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Division of Clinical Neuropsychology
Newsletter 40
American Psychological Association
Volume XII, Number 2 Summer, 1994
Division 40 Convention Overview
The program this year will include:
b) Dr. Bruce Rosen, Functional Neuroimaging Techniques” (Saturday, August 13, 11:00 1:50)
c) Dr. Stuart Zola-Morgan, Memory and the Brain” (Monday, August 15, 11:00-1 1:50)
Six conversation/discussion hours were developed and will be included in the program:
a) "Interest Group on Neuropsychogical Research with Hispanic Populations”, organized by Marcel Ponton (8/12, 4:00-4:50)
b) "Battering the Process, Processing the Battery: Close Encounters”, a lively discussion/debate featuring Bob Bornstein and Edith Kaplan (8/13, 2:00-2:50)
c) "Fixing Ten Big Problems in Clinical Neuropsychology: Some Curative Suggestions”, with David Faust (8/13, 5:00-5.50)
d) "Neuropsychology and Managed Care”, with Russ Newman, APA Practice Directorate, organized by Linas Bieliauskas (8/14,1:00-1:50)
e) "Ethics Update for Clinical Neuropsychologists”, organized by John McSweeny, Division 40 Ethics Committee Chair (8/14, 2:00-2:50)
f) "Neuropsychology and Survival Under Managed Care and Health Care Reform”, featuring Nancy Wilcockson, organized by Dan Eubanks, Chair, Division 40 Professional Affairs Committee (8/15, 1:00-1:50)
The three papers which received top ratings on review were:
Keith 0. Yeates, Ph.D. (Dept. of Pediatrics, The Ohio State University) & Robert Bornstein, Ph.D. (Dept of Psychiatry, The Ohio State University). Learning Disabilities in Children with Tourette's Syndrome”. To be delivered in the paper session, Research in Developmental Neuropsychology”, Chaired by Eileen Fennell, Ph.D., Friday, August 12, 1:00-1:50.
Lisa J. Rapport, Ph.D. (Dept. of Psychology, Wayne State University), Jeffrey Webster, Ph.D. & Robin Dutra, BA (Long Beach VAMC). Spatial and Attentional Factors Underlying Digit Span Performance and Hemineglect”. To be delivered in the paper session, Visual Spatial Disturbances in Neurologically Impaired Populations”, Chaired by Joan Borod, Ph.D., Saturday, August 13, 1:00-1:50.
John A. Schinka, Ph.D. & Rodney Vanderploeg, Ph.D. (James A. Haley Veterans Hospital, Tampa, FL). Subtest Performance and Demographic Predictors of WAIS-R Premorbid Ability”. To be presented in the paper session, Intellectual Assessment Issues in Neuropsychological Populations Across the Lifespan”, Chaired by Max Trenerry, Ph.D., Monday, August 15, 2:00-2:50
This year's Student Award Winner is Scott D. Grewe, Ph.D., a post-doctoral fellow at Children's Hospital, Columbus, Ohio, working under the direction of Keith Owen Yeates. He received his Ph.D. at Ball State University in 1993. His paper Structural Equation Modeling of Children's Rey Osterrieth Complex Figure Reproductions” will be delivered in the paper session, Research in Developmental Neuropsychology” on Friday, August 12, 1:00-1:50. He will be presented with his award check for $400.00 at the Division 40 Business Meeting.
A series of symposia were developed by Dr. Antonio Puente for possible inclusion in this year's convention honoring the work of Dr. Roger Sperry, the Nobel Prize winnning psychologist. Dr. Sperry resides in
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the Los Angeles area, and taught in the Division of Biology at the California Institute of Technology in Pasadena. Division 40 accepted three of these symposia, which feature international researchers whose work has been influenced by Dr. Sperry. Two of the symposia will be held on Sunday morning, August 14, from 8:00-10:50 (Hemispheric Specialization and Integration: Animal Models” and Hemispheric Specialization and Integration: Human Models and Theoretical Speculations”), with the third scheduled for Monday, August 15, from 4:00-5:50 (Hemisphericity and Consciousness”).
Larry Squire, Ph.D., University of California San Diego, is the 1994 recipient of the APA Distinguished Scientific Contribution Award. He will be delivering his award address at the convention on Sunday, August 14, at ll:OO. Division 40 has not scheduled any divisional activities for this time slot in order to encourage members to attend Dr. Squire's talk.
