Neuropsychological Practice With Veterans

"In Neuropsychological Practice with Veterans, Bush endeavors to compile a comprehensive account of how neuropsychological research, assessment, and treatment of veterans are impacted by military status. He succeeds brilliantly with this undertaking...[T]his is an essential text for those working with active duty service members and veterans, and is highly recommended to all those seeking new perspectives."--Journal of the International Neuropsychological Society "In Neuropsychological Practice with Veterans, Dr. Shane S. Bush provides a multifaceted overview of neuropsychological assessments and treatments associated with war veterans who have suffered from traumatic brain injury (TBI) during their service."--Somatic Psychotherapy Today Traumatic brain injury (TBI), afflicting approximately one third of injured veterans returning from duty in Iraq and Afghanistan, is considered the signature injury in these conflicts. In addition to TBI, symptoms of posttraumatic stress disorder (PTSD) and major depression often afflict these veterans and contribute to neurological symptoms. This is the first volume to provide a comprehensive overview of neuropsychologically grounded assessment, treatment, training, and trends for clinicians who work with this population. Encompassing the writings of clinicians and researchers experienced in working with the Veterans Administration (VA) population, the book is grounded in an understanding of the unique culture of the veteran with its specialized service delivery methods and procedures. In addition to its focus on veterans with TBI, the text also addresses the assessment and treatment of aging veterans of previous military conflicts and of combat and non-combat veterans with neurological and emotional problems related to aging, substance abuse, HIV/hepatitis, psychiatric disorders, and other problems. Key Features: Addresses the growing need for neuropsychological assessment and treatment of returning veterans as well as aging veterans of earlier conflicts Focuses on traumatic brain injury, posttraumatic stress disorder, and major depression Discusses assessment of malingering (faking); benefits, pension, return-to-work evaluations; polytrauma management; and training concerns Written by clinicians and researchers experienced in working with veterans Edited by a neuropsychology specialist who is well known in the VA community

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Practical and comprehensive, this is the first book to focus on noncredible performance in clinical contexts. Experts in the field discuss the varied causes of invalidity, describe how to efficiently incorporate validity tests into clinical evaluations, and provide direction on how to proceed when noncredible responding is detected. Thoughtful, ethical guidance is given for offering patient feedback and writing effective reports. Population-specific chapters cover validity assessment with military personnel; children; and individuals with dementia, psychiatric disorders, mild traumatic brain injury, academic disability, and other concerns. The concluding chapter describes how to appropriately engage in legal proceedings if a clinical case becomes forensic. Case examples and sample reports enhance the book's utility.

The ability to anticipate, avoid, and resolve ethical conflicts in neuropsychology is a dynamic process that must be developed and maintained over time. Ethics codes and professional guidelines are drafted and updated, changes in clinical practice occur, and new laws are implemented. To practice in a manner consistent with the highest ethics principles, neuropsychologists must be able to integrate the evolving ethical and legal requirements into their professional activities. The primary purpose of this 2nd edition is to review ethical guidelines and literature relevant to clinical neuropsychology that have been published since the first edition of this book was published a decade ago. A number of important publications have emerged since the first edition was published, including new Specialty Guidelines for Forensic Psychology, Standards for Educational and Psychological Testing, and position statements/practice guidelines by APA (e.g., Assessment of Older Adults with Diminished Capacity, co-authored with ABA) and other professional organizations (e.g., AACN, NAN) that are directly relevant to neuropsychological practice. In addition, scholarly publications have contributed knowledge to ethical practice in general (e.g., Knapp's & VandeCreek's work on positive ethics), which is relevant for, and should be applied to, neuropsychological practice. Additionally, book chapters on ethics in subspecialty areas (e.g., pediatric and geriatric neuropsychology, mTBI, Veterans) have advanced our understanding of ethical issues in neuropsychology and should be integrated into a new edition of the book. Finally, advances in technology and increased use of technology in clinical neuropsychology bring ethical issues and challenges incorporated in the new edition of the book. Learning exercises and study questions at the end of the chapters help readers review the main points and check their learning progress.

