hill-jarrett_Blackmon_Report

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College of Public Health and Health Professions
Department of Clinical and Health Psychology
Psychology Clinic
1600 SW Archer Rd, Room G-901
PO Box 100165
Gainesville, FL 32610-0165
Phone: (352) 265-0294
Fax: (352) 265-0096
CONFIDENTIAL NEUROPSYCHOLOGICAL REPORT
Patient Name: Blackmon, Kevin
Medical Record Number: 1234567
Referral: Roger Davis, Ph.D. (NFETC)
Dates of Evaluation: 4/19/1999, 4/20/1999
Date of Birth (Age): 6/26/1977 (21 years)
Education Level: 12
Reason for Referral: Kevin Blackmon is a 21-year-old, right-handed, Caucasian male seen for
neuropsychological evaluation at the request of Roger Davis, Ph.D. (clinical psychologist) of North Florida
Evaluation and Treatment Center (NFETC) in Gainesville, FL. Mr. Blackmon sustained a severe traumatic
brain injury (GCS: 4) as a result of a motor vehicle accident on April 24, 1994 and was comatose for three
weeks. Following the accident, he was treated with intensive inpatient rehabilitation and reports persisting
neurobehavioral changes. Mr. Blackmon has been arrested on two occasions for incidents related to armed
kidnapping, sexual assault, and battery. He was deemed incompetent to stand on February 5, 1999 and
resultantly sent to NFETC to be restored to competency. The current evaluation is requested to provide
information regarding Mr. Blackmon’s current neurocognitive status and to aid in determination of his
competency to proceed to trial since restorative intervention.
RELEVANT BACKGROUND
Background and History:
On April 24, 1994, Mr. Blackmon suffered a traumatic brain injury as a result of a motor vehicle accident
during which he was ejected from the car. Mr. Blackmon was reportedly in the passenger side riding home
from work with a friend at approximately 6:00 pm. At 6:30 pm Mr. Blackmon was hit on his side by a truck
going approximately 65 mph. Mr. Blackmon does not recall anything after the accident, but does remember
waking up in a wheelchair at the hospital. He reported having a lot of “hatred” toward his friend, who
reportedly died from injuries related to the accident.
Review of medical records indicates that Mr. Blackmon had an initial Glasgow Coma Scale score of 4 at the
accident scene. He was unconscious, and had a right hemotympanum, non-reactive pupils, and was
decerebrate. Mr. Blackmon was intubated and transported and admitted to Hollywood Memorial Hospital. He
remained comatose for three weeks. CT was initially interpreted as negative; however, it was also noted that
in the right cerebral white matter at the level of the centrum semiovale, there was a 5 mm lesion likely
representing shearing from trauma. Additionally, a small hemorrhage was found in the occipital horn of the
left lateral ventricle. Mr. Blackmon suffered additional injuries including a lacerated spleen requiring
splenorrhaphy, right clavicle fracture, and pneumothorax. He was placed on an ICP monitor, and there were
no complications managing his ICP. Mr. Blackmon experienced right hemiparesis, and noted difficulties with
eye movement and scanning cerebellar speech. He was hospitalized for three weeks and then transferred on
May 12, 1994 for inpatient rehabilitation at Memorial Hospital.
Mr. Blackmon remained in rehabilitation for six weeks and was engaged in treatment including physical
therapy, occupational therapy, psychology, social and recreational therapy, and rehabilitation nursing. He
began ambulating with assistance of a small based quad cane. There was reported evidence of mild ataxia.
His right lower extremity was slightly weaker than the left. At that time, Mr. Blackmon was reported being
“easily frustrated” and exhibited symptoms of depression. He was placed on Zoloft (100 mg).
Since that time, Mr. Blackmon has undergone a series of evaluations and restorative treatments (reviewed
below). Subsequent to his injury, Mr. Blackmon has reportedly had had poor impulse control and low
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 2 of 9
frustration tolerance resulting in interpersonal difficulties, poor employment history, and involvement in
litigation; he was diagnosed with organic personality changes secondary to TBI.
Legal Charges: Mr. Blackmon has been arrested on two separate occasions. Per police record, the first
incident occurred on June 11, 1997. At that time, Mr. Blackmon met with a 16-year old female in the
McDonalds parking lot of Hollywood Mall. The two returned to Mr. Blackmon’s vehicle, where he reportedly
brandished a knife from his sun visor and forcibly detained the female. Mr. Blackmon held the knife to the
victim while she attempted to flee from the car and demanded oral sex. The sexual act reportedly occurred,
and Mr. Blackmon then allowed the female to leave the vehicle to return to work, and she then called the
police. Mr. Blackmon completed 30 days in jail, and was then released on bond.
The second incident occurred on February 14, 1998. At that time, Mr. Blackmon met a female from his church
for dinner. After dinner, the female returned to Mr. Blackmon’s car in the parking lot for him to drop her off at
her car. Review of police records indicate that when the woman proceeded to exit Mr. Blackmon’s car, he
allegedly grabbed the victim’s breast and pulled her back into the vehicle, stating “you’re not going
anywhere.” Mr. Blackmon reportedly began screaming obscenities and pulled the female into the car to close
the door as she tried to escape. He pulled the woman by her neck and pushed her head into his lap. The
female screamed for help, which alerted bystanders who approached the vehicle and called the police. Mr.