Again this year, the Social Hour is being held jointly with Division 22 (Rehabilitation), and is scheduled for Sunday, August 14, 5:00-6:50 immediately following the Division Business Meeting. This year's social hour is being generously underwritten by The Psychological Corporation and Psychological Assessment Resources, Inc. The Program Committee was chaired by Ann Marcotte and co-chaired by Max Trenerty.
Minutes
Division 40
Executive Committee Meeting
February 2,1994
Cincinnati, Ohio-The Westin Hotel
Members Present: Heaton, Parsons, Dodrill, Marcotte, Bornstein, White, McSweeny, Hammeke, Adams, Gold-stein, Crosson, Eubanks, Heilbronner, Cripe, des Hamsher, Meneese
1. The meeting was called to order at 3:35.
2. Minutes of the August 20, 1993 Executive Committee meeting were approved.
3. Treasurer's Report (Dr. White): The Treasurer's Report was reviewed and accepted. The Division currently has $53,936.46 in assets, with an additional $30,542.37 in a certificate of deposit. The budget for this year is $29,100. Mediplex Rehab Campden did not honor their commitment to fund the 1993 Social Hour at APA for $1000.00. Dr. White will contact the Treasurer of Division 22 to discuss this matter.
4. Newsletter (Dr. White): The Winter Newsletter is going out in the next few weeks. The Division membership list to be published in future newsletters will only list new full members. Committee Chairs were encouraged to submit items for inclusion in the Newsletter.
5. Membership (Dr. Meneese): Dr. Meneese reported for Dr. Horn. There are approximately 1,000 letters of interest in Divisional membership at present.
6. Elections/Apportionment (Dr. Bornstein): Ann Marcotte won the election to fill the remainder of Dr. Bornstein's term as Secretary. The results of the APA Apportionment Ballot for the 1995 Council were reviewed. Despite efforts to encourage members to allot votes to Division 40 in an attempt to gain a third representative, efforts fell short. Division 40 total was 2.33%, just shy of the 2.5% needed for a third position.
7. Fellows: Report provided by Dr. Bornstein for Dr. Tarter. Two applications for possible Fellows are in preparation.
8. Program (Dr. Marcotte): The Pro-gram for this year's meeting in Los Angeles was reviewed and accepted. Programming is scheduled for 4 days. This year's student award winner is Scott Grewe. In light of last years problems with the Social Hour underwriter, new sponsors are actively being sought. Dr. Max Trenerry is Co-Chairing the Program Committee this year. He will assume the Chair of the Committee for the 1995 and 1996 conventions. The Board thanked Dr. Marcotte for her efforts.
9. Ethics (Dr. McSweeny): A statement regarding the function of the Ethics Committee was reviewed and accepted. A column on ethical issues is being pursued with The Clinical Neuropsychologist”. Dr. McSweeny also requested a $300.00 operating budget for the committee, which was approved.
10. Professional Affairs (Dr. Eubanks): The brochure presented in the August 1993 meeting has been revised. The committee continues to discuss issues as they arise. Current issues include: the practice of lawyers wishing to sit in on evaluations; Bill 504, regarding who will assess children with TBI; National Health Care Reform; and, CPT issues regarding rehabilitation services.
11. CPT Code Task Force: Dr. Goldstein reported for Dr. Puente. CPT Codes for rehabilitation services are currently being negotiated with the AMA.
12. Programs Listing (Dr. Cripe): The new listing of training programs in neurpsychology was recently published in TCN” (Vol. 7, 1993). The next list will be published later this year, and Dr. Cripe will be sending out a new mailing requesting program information. A discussion about sharing this activity with another professional group of neuropsychologists was discussed and rejected.
13. Training, Accreditation & Credentialing Task Force (Dr. Crosson): Dr. Crosson presented a position statement for Division 40 regarding the proposed National Collegeof Psychology. The Division position is that training for the practice of clinical neuropsychology cannot be adequately accomplished in the abbreviated course format proposed by the National College of Psychology. The statement was reviewed, discussed, approved and given to the Council Representatives to take with them to the next meeting. Copies will also be sent to Divisions 38 and 50, and the Governance Office of APA.
