Any links to research would be appreciated. It's just a weird case which I may make a thread for later, but the TL;DR was acute onset of severe paranoia and psychotic symptoms in an 80+ yo woman 6 mos ago which has been persistent and worsening. No chronic psychosis or primary psychotic disorders, before that was extremely high functioning, did some basic neuro testing which was actually pretty suggestive of mild or no neurocognitive deficits associated with dementia and seemed much more consistent with persistent delirium without obvious reason. Turned down the consult twice and instructed to obtain neuro consult before basically being forced to accept it d/t nearest neurologist being 2.5 hours away with no openings for 4 months.
Cullum has been doing some research on this for a number of years even pre-dating COVID, such as:
Munro Cullum, C., Hynan, L., Grosch, M., Parikh, M., & Weiner, M. (2014). Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment.
Journal of the International Neuropsychological Society, 20(10), 1028-1033. doi:10.1017/S1355617714000873
Using a similar battery:
Hannah E. Wadsworth, Jeanine M. Galusha-Glasscock, Kyle B. Womack, Mary Quiceno, Myron F. Weiner, Linda S. Hynan, Jay Shore, C. Munro Cullum, Remote Neuropsychological Assessment in Rural American Indians with and without Cognitive Impairment,
Archives of Clinical Neuropsychology, Volume 31, Issue 5, August 2016, Pages 420–425,
Remote Neuropsychological Assessment in Rural American Indians with and without Cognitive Impairment
A more recent but still pre-COVID review/meta:
Brearly, T.W., Shura, R.D., Martindale, S.L.
et al. Neuropsychological Test Administration by Videoconference: A Systematic Review and Meta-Analysis.
Neuropsychol Rev 27, 174–186 (2017).
https://doi.org/10.1007/s11065-017-9349-1
Before even that, there's:
Svenn E., J., Terje, S., Stein, A., & Jan-Magne, K. (2003). Neuropsychological assessment and telemedicine: A preliminary study examining the reliability of neuropsychology services performed via telecommunication.
Journal of the International Neuropsychological Society, 9(3), 472-478. doi:10.1017/S1355617703930128
More recently and mostly internationally:
Bloch, A., Maril, S. & Kavé, G. How, when, and for whom: decisions regarding remote neuropsychological assessment during the 2020 COVID-19 pandemic.
Isr J Health Policy Res 10, 31 (2021).
How, when, and for whom: decisions regarding remote neuropsychological assessment during the 2020 COVID-19 pandemic - Israel Journal of Health Policy Research
Ruth Sumpter, Emma Camsey, Steven Meldrum, Max Alford, Iain Campbell, Catherine Bois, Susan O’Connell & John Flood (2023) Remote neuropsychological assessment: Acceptability and feasibility of direct-to-home teleneuropsychology methodology during the COVID-19 pandemic, The Clinical Neuropsychologist, 37:2, 432-447, DOI:
10.1080/13854046.2022.2056922