TY - JOUR
T1 - Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments
AU - Schillerstrom, Jason E.
AU - Birkenfeld, Elizabeth M.
AU - Yu, Anne S.
AU - Le, Minh Phuong T.
AU - Goldstein, Daniel J.
AU - Royall, Donald R.
PY - 2013/8
Y1 - 2013/8
N2 - 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.
AB - 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.
KW - adult protective services
KW - executive function
KW - instrumental activities of daily living
UR - https://www.scopus.com/pages/publications/84879066928
UR - https://www.scopus.com/pages/publications/84879066928#tab=citedBy
U2 - 10.1080/08946566.2012.751831
DO - 10.1080/08946566.2012.751831
M3 - Article
C2 - 23768413
AN - SCOPUS:84879066928
SN - 0894-6566
VL - 25
SP - 294
EP - 304
JO - Journal of Elder Abuse and Neglect
JF - Journal of Elder Abuse and Neglect
IS - 4
ER -