Blackmon then released the victim as witnesses approached. He was taken into custody and transported to
police station.
For both alleged offenses, Mr. Blackmon is being charged with armed sexual battery, kidnapping while
armed, false imprisonment, and aggravated battery. After undergoing a series of evaluations Mr. Blackmon
was legally determined incompetent to stand trial for the above offenses at a hearing on February 5, 1999,
and was sent to NFETC for restorative treatment.
Understanding of the Proceedings: When directly asked about his charges, Mr. Blackmon reported “armed
sexual battery, armed kidnapping, aggravated battery, false imprisonment, and simple battery.” He denied
that he did anything wrong in either of the two incidents, although was able to recount both situations. Mr.
Blackmon was able to describe the appeal process as well as the range of sentencing possibilities (probation
through life imprisonment) and their implications. Mr. Blackmon also described that each of the charges are
independent of one another. He was also able to state that the court trial is decided by the jury’s decision. He
referred to the judge as being a “referee who makes sure there’s a fair trial by listening to both sides.”
Ability to Assist in His Defense: Mr. Blackmon successfully provided the name and contact information of
his public defender, Hilliard Moldof. Mr. Blackmon successfully identified Stephanie Newman as the state
attorney, and stated “she’s trying to put me in prison – she’s against me.” He said he was uncertain about the
timeframe of future trials, stating “my attorney doesn’t talk to me about stuff.” When asked about his role in
the court proceedings, Mr. Blackmon sated “if someone tells a lie, I should tell my attorney.”
Previous Neuropsychological Evaluations: Mr. Blackmon was evaluated by Perry Goldstein, Ph.D.
(neuropsychologist) on May 12, 1994. Diagnostic impressions at that time were organic personality changes
resulting from the TBI, and amnestic disorder. Mr. Blackmon was then seen for follow-up neuropsychological
evaluation with Dr. Goldstein in July and August of 1994. Mr. Blackmon’s performance on the WAIS-R
indicated a Full Scale IQ of 84, Verbal IQ of 93, and Performance IQ of 78.
He was seen and evaluated at Goodwill Industries of Broward County, Inc. on June 27, 1995 as a part of
documentation for the Division of Vocational Rehabilitation. While scores were not directly reported, verbal,
performance, and FSIQ were all within the average range. On the PPVT-R, performance was low-average.
On November 29, 1997, Mr. Blackmon was evaluated by Dr. Mark Todd and received a prorated FSIQ of 95.
Memory findings showed low verbal memory and average visual memory. The MMPI-2 was deemed invalid.
A forensic neuropsychological consultation was conducted in March and April of 1998 by Joseph J. Sesta
(neuropsychologist). Results revealed a FSIQ of 89 and a Halsted-Reitan Neuropsychological battery
impairment index of 0.4. He was diagnosed as having mild cognitive impairment secondary to head trauma.
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 3 of 9
Medical, Surgical, and Psychiatric History: Review of records indicates that Mr. Blackmon has a medical
history significant for a syncopal episode at age 13. As described above, on April 24, 1994, Mr. Blackmon
was a passenger in a motor vehicle accident resulting in a severe traumatic brain injury (GCS: 4). He
sustained multiple traumas including a traumatic brain injury, right clavicle fracture, pneumothorax, splenic
laceration, and mild right elbow flexion contracture. He had a splenorrhaphy at that time and remained in a
coma for three weeks. There were no other injuries, illness, hospitalizations, or surgeries reported.
Mr. reported occasional alcohol consumption and denied illicit or prescription drug use and tobacco use.
Mr. Blackmon denied ever seeking treatment for psychological or psychiatric concerns prior to the car
accident. Since the accident, he described himself as “getting angry pretty quick” and “short fused.” He has
been seen psychologists for treatment of depression, and was prescribed Zoloft (100 mg) by a psychiatrist.
Mr. Blackmon was also treated at Florida Institute of Neurological Rehabilitation from March – June of 1998
for behavioral treatment. He was also treated on an outpatient basis at the Bridge Rehabilitation facility in
1998. While incarcerated, he was on a low security mental health unit. Review of records indicate that while
Mr. Blackmon was being held on the psychiatric unit at the North Broward Detention Center (December
1998), he reportedly pulled down his pants in front of a female officer and would also act in a juvenile manner
toward the guards on duty. No other mental health treatments were reported.
Psychosocial, Educational, and Occupational History: Mr. Blackmon was born and raised by both
parents in North Broward County, FL alongside an older sister (age; 24). He described having a close
relationship with is family and described them as being supportive of him. Mr. Blackmon reported that his
mother did not experience complications during pregnancy with him and had a healthy delivery. Early
childhood developmental milestones were reportedly met on time.
