Brain imaging is limited in its diagnostic ability for ARBI and its main use is in excluding other diagnoses. Diagnostic tools such as the Mini Mental Status Examination (MMSE) provide only a crude measure of cognitive functioning and will only detect cases of severe or very severe ARBI.

The MMSE taps many skills that are preserved in people with ARBI, and does not provide reliable data about memory or frontal lobe functions. In most cases, diagnosis of ARBI requires comprehensive neuropsychological and neurological assessment.

When Should a Neuropsychological Assessment be Considered?

Neuropsychological Assessment should be considered when:

• Behaviour indicates the person may be suffering brain impairment and there is a history of alcohol consumption
• Counselling is not progressing, or there could be benefit from feedback about cognitive impairment and ARBI
• When it is unclear whether the person may be suffering from psychiatric disorder or brain impairment
• Information about accommodation and support needs is required
• The person has legal issues that need addressing
• A baseline against which to measure any deterioration in functioning is required
• Information about ability to manage financial affairs, work, and capacity to make informed decisions is required

What Information is Provided in a Neuropsychological Report?

Neuropsychological reports vary according to referral questions and individuals. However, the following information should be available from most Neuropsychological Reports:

• A description of cognitive deficits - the nature and severity of each
• A description of preserved skills
• A diagnosis
• A detailed description of the functional implications of the cognitive deficits
• A description of support needs
• Strategies for compensating for cognitive impairment
• Recommendations for rehabilitation or case management as necessary
• Referral to other services if necessary