Forensic Neuropsychological Assessment

In the past, the major focus of neuropsychology has been largely diagnostic and primarily concerned with relationships between lesion localization and subsequent cognitive/behavioral alterations. Currently the primary issue, especially in forensic and clinical settings, is to determine an individual’s functional capacity.

An individual’s ability to be successful in activities of daily living (ADL), is vitally important during personal injury litigation.  Plaintiff and defense attorneys undoubtedly are interested in determining how an individual is functioning post-injury.  Plaintiff and defense attorneys have different roles and view assessment outcomes according to their client representation (e.g., maximize deficits; minimize deficits).  The neuropsychologist will assist the attorney referral sources, and the trier of fact in answering specific questions related to an individual’s pre and post-injury status (e.g., level of functioning).  Neuropsychological test results provide information to assist in childhood, adult, and geriatric neurocognitive and behavioral conditions, particularly when neurologic, radiologic, and laboratory data are inconclusive (e.g., MTBI, post-concussive syndrome).  Forensic neuropsychological assessment also establishes an objective baseline of function, which can be later compared with re-assessment results, that is invaluable in determining the course of cerebral dysfunction.  The contribution of a patient’s personality and mood to his or her symptoms is also estimated via formal assessment.  Furthermore, neuropsychological test data assists in predicting a patient’s short and long-term prognosis.

In summary, the purpose of a forensic neuropsychological assessment is briefly described below:

  • To describe the degree of cognitive impairments and explain the reasons of their existence.
  • To measure behavioral impairments that result from brain injury.
  • To establish a baseline of function that allows for comparisons over time
  • To provide a plan for cognitive and behavioral rehabilitation treatment.
  • To guide the planning and development of remedial education or vocational rehabilitation.
  • To calculate the individual’s ability to resume his/her premorbid lifestyle.
  • To provide documentation for litigation concerned with the functional impact of documented or suspected brain injury on cognitive and behavioral functioning.

In legal proceedings, the neuropsychologist as expert will assist both plaintiff and defense attorneys, as well as the tier of fact, in understanding neuropsychological evidence as referenced above.

For additional information or to schedule a consultation, please contact our office at 732-988-3441.

Michael J. Raymond, Ph.D., ABN, FACPN
Board Certified Neuropsychologist #232
Licensed Psychologist #35S100252900