ABSTRACT
A neuropsychological evaluation may have a “vocational orientation,” a “clinical orientation,” or both. In the present context, a “vocationally oriented” neuropsychological evaluation differs from traditional clinical evaluation in several respects. The vocationally oriented evaluation focuses on functional abilities and limitations which may impede activities of daily living or work. Primary diagnostic information, though important, is interpreted and communicated in the report with reference to functional and behavioral outcomes, rather than as a simple restatement of the location of structural brain damage. The vocational evaluation, in contrast, may serve to integrate findings from a variety of assessments including the neuropsychological evaluation. Medical records indicate that Mrs. Tucker sustained severe head injuries from a motor vehicle accident (MVA) occurring on March 5, 1986. The individual’s premorbid personality development, intelligence, coping mechanisms, support systems, etc., contribute to the prediction of overall rehabilitation outcome including potential for work and independent living.
