Chapter

Handbook on the Neuropsychology of Aging and Dementia

Part of the series Clinical Handbooks in Neuropsychology pp 25-41

Date:

Considerations for the Neuropsychological Evaluation of Older Ethnic Minority Populations

  • Monica Rivera MindtAffiliated withDepartment of Psychology, Fordham UniversityDepartments of Pathology and Psychiatry, The Mount Sinai School of Medicine Email author 
  • , Alyssa ArentoftAffiliated withDepartment of Psychology, Fordham University
  • , Kelly CoulehanAffiliated withDepartment of Psychology, Fordham University
  • , Desiree ByrdAffiliated withDepartments of Pathology and Psychiatry, The Mount Sinai School of Medicine

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Abstract

The US population is rapidly becoming both older and more culturally diverse. These changes in the demographic profile of the US highlight the need for clinical neuropsychologists to be equipped to competently evaluate the growing population of older individuals from culturally diverse backgrounds. However, there is a relative dearth of empirically based, practical resources specifically targeted toward serving such individuals. The aim of this chapter is to identify some of the most salient challenges in the evaluation of culturally diverse ethnic minority older adults and provide some guidelines to help face these challenges. We will examine sociocultural issues germane to older ethnic minority patients referred for neuropsychological evaluation and discuss relevant assessment considerations. Although the focus of this chapter is on ethnic minority older adults, this discussion may also be germane to other nontraditional, older populations including those from rural and low socioeconomic backgrounds.

Keywords

Racial/ethnic minorities Dementia Neuropsychological evaluation Assessment Diversity Cultural competence Neurocognitive impairment