Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments |
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| Authors: | Jason E Schillerstrom MD Elizabeth M Birkenfeld BS Anne S Yu BS Minh-Phuong T Le BS Daniel J Goldstein BA Donald R Royall MD |
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| Institution: | 1. Department of Psychiatry, The University of Texas Health Science Center at San Antonio , San Antonio , Texas , USA schillerstr@uthscsa.edu;3. Department of Psychiatry, The University of Texas Health Science Center at San Antonio , San Antonio , Texas , USA;4. Department of Psychiatry, The University of Texas Health Science Center at San Antonio , San Antonio , Texas , USA;5. The South Texas Veterans’ Healthcare System, Audie L. Murphy Division , San Antonio , Texas , USA |
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| Abstract: | We have previously described high rates of executive function impairment in clients referred by Adult Protective Services (APS) to geriatric psychiatry for decision-making capacity assessments. The purpose of this study was to determine the independent relationship between neuropsychological screening instruments, particularly instruments sensitive to executive function, and performance-based functional tasks in elder referrals. Our retrospective medical review (n = 75/157 referrals completed all neuropsychological and functional assessments) revealed that only the Executive Interview (EXIT25) contributed independent variance to money management performance (R2 = 0.29, p < 0.001), telephone use ability (R2 = 0.39, p < 0.001), and summed performance (R2 = 0.45, p < 0.001). Executive instruments may specifically inform decision-making capacity assessments. |
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| Keywords: | adult protective services executive function instrumental activities of daily living |
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