COVID-19 issues related to pediatric neuropsychology and inpatient rehabilitation–challenges to usual care and solutions during the pandemic

Christine H. Koterba, Katherine T. Baum, Taralee Hamner, Tyler A. Busch, Kimberly C. Davis, Sarah Tlustos-Carter, Robyn Howarth, Ashley Fournier-Goodnight, Megan Kramer, Allisen Landry, Jilian O’Neill, Jennifer Cass, Camille Wilson, Beth S. Slomine

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe the challenges related to COVID-19 affecting pediatric neuropsychologists practicing in inpatient brain injury rehabilitation settings, and offer solutions focused on face-to-face care and telehealth. Methods: A group of pediatric neuropsychologists from 12 pediatric rehabilitation units in North America and 2 in South America have met regularly since COVID-19 stay-at-home orders were initiated in many parts of the world. This group discussed challenges to clinical care and collaboratively problem-solvedsolutions. Results: Three primary challenges to usual carewere identified, these include difficulty providing 1) neurobehavioral and cognitive assessments; 2) psychoeducation for caregivers and rapport building; and 3) return to academic instruction and home. Solutions during the pandemic for the first two areas focus on the varying service provision models that include 1) face-to-face care with personal protective equipment (PPE) and social distancing and 2) provision of care via remote methods, with a focus on telehealth. During the pandemic,neuropsychologists generally combine components of both the face-to-face and remote care models. Solutions to the final challenge focus on issues specific to returning to academic instruction and home after an inpatient stay. Conclusions: By considering components of in-person and telehealth models of patient care during the pandemic, neuropsychologists successfully serve patients within the rehabilitation setting, as well as the patient’s family who may be limited in their ability to be physically present due to childcare, illness, work-related demands, or hospital restrictions.

Original languageEnglish (US)
Pages (from-to)1380-1394
Number of pages15
JournalClinical Neuropsychologist
Volume34
Issue number7-8
DOIs
StatePublished - Nov 16 2020

Keywords

  • COVID-19
  • Pediatric neuropsychology
  • brain injury
  • coronavirus
  • inpatient rehabilitation

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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