AutismWonderland: Will You Need a Psychoeducational or Neuropsychological Evaluation

Do you know the difference between

a Psychoeducational and a Neuropsychological Evaluation?

If you have a special needs child who is about to start kindergarten in the Fall you may be thinking about the Turning 5 process. If you're not, then you should. Seriously, it's not too early.

I believe that a parent should visit as many schools as possible. You want your child to have as many options available. And if you're even thinking about private school placement, then I strongly suggest you have your child privately evaluated.

There are 2 types of evaluations: Psychoeducational and Neuropsychological.*

A Psychoeducational evaluation: is a "combination of psychological tests and educational assessments. The report, based on your child's test results, describes his/her strengths and weaknesses, gives appropriate recommendations for placement, and identifies strategies for assisting your child in an appropriate educational setting."

A Neuropsychological evaluation: "includes both psychological and educational assessments as well as additional tests related to a child's executive functioning. Tests of executive functioning assess a child's skills in specific memory functioning, planning and organization, sustained attention, self-monitoring, fine motor skills, and/or behaviors."

When we were going through the Turning 5 process, I took The Boy for a neuropsychological evaluation. Our evaluation cost us $6,000. Oh yeah, you read that right. We were lucky that I was able to get most of it covered by insurance (but I had to pay the neuropsychologist in full.)

Do not worry - you do not have to pay thousands of dollars for a private evaluation. They range from $500 - 10,000. There are places that offer sliding scale fees. Some accept insurance - usually medicaid or a medicaid waiver. And sometimes - I'm not sure exactly how - but sometimes you can get your school district to pay for a private evaluation.

Honestly, I wasn't happy with the neuropsychologist. The report was okay but I thought the neuropsychologist was condescending, completely out of touch with our reality and a classist. And when the attorney I consulted with suggested an amendment to the evaluation, the neuropsychologist refused and questioned the quality of the attorney. So I wouldn't recommend that person.

[side note: the following year when I was trying to apply for the medicaid waiver, I couldn't even use the neuropysch eval - I needed a psychoed. So just another thing to keep in mind.]

Whether you decide to have a Psychoeducational or Neuropsychological is more of a personal choice - you can apply to schools with either one. My suggestions are this:

Shop around! Don't make the same mistake I did and go with the first one who returned your call.
Ask questions. Make sure whoever conducts your evaluation will make specific recommendations for your child. Make sure they will be willing and available to go to hearing - if it comes down to it. Make sure they are willing to cooperate with your attorney.
Talk to other parents and ask where their child was evaluated. Nothing beats a satisfied parent referral.