14. Council Representatives (Drs. Adams and Goldstein): Issues surrounding the proposed National College of psychology were discussed. Collaborative work with other divisions concerned about the National College
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was encouraged. Equality of representation in APA Council was also discussed.
15. International Liaison (Dr. Heilbronner): Dr. Heilbronner reported on his activities as liaison with APA's Committee on International Relationships in Psychology (CIRP). Any Division member interested in possibly hosting an international scholar should contact him. CIRP's efforts have primarily focused on workingwith Russian colleagues.
16. Nominations: The Elections Committee will be submitting names for the following positions: President-Elect, Secretary, Treasurer, Member-At- Large and APA Council Representative. Formal membership of the Elections Committee was discussed. This committee is chaired by the Past-President (Parsons), and will be comprised of former Past-President (Mattis), President (Heaton), President-Elect (Dodrill), and one additional member (Lezak). Dr. Marcotte will mail a Call For Nominations to all Division 40 voting members with the slate endorsed by the Nominations Committee. The issue of consecutive candidacies was also discussed.
17.Consortium for Neuroscience Education: Dr. Dodrill reviewed the efforts of the Consortium for Neuroscience Education, a group being developed to promote neuroscience education in grades K-12. The BEA of APA chose not to participate, nor did they consult with Division 40. The Division in fact is interested in participating, and will ask APA to reconsider its position. It may also be possible for the Division to directly participate in CNE.
18. Division leadership Conference: Dr. Dodrill reported on the Division Leadership meeting he attended at APA in January, as well as efforts on the part of other divisions to recruit new members.
19. Health Care Reform Conference: APA will be a co-sponsor of a conference on National Health Care Reform in May, 1994. Dr. Heaton asked for approval for $3,000.00 in funding to help sponsor this event as well as to send two Division 40 representativesto the meeting. The funding was approved, and Drs. Crosson and Eubanks will attend.
20. Planning Committee: Drs. Adams and Goldstein reported on a preliminary meeting of this ad hoc committee, developed to work on the mission and aims of the Division, as well as our relationship to APA. A retreat will be held in Chicago in April, 1994. Dr. Manfred Meier has been asked to Chair this retreat. Dr. Heaton moved that $500.00 be allotted per person to cover travel expenses to attend, and the motion was approved. The results of the retreat will be presented at the August, 1994 Executive Committee Meeting in Los Angeles.
21. Hecaen Award (Dr. des Hamsher): APF will be awarding a $2500 award to a needy graduate student who has distinguished him/herself in scholarly work. The student will be asked to make a presentation at the APA Convention.
22. The meeting was adjourned at 6:50.
Division 40 Program for 1994 APA Convention
(August 12-15, 1994)
Friday, August 12
Developmental Neuropsychology and Aging Practice Issues
9:00-10:50 a.m.
Poster Session: Developmental and Aging Studies in Clinical Neuropsychology”
(36 posters)
Co-Listing: Divisions 20, 7
Chairs: Ann Marcotte and Ida Sue Baron
West Hall, Los Angeles Convention Center
11:00-11:50 a.m.
Invited Address: Jeffrey Cummings, M.D.
"Frontal-Subcortical Circuits and Human Cognition”
Co-Listing: Divisions 20, 22
Chair: Bruce Crosson
West Meeting Room 502B, L. A. Convention Center
1:00-1:50 p.m.
Paper Session: Research in Developmental Neuropsychology”
[Note: the student award paper, and a blue ribbon paper in this session]
Co-Listing: Division 7
Chair: Eileen Fennell
South Meeting Room 309, L. A. Convention Center
1:00-1:50 p.m.
Conversation Hour: "Neuropsychology and Managed Care" (with Russ Newman,
APA Practice Directorate)
Co-Listing: Divisions 22, 12, 42, 31
Chair: Linas Bieliauskas
West Meeting Room 503, L. A. Convention Center
2:00-3:50 p.m.
Symposium: Neuropsychological Evaluation: Forensic Applications and
Misuse” Co-Listing: Divisions 12, 41, 22, 42
Chair: Kevin Moreland
Concourse Meeting Room 502A, L.A. Convention Ctr
4:00-4:50 p.m.
