Assured Income for the Severely Handicapped (AISH)
Cognitive assessments consist of a clinical interview, collateral interview, intelligence testing, and academic achievement testing. Its main purpose is to determine a person’s overall level of cognitive functioning.
Functional Capacity Evaluations
Functional Capacity Evaluations include three main components: a history and manual examination addressing issues such as muscle strength and range of motion; physiological testing including energy system capacities, strength, range of motion, organization of movement, and joint stability; and a functional assessment which addresses issues such as sitting/standing/walking tolerances, ability to assume various work-related postures (e.g., squatting, kneeling, reaching), and overall strength capabilities. Standardized ratings from the National Occupational Classification (NOC) are used in reporting. The Functional Capacity Assessment report provides objective information about clients’ physical capability for work, and where appropriate, recommendations for improving functional abilities. All functional capacity evaluations are carried out by licensed physical or occupational therapists.
Neuropsychological Assessments include an evaluation of present and premorbid intellectual ability, attention and working memory, verbal memory, memory for visual material, prospective remembering, problem solving/executive functioning, visual/spatial/perceptual skills, expressive and receptive language abilities, and somatosensory and motor function. A formal assessment of personality and emotional factors is also included. Reports will address each of these domains and will provide conclusions and recommendations addressing the nature and extent of any neuropsychological problems, descriptions of impairments and disabilities, and recommendations addressing academic upgrading, vocational retraining, and vocational choice as relevant to the individual.
Psychiatric assessments are based on an extensive client interview which consists of going over one’s past and currrent medical and psychiatric information or history, and may include substance use and other addictions. Additional family history and personal history is obtained as well as a mental status examination. The formulation is based on a bio-psycho-social model with emphasis on potential for improvement. Subsequent psychiatric diagnoses follow the multi-axial assessment format of the Diagnostic and Statistical Manual (DSM-IV) which takes into account the various clinical and personality aspects of the diagnoses, coping style, and global assessment of functioning. Recommendations are made regarding specific treatments and referral to appropriate clinics or agencies for further rehabilitation, management, and support.
Psychological Assessments address issues such as nature and history of the presenting problem/disability, personal history, general level of intellectual functioning, psychological and emotional functioning (including determination of psychiatric [DSM-IV] diagnoses, if relevant), psychometric assessment of perceived disability, coping skills, personality functioning, and treatment recommendations. Issues to be assessed will include life stress, coping skills, and other resources.
Vocational Assessments are specifically directed at identifying the client’s potential for competitive employment, and identification of appropriate employment possibilities. In addition to a review of the client’s vocational and academic history, vocational assessments consist of objective determination of overall intellectual functioning, academic potential, aptitudes, motivation, and vocational interests. Identification of specific barriers to competitive employment, both as perceived by the client and as determined by a review of medical and/or other available information, will be factored into computer-based and clinical job matching. Consideration will be given to various levels of employment-related rehabilitation and retraining, as appropriate for each client and recommendations for overcoming barriers to employment will be provided.