title: Neuropsychological correlates of performance based functional status in elder adult protective services referrals for capacity assessments.
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 (R(2) = 0.29, p < 0.001), telephone use ability (R(2) = 0.39, p < 0.001), and summed performance (R(2) = 0.45, p < 0.001). Executive instruments may specifically inform decision-making capacity assessments.
authors.affiliation: Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA. schillerstr@uthscsa.edu
authors.forename: Jason E
authors.initials: JE
authors.lastname: Schillerstrom
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Birkenfeld
authors.forename: Anne S
authors.initials: AS
authors.lastname: Yu
authors.forename: Minh-Phuong T
authors.initials: MP
authors.lastname: Le
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Goldstein
authors.forename: Donald R
authors.initials: DR
authors.lastname: Royall
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D004552:Elder Abuse / Q000523:psychology*; D056344:Executive Function; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests