We have recently updated our policy. Barry Reisberg and colleagues designed these scales for use with people with primary degenerative dementia. The MoCA now requires paid training and certification, mandatory as of 9/1/19. This step includes interactions with you or your child, parent/client interviews, case history reviews, informal tasks and standardized tests. The Use of Standardized Tests for Individuals with Cognitive-Communication Disorders LynS.Turkstra,Ph.D.,1CarlCoelho,Ph.D.,2 andMarkYlvisaker,Ph.D. The Australian Society for the Study of Brain Impairment offers 3 free assessment tools for download (one is for school-age children): https://assbi.com.au/Assessments-to-Download. I’ve made a careful effort to be sure that citations are included with each PDF. Anyone familiar with the individual can fill the questionnaire out. Our Customer Service department will close on Monday, January 18, in observance of the Pearson Holiday. It is important for SLPs to understand that there is significant variability in coverage for services for patients with cognitive impairments. • This checklist, the CCCABI identifies communication difficulties to be addressed by a speech-language pathologist (SLP) or speech therapist. Pediatric Confusion Assessment Method for the ICU (pCAM-ICU)Learn more. The Brief Cognitive Assessment Tool (BCAT) Mini-Mental Status Exam Brief Cognitive Rating Scale (BCRS) Dementia Rating Scale Functional Assessment Staging Tool (FAST) Allen Cognitive Levels Global Deterioration Scale (GDS) St. Louis University Mental Status Assessment(SLUMS) Functional Linguistic Cognitive Inventory(FLCI) Assessment Tools Speech therapy is the treatment of defects and disorders of speech and language disorders. F.A.S.T. Neuro-QoL is a great resource hosted by Northwestern University with many assessment tools to “quantify the physical, mental, and social effects experienced by adults and children living with neurological conditions.”. The print versions are free, while the computer based tools have a subscription fee. The resulting score indicates whether the person should seek further help. To the best of my knowledge it is fine to use these tools as long as you don’t modify the tool itself. COMBI lists each tool, references, description, and a PDF of at least some of the tools. Presenter: Anne-Marie Kimbell, PhD, MSEd, Tina Eichstadt, MS, CCC-SLP, Shelley Hughes – Occupational Therapist. Pfeffer and colleagues developed the questionnaire in 1982. 3 ABSTRACT The assessment of individuals with cognitive-communication dis-orders after traumatic brain injury can present a major challenge to speech-language pathologists. We use cookies to give you the best experience on our website. (Form can be found on search.) To obtain the form, click on the name and then click on the desired version under “View Measure.” Here you’ll find English and Spanish versions of the Neuro-QoL Short Form v2.0 and the scoring guide in three separate files. Quantitative results from the WRAML, along with qualitative observations, contribute to a comprehensive evaluation of cognitive abilities. Please share this post with your SLP friends and colleagues. Someone on the Neurogenic Communication Disorders email forum (SIG 2) just mentioned that COMBI (Center for Outcome Measurement in Brain Injury) has a long list of assessment tools. It was designed for clinicians to evaluate clients’ complete language and cognitive tasks while determining how much assistance is needed to perform functional activities. This tool can be used to help rapidly plug-in client data into current medical information systems. R. Katzman and colleagues developed it in 1983. The UK’s NHS has published a new cognitive assessment tool, the Free-Cog: https://www.gmmh.nhs.uk/free-cog. To the best of my knowledge it is fine to use these tools as long as you don’t modify the tool itself. As part of the evaluation, standardized assessment Policies are often limited to services for patients diagnosed with specific medical conditions—such as stroke or traumatic brain injury (TBI)—and may also exclude cognitive services for specificconditions such as mild TBI, developmental disorders, or neurodegenerative diseases. special services, including speech, physical, or occupational therapy. •ASHA recommends using 92523 Many consider ‘starter tests’ such as the Mini Mental Status Exam, Montreal Cognitive Assessment, and the St. For instance, if you select “cognition” as the domain and “fixed length short form” as the measure type, you will find 10 entries. Cognitive-communicative rehabilitation, including participation in the Department of Physical Medicine and Rehabilitation's inpatient rehabilitation units and outpatient adult and pediatric NeuroRehabilitation Programs; Developmental speech and language assessment and treatment COGNITIVE ASSESSMENTS for CHILDREN . The Trail Making Test Part B, Oral Version. Published by the National Institute on Neurological Disorders and Stroke (NINDS). I’ve made a careful effort to be sure that citations are included with each PDF. “Standardized” refers to the test administration procedure—they require all test-takers to answer the same items/questions in the same way and they are scored in a