Discussion Hour: Interest Group on Neuropsychological Research with
Hispanic Populations”
Co-Listing: Divisions 12, 45
Chairs: Marcel Ponton and Patricia Perez-Arce
South Meeting Room 304B, L.A. Convention Center
4:00-6:50 p.m.
Division 40 Executive Committee Meeting
Chair: Robert Heaton
Brentwood Room, Los Angeles Hilton and Towers
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Saturday, August 13
Medical and Forensic Issues
Cultural Diversity
9:00-10:50 a.m.
Poster Session: "Forensic Issues in Neuropsychology and Research with
Neurologically Impaired Populations” (28 posters)
Co-Listing: Divisions 22, 41, 38, 5
Chairs: Jill Fischer and Tom Novack
West Hall, Los Angeles Convention Center
11:00-11:50 a.m.
Invited Address: Bruce Rosen, M.D., Ph.D., Massachuetts General Hospital,
Functional Neuro-imaging Techniques”
Co-Listing: Division 22
Chair: Max Trenerry
West Meeting Room 515B, L.A. Convention Center
1:00-1:50 p.m.
Paper Session: Visual Spatial Disturbances in Neurologically Impaired
Populations” [Note: a blue ribbon paper is in this session]
Chair: Joan Borod Concourse
Meeting Room 402A/402B, L. A. Convention Center
2:00-2:50 p.m.
Conversation Hour (Debate): "Battering the Process, Processing the
Battery: Close Encounters”
Co-Listing: Divisions 22, 5
Chairs: Bob Bornstein and Edith Kaplan
Concourse Meeting Room 402A/402B, L. A. Convention Center
3:00-4:50 p.m.
Symposium: "The Future of. Neuropsychology with Hispanic Populations”
Co-Listing: Divisions 12, 45
Chair: Marcel Ponton
Concourse Meeting Room 403B, Coven. Ctr.
5:00-5:50 p.m.
Conversation Hour: "Fixing Ten Big Problems in Clinical Neuropsychology:
Some Curative Suggestions,” featuring David Faust
Co-Listing: Divisions 22, 41, 12 42
Chair: Jeffrey Barth
Concourse Meeting Room 402A/402B, L.A. Convention Center
Sunday, August 14
Laterality Studies, Aging and Divisional Events
8:00-8:50 a.m.
Symposium: "Hemispheric Integration and Spe-cialization: Animal Models”
(Sperry” Sympos.)
Co-Listing: Division 3
Chair: Rochelle Medici South Meeting Room 309, L.A. Convention Center
Sunday, August 14 (cont'd)
11:00-11:50 a.m.
APA Distinguished Scientific
Contribution Award Address: Larry Squire, Concourse Meeting Room 408A,
Los Angeles Convention Center]
1:00-1:50 p.m.
Paper Session: "Alzheimer's Disease and Dementia”
Co-Listing: Division 20
Chair: Bradley Axelrod
Concourse Meeting Room 404A/404B, L.A. Convention Center
2:00-2:50 p.m.
Conversation Hour: "Ethics Update for Clinical Neuropsychologists”
Co-Listing: Divisions 42, 12
Chair: John McSweeny
Concourse Meeting Room 406A, L.A. Convention Center
3:00-3:50 p.m.
Presidential Address: "Robert Heaton, Prevalence, Significance, and
Course of Neuropsychological Deficits in HIV Infection”
Co-Listing: Division 38
Chair: Oscar Parsons
Pacific Ballroom, Los Angeles Hilton and Towers
4:00-4:50 p.m.
Division 40 Business Meeting
Chair: Robert Heaton
Pacific Ballroom, Los Angeles Hilton and Towers
5:00-6:50 p.m.
Social Hour with Division 22 Underwriters: The Psychological Corporation
and Psychological Assessment Resources, Inc.
Pacific Ballroom, Los Angeles Hilton and Towers
Monday, August 15
Cognitive, Neuropsychometric and Neuropsychiatric Research
9 :0 0 -1 0 :5 0 a .m .
Poster Session: "Neuropsychometric Studies and Neuropsychological Research
with Psychiatric Populations” (18 posters)
Co-Listing: Divisions 12, 5
Chairs: Glenn Curtiss and Neil Pliskin West Hall, L.A. Convention Center
11:00-1 1:50 a.m.
