Application of neuropsychology and imaging to brain injury and use of the integrative cognitive rehabilitation psychotherapy model

Issue title: Thematic Issue: The Science and Practice of Neuropsychological Assessment in Neurorehabilitation

Guest editors: Daniel Klyce, Ana Mills and Paul Dukarm

Article type: Research Article

Authors: Pedrotty, Mark^{g; *} | Wong, Tiffanie S.^{a; b} | Wilde, Elisabeth A.^{c; d} | Bigler, Erin D.^{c; e} | Laatsch, Linda K.^{f; 1}

Affiliations: [a] Polytrauma Rehabilitation Center, Comprehensive Rehabilitation Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA | [b] Stem Cognitive and Psychological Rehabilitation, Inc., Palo Alto, CA, USA | [c] Traumatic Brain Injury and Concussion Center, Department of Neurology, University of Utah, Salt Lake City, UT, USA | [d] George E. Wahlen Veterans’ Affairs Medical Center, Salt Lake City, UT, USA | [e] Psychology Department and Neuroscience Center, Brigham Young University, Provo, UT, USA | [f] Department of Neurology, University of Illinois, Chicago, IL, USA | [g] Tingley Hospital Outpatient –UNM, Albuquerque, NM, USA

Correspondence: [*] Address for correspondence: Mark Pedrotty, PhD, Carrie Tingley Hospital Outpatient –UNM, 1127 University Blvd NE, Albuquerque, NM 87102, USA. Tel.: +1 505 272 5218; E-mail: mpedrotty@salud.unm.edu.

Note: [1] Retired.

Abstract: BACKGROUND:An early approach to cognitive rehabilitation therapy (CRT) was developed based on A. R. Luria’s theory of brain function. Expanding upon this approach, the Integrative Cognitive Rehabilitation Psychotherapy model (ICRP) was advanced. OBJECTIVE:To describe the ICRP approach to treatment of clients post brain injury and provide a comprehensive list of evaluation tools to determine the client’s abilities and needs. Finally, to provide a link between CRT and functional imaging studies designed to improve rehabilitation efforts. METHODS:History of cognitive rehabilitation and neuropsychological testing is reviewed and description of cognitive, academic, psychiatric, and substance abuse tools are provided. Cognitive and emotional treatment techniques are fully described. Additionally, a method of determining the client’s stage of recovery and pertinent functional imaging studies is detailed. RESULTS:Authors have been able to provide a set of tools and techniques to use in comprehensive treatment of clients with brain injury. CONCLUSIONS:Inclusive treatment which is outlined in the ICRP model is optimal for the client’s recovery and return to a full and satisfying life post brain injury. The model provides a framework for neuropsychologists to integrate issues that tend to co-occur in clients living with brain injury into a unified treatment plan.

Keywords: Brain injury, cognitive rehabilitation, neuropsychological assessment, integrative cognitive rehabilitation, psychotherapy, substance use, imaging

DOI: 10.3233/NRE-218028

Journal: NeuroRehabilitation, vol. 49, no. 2, pp. 307-327, 2021