Standardized Occupational Therapy Assessment for Cognitive Function

The CPT is used to explain and predict capacity to function in various contexts and guide intervention plans. It measures and tracks the severity of a cognitive-functional disability by means of baseline and serial assessment.

Revised 2018 Manual Includes:• Updates based on cognitive neuroscience and CPT research in early NCDs

• Administration protocols and props (Props for subtasks Medbox, Shop, Wash, and Toast are included; Subtasks Phone, Dress, and Travel are location specific with prop instructions included)

• Task analyses for each subtask and easier to use protocols

• CPT Profiles for evidence-based intervention in IADL/ADL, Independent living and care

• Documentation template and billing code

• Reference list of empirical studies published since 1990 thru 2018

Test Overview:• Cognitive Functional Assessment of Alzheimer’s Patients

• Practice Setting: √ Acute Care √ Outpatient Clinics √ TCU/SNF

• Administration Time: 45 Minutes

• IADL Performance-Based

Developed by Author and Researcher Theressa Burns, OTR Clinical Specialist

Cognitive Performance Test – CPTItem #: 7102471

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CPT Assessment Kit Materials: • Revised 2018 Manual • Standardized Props • Extra Medication/Pill Box Labels • 6 Sets of Score Sheets • Duffle Bag

√ MEDBOX √ SHOP √ TOAST √ WASH √ PHONE √ DRESS √ TRAVEL

CPT Consists of 7 Subtasks:

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Sampling of CPT Half-Level Profiles (greater detail is provided in the manual)

CPT Profile Characteristics of Functional Cognition

5.6 Relevant information can be activated and used purposefully to carry out complex activities and IADL independently. May have other cognitive or behavioral concerns.

5.0 Mild functional decline due to deficits in executive control functions (task planning, problem solving, divided attention, new learning). Difficulties may manifest in the performance of IADL, including managing finances, job performance, driving, or following a complex medication/co-morbidity regime. Check-in support and assistance with IADLs may be needed. ADLs typically show no change.

4.5 Mild to moderate functional decline due to significant deficit in executive control functions; difficulty with divided attention and solving problems. Complex tasks are performed with inconsistency or error. With IADLs, the person struggles to manage the details. ADLs may show decline in ability to self-initiate. Independent living poses significant risk for mismanaging meals, finances, medications and co-morbidities. Driving poses safety risks, with impaired ability to divide attention between environmental cues. IADL assistance and/or in-home assistance is needed. Assisted living environments provide a good fit.

4.0 Moderate functional decline; from abstract to concrete thought processes. The person relies on familiar routines and environments and uses what they see for cues as to what to do. IADLs need to be done by or with others. ADLs are remembered but typically the quality shows decline. The person benefits from structure and simple routines and may benefit from day activity programs. Hazardous activities require supervision or restriction. The person is not safe to live alone.