Invited Address: "Stuart Zola-Morgan, Memory and the Brain”
Co-Listing: Division 3
Chair: Meryl Butters
Concourse Meeting Rm 408A, L.A. Convention Ctr.
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1:0 0-1 :5 0 p.m.
Conversation Hour: "Neuropsychology and Survival Under Managed Care
and Health Care Reform” (featuring Nancy Wilcockson)
Co-Listing: Divisions 12, 22, 42, 31
Chair: Dan Eubanks
South Meeting Room 309, L. A. Convention Center
2:00-2:50 p.m.
Paper Session: "Intellectual Assessment Issues in Neuropsychological
Evaluations Across the lifespan” [Note: a blue ribbon paper is in this
session]
Co-Listing: Divisions 5, 22, 12
Chair: Max Trenerry
South Meeting Room 308A/308B, L.A. Convention Center
3:00-3:50 p.m.
Symposium: MicroCog: A Computerized Cognitive Test Battery: Validation
Studies”
Co-Listing: Division 22, 5
Chair: Gordon Chelune South Meeting Room 308A/308B, L.A. Convention
Center
4:00-4:50 p.m.
Symposium: Hemisphericity and Consciousness” (Sperry” Symposium)
Co-Listing: Division 3
Chair: Joseph Bossom
South Meeting Room 308A/308B, L.A. Convention Center
Division 22 Program for 1994 APA Convention
(August 12-15, 1994)
Friday, August 12
9:00- 10:50 a.m.
Symposium: "Effects of Culture on the Rehabilitation Process”
Chair: Barry Nierenberg
West Meeting Room 510,
L. A. Convention Center
11:00-11:50 a.m.
Invited Address: Bernard Brucker & Steven Weiss
"The Future Role of Psychology in Trauma, Acute Medicine, and Rehabilitation”
Chair: John Corrigan
Meeting Room 153C,
L. A. Convention Center
1:00-2:50 p.m.
Symposium: "Clinical Issues in Geriatric Rehabilitation”
Chair: Peter Lichtenberg
West Meeting Rm 501C,
L. A. Convention Center
3:00-4:50 p.m.
Poster Session: "New Directions in RehabilitationPsychology”
Chair: James Thomas
West Hall, L. A. Convention Center
Saturday, August 13
8:00- 10:50 a.m.
Executive Board Meeting
Chairs: Robert Glueckauf & Bruce Caplan
Fernwood Room, L. A. Hilton and Towers
11:00-11:50 a.m.
Symposium: "Predoctoral, Postdoctoral, and ABPP Certification
Training in Rehabilitation Psychology”
Chair: David Patterson
South Meeting Rm 301A, L.A. Convention Center
2:00-3:50 p.m.
Symposium: "Substance Abuse Following Traumatic Brain Injury: Three
Models of Intervention”
Chair: John Corrigan
West Meeting Room 406A,
L.A. Convention Center
4:00-4:50 p.m.
Invited Address: Robert Frank Health Care Reform and Practice in Rehabilitation
and Health Care Settings: An Update from the I UPU I Conference”
Chair: Robert Glueckauf
Concourse Meeting Rm 406A,
L.A. Convention Ctr
5:00-5:50 p.m.
Awards Ceremony
Chair: Barry Nierenberg
Wilshire Room D/E, L.A. Hilton and Towers
6:00-6:50 p.m.
Social Hour Co-sponsored with Divisions 5, 12, and the Biscayne Rehabilitation
Institute
Wilshire Room D/E,
L.A. Hilton and Towers
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Sunday, August 14
9:00-10:50 a.m.
Symposium: "Health Care Reform and Pediatric Rehabilitation: Creative
Financing for Success”
Chair: Alan Goldberg
West Meeting Room 507, L.A. Convention Center
11:00-12:50 p.m.
Paper Session: "Child, Parent, and Caregiver: Family Issues in Health
and Disability”
Chair: Robert Glueckauf
South Meeting Rm 304A, L.A. Convention Center
1:00- 1:50 p.m.
Invited Address: Robert M. Kaplan
"The Opportunity Cost Problem in Health Care Reform”
Chair: Mitchell Rosenthal
South Meeting Rm 308A/308B, L.A. Convention Center
3:00-4:50 p.m.
