Neurobehavioral History Questionnaires
The Neurobehavioral History forms are well-reviewed intake forms that provide a comprehensive and organized method of gathering essential clinical information that should be included in every assessment. Testing is only one component of the assessment. Test results must be interpreted in context, and each individual is unique. These questionnaires provide a comprehensive background of your patient that is crucial for making informed clinical decisions. They offer a detailed overview of your patient’s medical history, medications, family history, review of systems, mental health, substance use, pain, education, work history, and more. The Family History Grid provides a snapshot of potentially relevant family biological issues when making differential diagnoses.
The history questionnaires are utilized to evaluate individuals with conditions such as brain injury, neurologic disease, and developmental disorders. They also serve as an effective tool for comprehensive assessment of individuals with mental health disorders. The forms facilitate the initial assessment process when distributed prior to the first appointment. The adult extended form comprises 12 pages, while the child form is 8 pages in length. A concise version (4 pages) is also available for a rapid assessment of adults.
Neurobehavioral Signs and Symptoms Checklists
-
How do you know if your exam findings represent new or pre-existing conditions?
-
Which chronic disorders have worsened from a disease or injury?
The Adult and Child Neurobehavioral Signs and Symptoms checklists help answer these questions.
The Signs and Symptoms checklists elicit patient or informant concerns about the patient's present and past cognitive and behavioral functioning. Both forms include a section on possible over-reporting by presenting implausible symptoms.
The forms...
-
Provide severity ratings for each item
-
Differentiate pre-existing problems from new problems
-
Organize presenting concerns to ensure that important concerns are not overlooked
-
Evaluate core areas: Daily Functioning, Executive Functions, Speech and Language, Nonverbal Skills, Memory, Attention and Self-Control, Motor, Sensory, and Behavior and Mood
Excel spreadsheets are available to organize and evaluate the Signs and Symptoms information.
"...allow the clinician to collect comprehensive historical information in a systematic way...serves to reduce subjective aspects of the interview and increase diagnostic accuracy between clinicians.”
"Comprehensive...efficient, organized and thorough, reducing the likelihood that pertinent information will be overlooked."
"They ask the type of questions I would ask and they provide a very nice permanent record in the chart of a patient's history."
Erin Bigler PhD, ABPP
Past Present, National Academy of Neuropsychology