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Wellview - Clinical Neuropsychology and Cognitive Rehabilitation by ReNeuro

About ReNeuro:

ReNeuro is a neuropsychology practice dedicated to comprehensive adult cognitive assessment as well as designing individually-tailored cognitive rehabilitation/remediation services aimed at improving and optimising functional outcomes. Our area of speciality is older-adult neuropsychiatry.

We have established close and reputable relationships with other health professionals including psychiatrists, psychologists, general practitioners, neurologists, exercise physiologists and dieticians, for a well-rounded and holistic approach to assessment and rehabilitation.

Comprehensive Adult Neuropsychological Assessments:

What is the aim of the assessment?
To objectively measure your thinking functions (such as memory, concentration, reasoning etc) and to determine your cognitive strengths and weaknesses.

Is a referral required for this assessment?
Yes, a referral from your GP or specialist is required. Each referral is considered based on appropriateness and suitability for ReNeuro's services. ReNeuro reserves the right to decline cases which we assess as unsuitable for our areas of expertise. In these cases, we will endeavour to make suggestions to the referrer for the provision of the services required.

What is the age range for referrals?
While we specialise in older-adult neuropsychiatry, we also accept referrals for patients aged 18 years and over, encompassing a range of conditions affecting cognitive functioning.

What does the assessment include?
The assessment includes a clinical interview to obtain background medical/psychiatric/lifestyle information relevant to your case. Your thinking functions will also be assessed. Following the assessment, a comprehensive report will be sent to your referring clinician, with recommendations for management & treatment plans, where appropriate. Every patient will also be offered feedback regarding the results of the assessment, as well as recommendations pertaining to individually-tailored cognitive strategies, where appropriate. In some complex cases, this may involve coming in for an additional face-to-face consultation. This will be discussed with you either at the time or soon after your initial assessment.

How much does the assessment cost?
The fee for a standard neuropsychological assessment is based on the Australian Psychological Society's schedule of recommended fees, and costs approximately $1,353 (GST exempt). Please also note that additional fees may be incurred for some assessments. For example, this may be due to the complexity of the case and/or additional time involved in the assessment, information-gathering (including research and obtaining additional relevant medical/clinical history) and formulation of the report, or if the neuropsychologist is required to appear before a legal counsel.

Is there a rebate for this assessment?
Medicare rebates are not yet available. Some private health funds may cover part of the fee for a neuropsychological assessment; however it is the responsibility of the patient to enquire with their respective health fund regarding available rebates.

Are Workers' Compensation and Department of Veteran Affairs (DVA) cases accepted?
Yes, we welcome assessments related to Workers' Compensation as well as referrals for DVA patients. However, please note that we require written approval of payment from the relevant agency prior to accepting the referral.

Are guardianship or capacity referrals accepted?
Yes, we accept guardianship and capacity referrals.

Are Medico-Legal referrals accepted?
Yes, medico-legal referrals may be accepted, however information from third-parties, (e.g. solicitors, insurance companies) is required prior to acceptance of the case.

Rehabilitation / Remediation Services:

What is cognitive rehabilitation / remediation?
Cognitive rehabilitation / remediation is a non-pharmacological (i.e. non-drug) intervention designed to facilitate improvement and/or recovery from cognitive impairments (i.e. disturbances in thinking skills) caused by brain injury and/or disorders which may disrupt efficient brain functioning. Examples include: traumatic brain injury, stroke, neurodegenerative conditions, and mood and anxiety disturbances (e.g. depression).

The aim of cognitive remediation/rehabilitation is to modify and improve functional outcome and reduce disability and improve quality of life, even if the underlying brain impairment is not expected to recover.

ReNeuro's approach to remediation is largely informed by the Neuropsychological Educational Approach to Remediation (NEAR, Medalia et al. 2008).

What do successful cognitive rehabilitation/remediation interventions generally include?
• Exercises and activities which involve various stimulus modalities (e.g. Computer-based and practical strategy-based), conducted over several sessions;
• Flexible levels of difficulty, which can be adjusted according to patient's rate of cognitive improvement as well as level of motivation;
• Individually-tailored programs;
• Application to real-world settings that can be generalised to every-day tasks;
• Programs which involve facilitated guidance by the clinician in conjunction with active participation and involvement of the patient in implementing the strategies outside of the rehabilitation setting.

How many sessions would I need to attend?
The number and frequency of the rehabilitation sessions depends on several factors including the patient's level of impairment, their rehabilitation goals and their progress during the sessions. The patient and clinician would agree upon the number of sessions at the initial consultation, following a discussion of these factors. Medicare offers a rebate for 6-10 sessions for individual psychological interventions.

How will I benefit from attending cognitive rehabilitation sessions?
Overall, the aim of the rehabilitation sessions is to improve the patient's functionality by helping them to cope with and adapt to cognitive impairment, as well as to provide them with appropriate educational information regarding prevention of further cognitive decline so that they can make informed choices in the future. However, it is difficult to predict exactly how much each patient will benefit, as this will also depend on the patient's own motivation and engagement with the strategies.

Will my family be involved in the rehabilitation process?
Usually, we would not expect family members to attend the rehabilitation sessions; however in some cases, this may be appropriate. We occasionally invite family members to attend specific sessions so that they can benefit from the educational information and to demonstrate how they can best support and assist the patient in coping with their cognitive impairment.

*Cognitive rehabilitation or remediation does not include speech therapy, occupational therapy, physiotherapy or psychotherapy. In cases where these services are required, we may refer you to an appropriate specialist.

Who are the ReNeuro Clinicians?:
ReNeuro was established by Keri Diamond and Loren Mowszowski, two Clinical Neuropsychologists.

They are actively engaged in ongoing development and promotion of cognitive rehabilitation and remediation services within the wider community, with a view to optimising functional capacity, maintaining independence and improving quality of life despite the impact of compromised brain functioning.

See under Welllview Practitioners for more information.

Referrals and enquiries:
Contact Wellview’s Practice secretary on 02 9929 5351