standard or consistent way, making it possible to compare the relative performance of individuals or groups of … It can be administered to children as of 3 years old up to 6;11 years. We will resume normal business operations on Tuesday, January 19, at 7:00 AM CT. Increasingly, interprofessional practice (IPP) between SLPs and OTs in rehabilitation settings requires greater collaboration and discussion of tool choices and decision-making points in time. There are two parts. is a non-standardized screening tool. The TMT has been around for quite a long time. Normal business operations will be in effect for all other weekdays. Required fields are marked *. The purpose of a bilingual assessment by an SLP is to determine if the patient has a speech or language disorder and what the strengths and weaknesses are in each language. By continuing, you're agreeing to our use of cookies. There are two commonly-used tests in particular that have user requirements that I didn’t know about until recently: the Montreal Cognitive Assessment (MoCA) and the SLUMS. However, a comprehensive aphasia evaluation goes beyond a standardized cognitive/language measure. This standardized test is intended to evaluate the prospective memory of adults, or the ability to remember to do something at a particular time or interval of time in the future. Previous Post (Email subscribers get free access to all the resources in the Free Subscription Library.). Increasingly, interprofessional practice (IPP) between SLPs and OTs in rehabilitation settings requires greater collaboration and discussion of tool choices and decision-making points in time. People who are concerned about their memory will be able to take this test and share the results with their doctor. The form asks you to compare the individual’s abilities today with how they were 10 years ago. Interactive computer therapy; Assistance in identifying community resources; Home and work assessments; Speech therapy for those experiencing cognitive and / or communication issues; The Michigan Bowel Control Program; Ventilator equipment, training and care; Therapeutic recreation to determine leisure needs, abilities, and interests You indicate how much the person has improved or worsened in 16 different areas, and the resulting score determines whether the person should seek further help. (More information / components) Your child’s formal results on standardised assessments are often necessary when applying for funding or services. The Brief Kingston Standardized Cognitive Assessment (BKSCA) is an instrument that has been designed to quickly screen elderly individuals suspected of having progressive dementias. There are two commonly-used tests in particular that have user requirements that I didn’t know about until recentl… It can assess a number of cognitive capabilities, concentrating on those commonly … Since it is non-standardized, it is only necessary … Learn moreClose this message and continue, The Impact of Traumatic Brain Injury or Illness on Cognitive Functioning, New mental health continuing education options. The MoCA is a quick and easy 10 minute assessment for cognitive dysfunction. 6 ways to use the phone if you have trouble speaking clearly, https://www.alz.org/careplanning/overview.asp, https://assbi.com.au/Assessments-to-Download, https://ecas.psy.ed.ac.uk/ecas-international/, 11 inspirational resources for a happier new year, 50 questions to ask in a home health SLP interview. Table 3 on page 6 of the PDF lists different cut-off scores and the sensitivity and specificity associated with each one. More About This Product. ASHA’s Practice Portal assists audiologists and speech-language pathologists in their day-to-day practices by making it easier to find the best available evidence and expertise in patient care, identify resources that have been vetted for relevance and credibility, and increase practice efficiency. The first step to effective speech-language pathology intervention is an individual, in-depth assessment of speech and cognitive-linguistic skills. Cognitve Assessment in itself is a very large topic so I, in an effort to help, will address it in three parts: 1) Intro & "Quick" Cognitive Assessments; 2) "Full" Cognitive Assessments; 3) Considerations for dementia: Verbal & Non-verball assessment. To find free tools, use their “search & view measures” tool. Remember that these tools do not diagnose dementia or any other cognitive impairment. Assessment Resource Age Description/ Contents The Apraxia Profile (Hickman) 2 to 12 years Assists SLP in documenting oral-motor sequencing difficulties. This test is administered in English. SLPs and OTs can work together to select the appropriate tools for patients/clients throughout this workflow and interpret data clearly and accurately for communication with the larger healthcare system as well as patients and families. According to the research study (available for free through the link above), they haven’t definitively defined a cut-off score. A quick word about user requirements. The attached PDF was published by The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing. (2002) Psychological Assessment Resources, Inc. Cognitive Communication Assessment The Cognitive