Formal training in clinical neuropsychology introduces trainees to diverse patient populations with a variety of conditions and disorders. Learning to competently apply a structured, fact-finding approach to case conceptualization, differential diagnosis, and treatment planning is an essential goal at all levels of training. This approach provides a valuable exercise and method of examining practitioner competence. The structured approach to case analysis promotes good clinical decision making, and exercises based on such an approach can help prepare clinicians for the oral exams that are a part of board certification. The Neuropsychology Fact-Finding Casebook is a resource for both supervisors and trainees in clinical neuropsychology, as well as for clinicians preparing for board certification. The volume provides 24 compelling and diverse fact-finding cases, one for each month of a two-year residency. Each case is presented in a stepwise fashion: presenting problem and referral question, background information and patient report, behavioral observations, and test findings. At the end of each case, a summary, diagnostic impression, recommendations, and questions are provided to assess, reinforce, and teach core competencies; an outcome section describes what occurred after the full case evaluation is completed; and critical teaching points are discussed. This Casebook is a standardized approach to fact-finding that training programs at various levels can use to help trainees develop such evaluation skills.

"...this foundational volume on military neuropsychology should be on the bookshelf of every mental health clinician that may come in contact with military service members." --International Journal of Emergency Mental Health "...an important text dedicated to this subspecialty in the larger field of neuropsychology...The book integrates in a coherent manner the different aspects of military neuropsychological practice and provides a clear clinical road map for neuropsychologists and other psychologists working with military personnel in various settings."--PsycCRITIQUES This text covers the unique features of neuropsychological evaluations in the military. The author presents a thorough examination of the assessment needs of various military populations, with a special emphasis on traumatic brain injury, and the neurocognitive aspects of stress-related problems, such as posttraumatic stress disorder (PTSD) and decision-making under stress. The chapters of the book are designed to integrate theory and application, and include case study examples as well as a comprehensive review of the latest research. Key Features: Discusses the development of neuropsychology and its advances in the military Presents methods of dealing with military issues, such as head injuries, HIV, PTSD, learning disorders, and more Explains the importance of baseline testing, stress research, and multiple brain injury rehabilitation techniques

"an overview of the important developments in neuropsychology that cannot be found from the perusal of journals alone. Interest in the reviews collected in this volume will likely go beyond neuropsychology and extend to researchers exploering brain-behavior relationships, the study of disease and injury as they affect brain function, and the rehabilitation of individuals who have suffered brain injury." from back cover.

"Clinical supervision is one of the primary means by which health service psychologists learn to provide clinical care to patients or clients (Falender & Shafranske, 2004). Clinical supervision has been conceptualized as an intervention that consists of a collaborative and evaluative relationship in which the supervisor monitors the professional services offered and serves as a gatekeeper of those who are entering the profession (Bernard & Goodyear, 2004). In the general fields of clinical and counseling psychology, supervision is one of the top five activities performed by psychologists (Peak, Nussbaum, & Tindell, 2002). During the last three decades, the importance of clinical supervision has been recognized in clinical psychology in various ways. First, in 1996, the American Psychological Association (APA) required accredited training programs to provide students and interns with training in supervision (APA, 1996). In 2004, supervision was identified as one of eight core competencies in psychology (Kaslow, 2004) and further elaborated into specific supervision competencies (Falender et al., 2004). In 2014, the APA board of educational affairs published specific Guidelines for Clinical Supervision in Health Service Psychology (APA, 2014). Supervision guidelines have also been published by the Canadian Psychological Association (CPA) (CPA, 2010). Despite the importance of supervision in clinical psychology, not all psychologists report receiving formal training in clinical supervision (Peak, Nussbaum, & Tindell, 2002; Schwent Shultz, Pederson, Roper, & Rey-Casserly, 2014)"--