President's and Fellow's Addresses
Chair: Nancy Crewe
South Meeting Rm 306B, L.A. Convention Center
5:00-6:50 p.m.
Social Hour Co-sponsored with Division 40
Pacific Room, L.A. Hilton and Towers
Monday, August 15
9:00-10:50 a.m.
Symposium: "New Techniques for Assessing Clients with Disabilities”
Chair: Douglas Strohmer
South Meeting Rm 303B, L.A. Convention Center
11:00-11:50 a.m.
Conversation Hour: "Rehabilitation and AIDS/-HIV: Education and Practice
Strategies”
Chair: Leslie McAllan
West Meeting Room 501C, L.A. Convention Center
1:00-2:50 p.m.
Symposium: "Patient Distress and Observer Bias After Physical Trauma”
Chair: David Patterson
South Meeting Rm 304A, L.A. Convention Center
3:00-4:50 p.m.
Paper Session: "Self and Affect as Correlates of Disabling Conditions”
Chair: Leonard Diller
South Meeting Rm 3038, L.A. Convention Center
International Relations Committee
1. The Committee on International Relations in Psychology (CIRP) of APA has asked division liaisons to identify individuals and/or institutions who are able to host visitation of scholars from other countries. This is especially true of projects for Russian scholars and practitioners interested in undertaking short-term visits to the U.S. Persons who are interested in hosting such visits can contact Dr. Robert Heilbronner (Division 40 Liaison) at Phone: 312-908-6237, FAX: 312-908- 5925 or Joan Buchanan at APA's Office of International Affairs Phone: 202-336-6024, FAX: 202. 336.5919. Persons interested in otherf unctions of the CIRP may aIso contact Dr. Heilbronneror Ms. Buchanan.
2. At the present time, Division 40 has no formal International Affairs Committee; most other divisions in APA have such committees devoted to the development of international relations between psychologists in their respective fields of study. Dr. Heilbronner has proposed the formation of such a committee and is beginning the process through the establishment of an international roster, Anyone interested in participating in such an endeavor, particularly those with previous international experience or contacts, are encouraged to contact Dr. Heilbronner at the above number or at Room 929, Rehabilitation Institute of Chicago, 345 E. Superior St., Chicago, IL 60611.
3. Any Division 40 members who are proficient in a foreign language are encourated to contact Dr. Heilbronner as efforts are being made to establish a listing of neuropsychologists who are able to receive non-English speaking referrals.
Ethics Committee
APA has recently revised the Ethical Principles of Psychologists in Code of Conduct, and has already begun the process of planning for the next revision of this ethics code. The Division 40 ethics committee is asking for input from division members to help us ensure that the Ethical Principles adequately address the types of issues which arise in neuropsychological practice. If you have encountered any ethical dilemmas which the current code does not address, please write to us. Such examples should not, of course, mention the name of any person (the Division 40 ethics committee does not review any cases of potential misconduct by psychologists), ' but should provide us with sufficient detail to allow us to understand the issue, and the way in which the current code fails to address the particular situation. Comments should be sent to:
Dr. A. John McSweeny
Chair, Division 40 Ethics Committee
Neuropsychology Laboratory, Dept. of Psychiatry
Medical College of Ohio, P.O. Box 1008
Toledo, Ohio 43699.0008
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Current Procedural Terminology Neuropsychological Assessment Code
Final Recommendations
(Codes Accepted by NAN, Division 40 and Practice Directorate of
APA, AMA, ApA, NAN, HCFA)
April 1, 1994
I. Neuropsychological Testing Codes
A. Infants and Children
95881 - Developmental testing
B. Adolescents and Adults
95883 - .Neuropsychological testing battery
II. Other Neuropsychological Assessment Codes
A. Aphasia
95880 - assessment of aphasia
B. Non-standardized evaluations (e.g., behavioral neurology)
95882 - Neurobehavioral status exam
III.. Billing Issues
A. Bill by the hour (not by the battery)
1. Direct service time only
2. Round to nearest hour
B. Service time includes:
1. preparing to see patient
2. reviewing of records
3. communicating with others
4. interviewing
5. selection of tests
6. administration of tests
7. scoring of tests
8. reviewing of results/interpretation
9. preparation and report writing
10. communicating further with others
11. follow-up with patient/family
12. arranging for further services
C. Check with your billing company for verification of procedures
IV. Definition of a Clinical Neuropsychologist
A. Level I
Certification by examination by either the American Board of Clinical
Neuropsychology or the American Board of Professional Neuropsychology
B. Level II
1. Education
Doctorate degree in psychology from a regionally accredited institution
with a program in psychology
2. Experience
Three years (minimum of 500 hours per year) of clinical neuropsychological
experience at either pre or postdoctoral levels
3. Supervision
Two years supervision in clinical neuropsychology satisfied by one
or more of the following:
a. two years postdoctoral supervision
b. one year predoctoral and one year postdoctoral supervision c. successful
completion of a postdoctoral fellowship
4. License
State or province licensure at the level of independent practice
5. Definition
Clinical neuropsychology is defined as the study of brain-behavior
relationships based on a combination of knowledge from basic neurosciences,
functional neuroanatomy, neuropathology, clinical neurology, psychological
assessment, psychopathology, and psychological interventions.