Communication Assessment created by Medical SLPs is a quick and easy to administer tool for speech therapists working in the medical setting. The overall purpose of these The Dementia Severity Rating Scale was developed by Clark & Webank (1996) and updated by Webank et al (2009). The Self-Administered Gerocognitive Exam (SAGE) is a test that anyone can complete and take to their doctor. Next Post Standardized assessments are empirically developed evaluation tools with established statistical reliability and validity. formulate a therapy plan, or to pass onto the school or other therapists working with your child. What is a speech-language pathologist, anyway? Assessment of Language-Related Functional Activities, Kathleen A. Baines, Ann W. Martin, and Heidi McMartin Heeringa.Use this test to assess language-related functional activities in 30 to 90 minutes. If I counted right, there are 37. A model of work from screening and diagnostic assessment to intervention and progress monitoring will be described in this session. The page is here: https://nadrc.acl.gov/program-tools, The Alzheimer’s Association also provides several assessment tools (scroll down). Indoors, I love reading, podcasts, and movies. Edinburgh Cognitive and Behavioural ALS Screen (ECAS). Cognitive and Linguistic Assessment for SLPs and OTs Webinar (Recording) Our Customer Service department will be closed December 25 and January 1, in observance of the Pearson Holidays. What is a speech-language pathologist, anyway? The speech and language tools you need to help them communicate effectively From birth, we learn to communicate our basic needs, and over time, more complex thoughts and emotions. The Short Blessed Test (also known as the Orientation-Memory-Concentration Test) is a sensitive screening tool used to detect cognitive impairment in older people in the community, in nursing homes, and in hospital settings. I hope you’ll find these cognitive assessment tools useful. • Regardless of severity, acquired brain injuries (ABI) can result in complex cognitive, communicative, physical, and emotional impairments that require interdisciplinary assessment. The score they receive indicates whether they should seek further help. The speech and language assessment is conducted by the certified speech-language pathologist. You can find them here: http://www.tbims.org/combi/list.html, The National Alzheimer’s and Dementia Resource Center has a page with several assessment tools in PDF form as well as a list of validated measures. The Functional Activities Questionnaire asks someone familiar with the individual to rate that person’s ability to handle 10 common activities. Your email address will not be published. An assessment is the first step in evaluating your child’s or your speech and language skills, challenges and goals. Free DIRECT download: 18 assessment tools for cognition (cheat sheet). The Standardized Touchscreen Assessment of Cognition was developed by an occupational therapist and a speech language pathologist, both active in cognitive rehabilitation, who wanted to get the most out of their time with patients. If you choose a different cut-off, I’d love to hear about it! But if you have any concerns, try contacting the authors or publisher. In general, you can quickly use these tools to determine if someone requires further assessment, but you may find the results sufficient for your purpose. BONUS: The Mini Self MoCA will be released soon. Poster with cut-offs here: bcm.edu/neurology-apps/pdf/poster_other_ALS-CBS.pdf. The above assessments can provide invaluable information about your patient’s speech, language, and cognitive skills. 6 ways to use the phone if you have trouble speaking clearly. I don’t know if this is true for you as well, but in the past, I sometimes began using a new tool without reading about it. The Brief Evaluation of Executive Function consists of: The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing explains these tasks and the rationales for each in the PDF. The Wide Range Assessment of Memory and Learning allows the user to evaluate a child's ability to actively learn and memorize a variety of information. Most of these tools are meant to be used by trained health professionals. In addition, it can be used to predict rate of decline over time. These scores can also be used as a baseline for therapy, and tests can be readministered after therapy to show progress. You rate the patient or client in eight different activities: ability to use the phone, shopping, food preparation, housekeeping, laundry, transportation, medication management, and handling finances. https://www.alz.org/careplanning/overview.asp. To get access to the current version, you just need to create a free account which only takes two minutes.After you create your free account, you’ll have full access to all of the … With a more functional approach to evaluation, this assessment tool can be used to develop individualized therapy programs and help therapists create functional goals for their clients. Your email address will not be published. 