic based treated for apathy associated with acquired and traumatic brain injury

 

Posts At NCI

Neuropsychological Assessment in Litigation
Neuropsychological testing fills the gap between traditional neurological and psychiatric exams by providing a comprehensive and standardized examination of cortical functions. Disruption of cortical functions, particularly higher cortical functions, is often the only indication of brain dysfunction. This sensitivity, makes neuropsychological testing a very valuable tool for the attorney who needs to show, quantify and document evidence of brain pathology; or alternatively, demonstrate normal brain functioning.

Neuropsychological assessment
is also commonly employed to help determine if patients are malingering or embellishing their cognitive and psychiatric symptoms. Over the last decade, the detection of malingering of cognitive dysfunction using neuropsychological tests has received more research and development than any other area of the neuropsychological examination.

What is neuropsychological testing?
Cortical functions regulate emotions and behaviors and are responsible for cognition. Neuropsychological testing is the only standardized method for assessing cortical functions. How is a neuropsychological exam different from a neurological exam?
The neuropsychological exam, sometimes referred to as cortical or cognitive testing, typically picks up where the neurological exam ends. Although there is some overlap between the two exams, the emphasis of the neuropsychological evaluation is on cortical systems such as attention, language, learning and memory as well as executive system functions.

How is a neuropsychological exam different from a psychiatric exam?
A psychiatric exam is needed to diagnosis psychiatric disorders such as Post-Traumatic Stress Disorder and Schizophrenia and is not intended to diagnosis neurocognitive and neurobehavioral syndromes such as Dysbulia, Dysexecutive Syndromes or Apraxia. Because psychiatric disorders, such as Major Depression, can also affect brain functions, a psychiatric exam is built into every neuropsychological evaluation.

How is a neuropsychological exam different from neuroimaging studies?
Neuroimaging studies such as CT and MRI scans of the brain are structural tests providing information about the integrity of the brain based on an assessment of brain tissue as oppose to brain functionality. Given this difference, neuroimaging tests results are very helpful and are incorporated by the clinical neuropsychologists to help interpret neuropsychological test results and aide in making a central nervous system (CNS) related diagnosis.

Why refer your clients for neuropsychological assessment at NRI?
Experience and expertise. Our clinical neuropsychologists have an average of 15 years of post-residency experience completing competency to stand trial and forensic neuropsychological examinations. Often our neuropsychological test results and testimony have been the critical data relied upon to successfully settle several hundred litigation cases.

  • Forensic Neuropsychological Services
  • Competency to Stand Trial Evaluations
  • Differential Cognitive and Neuropsychiatric Diagnostic Exams
  • Consulting, Record Review and Report Writing
  • Independent Neuropsychological Exam