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Abstract
Objective: Despite a movement toward tele-based clinical services in other healthcare domains, implementation of these services within neuropsychology, particularly with pediatric populations, is limited. With the onset of social distancing due to COVID-19, the field of pediatric neuropsychology is encouraged to consider the utility of non-traditional, tele-neuropsychological assessments. In order to accommodate ongoing service needs for medically and neurodevelopmentally complex children, a novel three-tiered telehealth service model of care was developed and implemented in a large pediatric outpatient neuro/psychological clinic within an academic medical center.
Method: In this article, we provide case examples that illustrate the clinical implementation of this three-tiered telehealth service model of care for serving children during this uncertain time.
Conclusion: The primary aim of this article is to provide examples outlining how clinical service decisions were made in the application of this three-tiered model for children with complex medical and neurodevelopmental histories. This article is intended to serve as a guide for other pediatric neuropsychology providers considering tele-neuropsychological services for complex pediatric patients during social distancing.
Disclosure statement
No potential conflicts of interest were reported by the authors.
Acknowledgments
The authors wish to express their gratitude to the patients, families, clinicians, and support staff of Kennedy Krieger Institute’s Neuropsychology Department. Special thanks to Drs. Cindy Salorio, Lisa Jacobson, and Alison Pritchard for their guidance and Matt Ryan and Megan Geist for their psychometry support.