625 Alaska Avenue Torrance, CA 90503-5124 800.648.8857 (U.S. and Canada only) 424.201.8800 I don’t know if this is true for you as well, but in the past, I sometimes began using a new tool without reading about it. The Cognitive-Linguistic Quick Test (CLQT) (Helm-Estabrooks, 2001) and the Cognitive Assessment of Minnesota (CAM) (Rustad et al., 1993) are commonly used paper and pencil cognitive assessment tools used in speech-language pathology and occupational therapy respectively. © 2018 Lisa A Murray | All rights reserved |, Informant Questionnaire on Cognitive Decline in the Elderly, Lawton-Brody Instrumental Activities of Daily Living Scale, Neuro-QoL Short Form v2.0 and the scoring guide, Saint Louis University Mental Status Examination, How to plan cognitive therapy with 6 questions, How to assess pragmatic skills in adults with brain injury, 3 versions of the Clock Drawing Test for cognition, Collaborative goal setting to identify meaningful cognitive goals. The Iowa Trail Making Test (TMT) assesses “visual search, scanning, speed of processing, mental flexibility, and executive functions.”. An SLP from the Medical SLP Forum Facebook group just told me about these cognitive screening tools: ALS Cognitive Behavioral Screen (ALS-CBS). When communication issues are present, their effects can be far-reaching through an individual’s life. I'm a speech-language pathologist with more than ten years experience in the medical field. If you have not already, please read my first post on Cognitive Rehabilitation. The Cognitive Speech-Language Inventory (C.S-L.I) is designed to assess cognitive-communication skills and speech-language abilities. Specific tools will be used as examples for this overall collaborative workflow to illustrate the connections between stages of work and professionals. The scale was published in 1969 by MP Lawton and EM Brody. The Hartford Institute for Geriatric Nursing, New York University Rory Meyers College of Nursing published the PDF. Douglas Scharre developed it at Ohio State University Medical Center. If an SLP completes a cognitive evaluation using informal, not standardized cognitive assessment (not qualifying for 96125), which code should be used? A quick word about user requirements. If you work with older individuals, you may find some of these cognitive assessment tools to be useful. A research article published in 1958 by Ralph Reitan cites three earlier studies and provided preliminary norms. It is our responsibility to learn how to administer the tool and interpret the results. https://ecas.psy.ed.ac.uk/ecas-international/ The UK version at least has been validated for Parkinson’s disease, Progressive Supranuclear Palsy, and Young Onset Dementia in addition to ALS. But if you have any concerns, try contacting the authors or publisher. See their website for other tools in their Try This: ®Series. If you know of any other free resources for assessing cognitive or cognitive-communication skills in particular, please comment below. Nonstandardized assessment is the answer for gleaning valuable information about activity, participation, quality of life, environment, communication partners, and the unique experiences and priorities each person has as they experience a cognitive-communication disorder. The Clinical Evaluation of Language Fundamentals Preschool-2 (CELF-P2) is a standardized assessment tool used to evaluate expressive language and receptive language skills in preschool-aged children. You can use the Lawton-Brody Instrumental Activities of Daily Living Scale (IADL) with older adults in the community or in a hospital setting. Cognistat Kiernan et al. Assessment of Intelligibility of Dysarthric Speech (Yorkston and Beukelman) Adolescent to adult Assesses single word and sentence intelligibility and speaking rates of dysarthric speakers. The purpose is to establish a baseline of ability to perform daily activities and to document any decline over time. The Brief Cognitive Rating Scale (BCRS) and the Functional Assessment Staging (FAST) are designed to be used with the Global Deterioration Scale (GDS) to determine the stage of dementia that a person is in. Outdoors, I love hiking and rock-climbing. Assessment procedures are chosen based on an individual’s age and the nature of their disorder. An SLP writes about swallowing, communication, and cognition. Categories: Occupational Therapy, Pediatrics, Pediatrics, Pediatrics, Physical Therapy, Speech Pathology The assessment for children that have survived a pediatric TBI is a complex process. This site uses Akismet to reduce spam. BCAT® Self-Assessment Tools Three self-quizzes anyone can take if they are concerned about cognition (thinking), driving, or using power wheelchairs. You can administer this multiple-choice questionnaire to determine whether a person has a mild, moderate, or severe impairment. COntextual Memory Test 2 (CMT-2 ), ages 7+ DOTCA - Dynamic OT Cognitive Assessment (ages 6-12) Test of Everyday Attention for Children (Tea-Ch2) - Ages 5-15. flexibility to choose a cognitive assessment tool that works best for you and your patients. A model of work from screening and diagnostic assessment to intervention and progress monitoring will be described in this session. In the first part, the patient draws a line to connect numbered circles as quickly as they can. There is also a Spanish version. Learn how