Neuropsychology as a professional discipline has emerged as an important specialty in modern day health care. The development of organizations (e.g., National Academy of Neuropsychology and the Division of Clinical Neuropsychology-40-of the American Psychological Association) in conjunction with a wide assortment of journals, workshops, and more recently certification requirements have gone far in formalizing the specialty (see Puente, 1990forfurther information). Several practice surveys have been conducted that provide a glimpse into the clinical activities of the neuropsychologists during this decade of the brain (e.g., Putnam and DeLuca, 1990). However, still lacking is an understanding of the specialty practices by third party payors.
To ameliorate this condition, the National Academy of Neuropsychology and the APA's Division of Clinical Neuropsychology formed a Joint Task Force in 1991. After numerous meetings, discussions and presentations at both the NAN and APA national meetings, several guidelines were proposed. The American Medical Association assisted in the formation and a new neuropsychological assessment code and the revamping the other neurological assessment codes. These codes were reviewed by several organizations including the American Psychiatric Association, American Academy of Neurology, the Health Care Financing Administration, and the Practice Directorate of the American Psychological Association.
To help implement the use of these codes, the Joint Task Force and both the NAN and Division 40 Boards assisted in developing guidelines for obtaining reimbursement for these codes. As with any project of this nature, additional issues need to be resolved and included but are not limited to: test times, dissemination of information, additional work with related CPT codes, acceptance of relative values, and acceptance by third party payors.
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Numerous individuals were involved in this project. The Task Force consisted of: Jeff Barth (University of Virginia School of Medicine; Virginia Psychological Association), Richard Berg (Wilmington Health Associates; NAN), Gordon Chelune (Cleveland Clinic; Ohio Psychological Association), Keith Cicerone (Johnson Rehabilitation Institute; American Congress of Rehabilitation Medicine), Robert Elliott (Federal Aviation Administration; California Psychological Association), Jim Horn (Neuropsychology Center, Dallas; Division 40), Patricia Pimen-tal (Neurobehavioral Medicine Consultants, Chicago; Illinois Psychological Association), Amy Ravinove (Practice Directorate, APA), Claire Rofsky (Billing Service Company; California Psychological Association), James Schear (Augusta, Georgia; NAN), Jean Wilkins (University of North Carolina School of Medicine; North Carolina Psychological Association), Nancy Wilcockson (University of Nebraska School of Medicine; Nebraska Psychological Association), Allan Yozawitz (Hutchins Psychia-tric Center; Division 40). Nancy Wilcockson was instrumental in the writing of the CPT codes and has been working with APA and HCFA on the Relative Values for these codes. Erin Bigler assisted in writing the brief article on neuropsychological assessment which appeared in the AMA CPT Assistant, Spring, 1993. Finally, the Practice Directorate of the APA has been instrumental in the development of these codes and guidelines through the assistance of Janice Stiers, Medicare Policy and Reimbursement Analysts, and Amy Rabinove, J.D., Director of Federal Regulatory Affairs.
A more comprehensive version of this topic will be submitted to the Archives of Clinical Neuropsychology and the The Clinical Neuropsychologist at a later date. The current version will simultaneously be published in the newsletters of both the National Academy of Neuropsychology and the Division of Clinical Neuropsychology of the American Psychological Association.
