Applying the ICRP model to writing recommendations in a neuropsychological evaluation for brain injury populations

This manuscript aims to describe how to use the Integrative Cognitive Rehabilitation Psychotherapy (ICRP) model to formulate neuropsychological recommendations following brain injury that are comprehensive, individually tailored, empirically based, and culturally appropriate.

The ICRP model utilizes a developmental metacognitive approach to increase self awareness after brain injury by first addressing basic cognitive abilities before focusing on higher-level cognitive domains. Detailed within this model are assessments of stages of recovery (e.g. surviving, healing, thriving, and maintaining) and readiness to change (e.g. precontemplation, contemplation, preparation, action, and maintenance) to help determine appropriate recommendations and interventions for management of brain injury sequelae and concomitant issues.

This unique approach to creating recommendations and treatment plans for brain injury recovery may be more time intensive than a traditional outpatient neuropsychological evaluation, but includes the added benefit of collaborating with the patient, family/caregivers, and treatment team to maximize rehabilitation success and improve quality of life.