KAPLANBAYCREST NEUROCOGNITIVE ASSESSMENT

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KAPLAN-BAYCREST NEUROCOGNITIVE ASSESSMENT

• Short battery of tests for neurocognitive
  assessment

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Case LW

• 69 Year old male
• Ex Sargeant in NZ army
• Diagnosed with Bipolar 1980s
• Stable on Lithium Carbonate until 2005
• ? Parkinsons Sinemet
• Presented with confusion relapse of Bipolar
• 1 Year as inpatient

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Rationale

• Quick screens such as MMSE and DRS are not
  sensitive and often not specific
• Heavily weighted to oral response
• Long batteries are LONG
• Different norms within the batteries
• Often lack norms for older age groups
• Multifactorial

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GOALS

• Assessment of several domains of cognitive
  functioning
• Each individual sub-test primarily taps into a
  principle domain
• Sensitive to mild levels of impairment
• No more than two hours in length
• Normed from 20 - 89

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Standardization

• 700 Adults 100 per age group 20-29 etc
• Representative of US population
• Exclusion criteria
• Current consultation for memory /thinking
  problems
• Head injury
• Medical or psychiatric conditions affecting
  cognitive functioning

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Reliability and Validity

• Reasonable reliability
• Content Validity reasonable
• Convergent validity too small a sample size

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Scores

• Process scores on each sub-test
• Percentile scores
• ?16th Percentile Average
• 2-16th Percentile Equivocal
• lt 2nd Percentile Below Average

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Sub-tests

• Orientation
• Sequences
• Equivalent to Mental Control on WMS
• Numbers
• Word List
• Complex Figure

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Sub-tests ctd

• Motor Programming
• Auditory Signal Detection Test
• Symbol Cancellation
• Clocks
• Picture naming

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Sub-tests ctd

• Sentence reading Arithmetic
• Reading Single Words
• Spatial Location
• Verbal Fluency
• Praxis
• Picture Recognition
• Expression of Emotion

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Sub-tests ctd

• Practical Problem-solving
• Conceptual Shifting
• Picture Description oral
• Auditory Comprehension
• Repetition
• Picture Description - Written