Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments

Jason E. Schillerstrom, Elizabeth M. Birkenfeld, Anne S. Yu, Minh Phuong T. Le, Daniel J. Goldstein, Donald R. Royall

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

We have previously described high rates of executive function impairment in clients referred by Adult Protective Services (APS) to geriatric psychiatry for decision-making capacity assessments. The purpose of this study was to determine the independent relationship between neuropsychological screening instruments, particularly instruments sensitive to executive function, and performance-based functional tasks in elder referrals. Our retrospective medical review (n = 75/157 referrals completed all neuropsychological and functional assessments) revealed that only the Executive Interview (EXIT25) contributed independent variance to money management performance (R2 = 0.29, p < 0.001), telephone use ability (R2 = 0.39, p < 0.001), and summed performance (R2 = 0.45, p < 0.001). Executive instruments may specifically inform decision-making capacity assessments.

Original languageEnglish (US)
Pages (from-to)294-304
Number of pages11
JournalJournal of Elder Abuse and Neglect
Volume25
Issue number4
DOIs
StatePublished - Aug 1 2013

Keywords

  • adult protective services
  • executive function
  • instrumental activities of daily living

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Geriatrics and Gerontology

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