The process of independent medical evaluation can raise several questions for the subject who is submitting to the evaluation, given the relative importance of the results to the follow-up (the disposition of the insurance claim, litigation, return to work, etc.).
In the context of a neuropsychological assessment, the objective is to analyze the results with psychometric tools, along with the clinical files submitted (medical history), subjective complaints from the subject, as well as behavioral observations, in order to answer specific questions that are set out in an initial mandate to which the subject agrees.
In this context, the neuropsychologist and the subject being evaluated do not have a traditional professional-client relationship, and it is ensured that such a relationship did not exist initially (e.g. former client who received neuropsychological services), in order to minimize bias. The goal is to provide an objective, impartial, neutral, and fair assessment that will answer the questions of the referring party and that will advance the file of the subject being evaluated, regardless of the context.
Normally, measures of validity and effort are part of the evaluation, in order to ensure that the evaluated subject makes an appropriate effort or investment that allows us to consider the data as valid and representative of the subject's functioning.
Dr. Charles Leclerc, a neuropsychologist at the Y2 Consulting Psychologists Clinic, in the Gatineau/Ottawa region, conducts IME's (Neuropsychological Assessments) and stresses the importance of defining the subject's effort, cognitive functions (reasoning, memory, attention/concentration, executive functions, language, visual-spatial functions, etc.), as well as the functions of psychological adjustment and personality factors. In effect, it is essential to separate what is of an organic/neuropsychological nature from the psychological adjustment reaction to an event that is traumatic, shocking, disappointing or other. The prognoses are different, as are the modes of treatment. Normally, all parties gain clarity with the problem, potential solutions, and prognosis. It is in this spirit that we conduct IME's.