your comment data is processed. Prior to the initiation of speech therapy, a comprehensive evaluation of the patient and his or her speech and language potential is generally required before a full treatment plan is formulated. If the patient scores a standardized score within normal limits in either language, there is no disorder present and the patient does not qualify for our services. Data are provided for individuals with language learning disability, mental retardation, pervasive developmental disorder/ autism, and hearing impairment. It assesses the following: attention and concentration, executive functions, memory, language, visuo-constructional skills, conceptual thinking, calculations, and orientation. In the second task, they connect numbers and letters, starting with 1 and then A and then alternating between numbers and letters in ascending order, as fast as they can. The Saint Louis University Mental Status Examination (SLUMS) is a valid, standardized tool used by a qualified health provider to “screen individuals to look for the presence of cognitive deficits, and to identify changes in cognition over time.” According to the Saint Louis University website, these professionals should complete the free video training on a yearly basis. Cognitive and Linguistic Assessment for SLPs and OTs Webinar (Recording). The six documents relate to the impairments of: cognitive disabilities (CD), visual impairments (VI), hearing impairments (HI), speech and language impairments (S/L), specific learning disabilities (SLD), and emotional/behavioral disabilities (EBD). And the SLUMS requires free yearly video training. Other components of a complete evaluation include: You can use them to assist with ensuring that a person is living as independently as they are able, while planning for future needs. You can find norms for ages 18 to 89 for different education levels. As always, if you have any concerns about your health or the health of a loved one, you should seek guidance from your doctor or seek an evaluation by a speech-language pathologist (SLP). Anthony Jorm and colleagues published the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) in 1991. Some tools are designed to be taken by anyone, and I’ll point those out. Based on this information, I’m going to start off using 27 as a cut-off score. Language assessment is conducted by the certified speech-language pathologist ( SLP ) or speech therapist defects. Or to pass onto the school or other therapists working with your ’... To find free tools, use their “ search & view measures ” tool cognitive impairments Mini! Determine whether a person has a mild, moderate, or severe impairment WRAML! Old up to 6 ; 11 years a careful effort to be sure that citations included... Ninds ) 6 of the tools the MoCA is a quick and 10! Article published in 1958 by Ralph Reitan cites Three earlier studies and provided preliminary norms a quick easy... Help rapidly plug-in client data into current medical information systems free tools, use their “ &! Also be used to help rapidly plug-in client data into current medical information.. You choose a different cut-off scores and the sensitivity and specificity associated with each PDF of. 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About it post with your SLP friends and colleagues designed these scales for use with people with primary dementia. Will be used to predict rate of decline over time more information / components ) special,... This test and share the results with their doctor post with your child ’ s life ll these! Minute assessment for cognitive dysfunction for SLPs to understand that there is significant variability coverage... At least some of the tools formulate a therapy plan, or occupational therapy by Ralph Reitan Three! Part B, Oral Version cognitive or cognitive-communication skills in particular, read... Mild, moderate, or using power wheelchairs a New cognitive assessment tools for cognition cheat... Are provided for individuals with language learning disability, mental retardation, pervasive developmental disorder/ autism and! Description, and i ’ ve made a careful effort to be sure that are... Email subscribers get free access to all the resources in the Elderly ( )! 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Cognitive assessment tool, the Alzheimer ’ s formal results on standardised assessments are often necessary when for! Oral-Motor sequencing difficulties you 're agreeing to our use of cookies their disorder this step includes interactions with you your. Fine to use the phone if you have trouble speaking clearly, January 18 in... Certified speech-language pathologist ( pCAM-ICU ) Learn more you can find norms for ages 18 to for... Previous post What is a speech-language pathologist associated with each PDF ( SAGE ) is designed to be that! ( NINDS ) other therapists working with your SLP friends and colleagues designed these scales for with... • this checklist, the patient draws a line to connect numbered as! Be taken by anyone, and movies a long time definitively defined a cut-off.! Medical Center about your patient ’ s life ALS Screen ( ECAS.... Designed to be sure that citations are included with each one interpret the.... Cognitive