A survey of report writing by neuropsychologists, II: test data, report format, and document length

Data are presented regarding current practices in the organization of neuropsychological reports, based on a representative sample of 414 US members of Division 40 of the American Psychological Association. The vast majority of the sample included some numeric test data in their reports, either within the text or as an addendum. The nature of the most predominant age groups and diagnostic categories served by neuropsychologists was of prominent influence on variables such as the frequency of utilization of age- and grade-equivalent scores, the inclusion of specific diagnostic codes, the provision of narrative recommendations, and the practice of deferring report distribution until after review with the patient or family. In addition, greater involvement with forensic evaluations in a medicolegal context through private practice tended to increase length of reports. It is concluded that, although there are many areas of consensus in the field with regard to the organization of neuropsychological reports, the final product needs to be shaped on the basis of consideration of the clinical presentation of the patient as well as the needs and knowledge base of the target audience.