References
Puente, A.E. (1990). Historical perspectives in the development of
neuropsychology as a professional specialty. In C.R. Reynolds & E.
Fletcher-Janzen (Eds.). Handbook of Child Clinical Neuropsychology. New
York; Plenum.
Putnam, S.H., & De Luca, J.W. (1990). The TCN Professional Practice
Survey: Part I: General practice of neuropsychologists in primary employment
of private practice settings. The Clinical Neuropsychologist, 4, 199-243.
Neuropsychological Assessment
95880 Assessment of aphasia (includes assessment of expressive and receptive speech and language function, including language comprehension, speech production ability, reading, spelling, writing, e.g., Boston Diagnostic Aphasia Examination) with interpretation and report, per hour.
95881 Developmental testing (includes assessment of motor, language, social, adaptive and/orcognitive functioning by standardized development instruments, e.g., Bayley Scales of Infant Development) with interpretation and report, per hour.
95882 Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, e.g., aquired knowledge, attention, memory, visual spatial abilities, language functions, planning) with interpretation and report, per hour.
95883 Neuropsychological testing battery (e.g., Halstead-Reitan, LURIA, WAIS-R) with report, per hour.
Executive Committee
(August, 1993 - August, 1994)
President: Robert K. Heaton
President-elect: Carl Dodrill
Past president: Oscar A. Parsons
Secretary: Ann Marcotte
Treasurer: Roberta F. White
Members-at-large:
Thomas Hammeke
George Prigatano
Jom Horn
Council representatives:
Kenneth Adams
Robert K. Heaton
Standing committee heads:
Elections: Oscar A. Parsons
Fellows: Ralph Tarter
Membership: Jim Horn
Program: Ann Marcotte
Ad hoc committee heads:
Training Databank: Lloyd I. Cripe
Ethics: John McSweeney
Minority/Ethnic Affairs: Tony Strickland
Newsletter: Roberta F. White
Professional Affairs: Dan Eubanks
Task Force: Bruce Crosson
International Relations: Robert Heilbronner
[Page 9]
Awards and Fellowships
APA invites applications for its 1995-96 Congressional Fellowship Program. The program sponsors three psychologists to serve as special legislative assistants on the staff of a Member of Congress or Congressional committee. The APA Fellowship Program is intended to encourage more effective use of scientific knowledge in government, and to broaden the perceptions of the research, practice and governmental communities about thevalue of psychology-government interaction.
Prospective Fellows must demonstrate competent in scientific and/or professional psychology, display sensitivitiy towards political issues, and have a strong interest in applying pstychological knowledge to national issues. An applicant must be a Member of APA (or an applicant for membership) and have a doctorate in psychology, with a minimum of two years post-doctoral experience preferred. APA will sponsor three Fellows for a one-year appointment beginning September 1, 1995. One award will be for a Senior Congressional Fellowship. Applicants for this position must have a minimu of ten years of post-doctoral experience. The Fellowship stipend in $37,000 plus $2,500 for relocation to the Washington, D.C. area and for travel expenses. A stipend supplement of $10,000 is applied to the Senior Fellowship position.
Interested psychologists should submit the following materials: 1) detailed vita; 2) a statement of approximately 1000 words addressing the applicant's interest in the Fellowshipand careergoals, contributions the applicant believes he or she can make as a psychologist to the legislative process, and what the applicant wants to learn from the experience; and 3) three letters of reference specifically addressing the applicant's ability to work on Capitol Hill as a special legislative assistant. Deadline for receipt of materials is November 15, 1994.
Application materials should be sent to:
APA Congressional Fellowship Program
Public Policy Office
American Psychological Association
750 First Street, NE, Washington, D.C. 20002-4242
TEL: (202) 336-6062
[Page 10]
Newsletter 40 is the official newsletter of the Division of Clinical
Neuropsychology (Division 40) of the American Psychological Association.
It is published biannually. Address changes are automatically forwarded
to Newsletter 40 when they are registered with APA.
Staff:
Roberta Firnhaber White, Editor
Psychology - 116B
Boston VA Medical Center
150 S. Huntington Ave.
Boston, MA 02130
Mark B. Moss, Associate Editor
Boston University Medical Center
Department of Neurology
720 Harrison Ave., Suite 707
Boston, MA 02118 (End of text)