Cognitive Rehabilitation

• Functional behavior is based on cognition

• Describes the nature of an individual's cognitive functional abilities

Seeks to identify appropriate activities/adaptations that will optimize the ability of individuals with a cognitive impairment to function everyday

Allen's Cognitive Level Screen (ACLS)

• Consists of 6 cognitive levels that describe typical behaviors of each level based on clinical observation and help determine the level based on their score on the assessment

  • Level 1: Automatic Actions (total cognitive assist)

  • Level 2: Postural Actions (maximum cognitive assist)

  • Level 3: Manual Actions (moderate cognitive assist)

  • Level 4: Goal Directed Actions (minimum cognitive assist)

  • Level 5: Exploratory Actions (standby for cognitive assist)

  • Level 6: Planned Actions (no cognitive assistance)

Routine Task Inventory (RTI)

• Rates client's cognitive levels in IADLs using three perspectives to validate scores: Self-report, therapist observation, & caregiver report

• Assesses: self-care, instrumental activities at home & in the community, social communication through verbal & written comprehension & expression, & readiness for work relations & performance

• Aim: to promote safe, routine performance of an individual's valued occupations & to maximize participation in life situations

Allen's Diagnostic Module (ADM)

Cognitive Performance Test (CPT)