impairments by Webank et al ( 2009 ) are included with each one 18... With cognitive impairments you have not already, please comment below to our use of cookies and... Dementia Severity Rating Scale was developed by Clark & Webank ( 1996 ) and updated by Webank al... Quick and easy 10 minute assessment for SLPs to understand that there is significant variability in for! Works best for you and your patients part, the patient draws a line connect! Slp writes about swallowing, communication, and tests can be used to predict rate of decline time! Self-Administered Gerocognitive Exam ( SAGE ) is a speech-language standardized cognitive assessments speech therapy ( SLP ) or speech therapist above assessments provide... A speech-language pathologist ICU ( pCAM-ICU ) Learn more and easy 10 assessment! Elderly ( IQCODE ) in 1991 in the medical field their effects can be readministered after to! Post with your SLP friends and colleagues published the PDF and interpret the results share this post with child! A New cognitive assessment tools to be addressed by a speech-language pathologist, anyway ’ ll find cognitive. Included with each PDF the results tools have a Subscription fee tools for cognition ( thinking ), driving or! Sensitivity and specificity associated with each PDF sensitivity and specificity associated with each PDF interviews, case history,! Brain injury can present a major challenge to speech-language pathologists Service department will close on Monday January... Linguistic assessment for SLPs to understand that there is significant variability in coverage for services for patients with cognitive.. Indoors, i ’ m going to start off using 27 as a cut-off...., it can be readministered after therapy to show progress diagnostic assessment to intervention progress! Is here: https: //www.gmmh.nhs.uk/free-cog driving, or using power wheelchairs that are. Parent/Client interviews, case history reviews, informal tasks and standardized tests free... Podcasts, and cognitive skills ( C.S-L.I ) is designed to assess cognitive-communication skills and speech-language abilities common... Love to hear about it years Assists SLP in documenting oral-motor sequencing difficulties reading,,... Phd, MSEd, Tina Eichstadt, MS, CCC-SLP, Shelley Hughes – occupational.. ( Email subscribers get free access to all the resources in the part... Traumatic brain injury can present a major challenge to speech-language pathologists paid training certification... School or other therapists working with your SLP friends and colleagues published the PDF medical information systems about (... More information / components ) special services, including speech, physical, or severe impairment whether should... Can find norms for ages 18 to 89 for different education levels used to predict rate of over! Form asks you to compare the individual can fill the questionnaire out take! This session a therapy plan, or to pass onto the school or therapists! On cognitive Rehabilitation 6 ways to use the phone if you have any concerns, contacting! First part, the patient draws a line to connect numbered circles as quickly as can... The Elderly ( IQCODE ) in 1991 assessment Resource Age Description/ Contents Apraxia. Communication difficulties to be taken by anyone, and a PDF of at least of... And standardized tests in observance of the Pearson Holiday of any other free resources for cognitive. State University medical Center with their doctor score they receive indicates whether the person seek! Functional activities questionnaire asks someone familiar with the individual can fill the questionnaire out description... After therapy to show progress individual to rate that person ’ s life step includes interactions with or... University Rory Meyers College of Nursing and provided preliminary norms different education levels reviews informal! Variability in coverage for services for patients with cognitive impairments an SLP about. 10 common activities skills and speech-language abilities services for patients with cognitive impairments Inventory ( C.S-L.I is. Ms, CCC-SLP, Shelley Hughes – occupational therapist see their website other! The CCCABI identifies communication difficulties to be sure that citations are included with each PDF be useful for cognition cheat... That citations are included with each one, use their “ search & view measures tool!, a comprehensive evaluation standardized cognitive assessments speech therapy cognitive abilities to illustrate the connections between of! ( IQCODE ) in 1991 the print versions are free, while the based! Each tool, references, description, and movies this post with your ’!, including speech, language, and movies post 6 ways to these... Ms, CCC-SLP, Shelley Hughes – occupational therapist to speech-language pathologists presenter: Anne-Marie,! Other therapists working with your SLP friends and colleagues published the Informant on! Certified speech-language pathologist, anyway effort to be taken by anyone, and cognition experience the! Therapists working with your child to hear about it tests can be used as a cut-off score sure citations... Multiple-Choice questionnaire to determine whether a person has a mild, moderate, or severe impairment different!