With regard to education, Mr. Blackmon attended McArthur High School and was in eleventh grade in regular
classes prior to the automobile accident. His grades were primarily B’s and then declined to B’s and C’s after
the accident. Mr. Blackmon denied ever having any behavioral problems or suspensions. Following
rehabilitation after the accident, Mr. Blackmon returned to school and entered the twelfth grade and was
enrolled in ESE classes. He successfully graduated high school on time. Mr. Blackmon then began vocational
education at Sheriden Vocational Technical Center in 1995 for several months. Mr. Blackmon pursued
drafting, but eventually quit because he had difficulty keeping up with the required mathematics.
Mr. Blackmon has never been married and has no children. He has no current girlfriend, but has had
girlfriends in the past.
Concerning occupational history, Mr. Blackmon reported that he has had difficulty maintaining steady
employment since injury. He has worked in the capacity of salesman, machine operator, window tinter, and
has been employed for a variety of other service positions. He was released from four of his six reported jobs,
indicating that he was “too social.”
PROCEDURES AND TESTS ADMINISTERED:
Wechsler Adult Intelligence Scale – Revised (WAIS-R); Wide Range Achievement Test 3 (WRAT 3) Reading
subtest; Trail Making Test A and B; California Verbal Learning Test (CVLT); Wechsler Memory Scale –
Revised (WMS-R) Logical Memory and Visual Reproduction; Rey Complex Figure Test; Boston Naming Test
(BNT); Controlled Oral Word Association (COWA) Letter Fluency (CFL:) and Semantic Fluency; Facial
Recognition Test; Judgment of Line Orientation; Wisconsin Card Sorting Test; Booklet Category Test; Finger
Tapping Test; Luria Motor Programmes; Minnesota Multiphasic Personality Inventory-2 (MMPI-2);
Competency Screening Test.
ASSESSMENT RESULTS
Behavioral Observations: Mr. Blackmon arrived to the evaluation accompanied by his corrections officer,
who remained outside of the testing room during the course of the evaluation. Mr. Blackmon presented as a
tall gentlemen wearing an orange jump-suit who appeared neatly groomed. He was cordial upon greeting, but
initially seemed guarded during interview although cooperative. He was hesitant to talk about the alleged
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 4 of 9
crimes. His affect was flat, but overall appropriate. He became more detailed and forthcoming with
information as the evaluation progressed. He was alert and orienting during testing. He appeared to put forth
good effort on all test items, and cursed on several instances during challenging tasks. Motor tasks were
completed with Mr. Blackmon’s biologically non-dominant left hand given his apparent right hemiparesis. He
completed four hours of testing on the first day due to fatigue, and returned to complete the remainder the
following day. He periodically exhibited poor impulse control (e.g., turning pages of test material), his
behavior was not excessive or aggressively inappropriate. As such, the current results are thought to reflect
Mr. Blackmon’s current neurocognitive status.
Current Intellectual Ability and Academic Achievement: Review of Mr. Blackmon’s IQ documentation
(noted above) has shown FSIQ performance ranging from low average to average, and the greatest postinjury recovery gains made within the domain of fluid intelligence. Current intellectual abilities estimated using
the WAIS-R indicated an average FSIQ (WAIS-R FSIQ = 102, 55th percentile), and equally developed verbal
(Verbal IQ = 101, 53rd percentile) and non-verbal (Performance IQ = 104, 63rd percentile) abilities, with both
composite scores falling within the average range.
Mr. Blackmon was administered the WRAT-3, which measures academic achievement across domains of
reading, spelling, and mathematics. His performance on this measure suggests that his current word reading
ability is a 12th grade equivalent (SS=109, 73rd percentile), consistent with his level of educational attainment.
Attention, Working Memory, and Processing Speed: Mr. Blackmon appeared alert and engaged throughout the
duration of testing, although his attention appeared to wane toward the afternoon. At that time, he requested that he
complete the second half of testing the following day. On tasks of attention and working memory, Mr. Blackmon
demonstrated an auditory digit span of 8 digits forward and 5 digits backward, resulting in a total auditory span that
was within the average range (WAIS-R Digit Span Total = 63rd percentile). Reliable digit span was 12, suggestive of
adequate effort at the time of testing.
Of note, Mr. Blackmon used his biologically non-dominant left hand on the following speeded motor tasks given his
right-sided hemiparesis. As a result, scores may be an underestimation of Mr. Blackmon’s true processing speed
abilities. Nevertheless, results were generally within acceptable limits. Timed numeric sequencing performance was
average and without error (Trail Making Test- Part A = 61st percentile), and symbol coding abilities were low
average (WAIS-R Digit Symbol = 16th percentile).
Memory and Learning: On the CVLT, a task of auditory list learning, initial recall on the first trial was within the
average range (Trial 1 = 50th percentile). Mr. Blackmon had a generally flat learning curve with little benefit from
repetition resulting in below average total performance (Total = 7 th percentile). Following a brief delay, Mr.
Blackmon was able to retain most of what he learned with a free recall performance that was average (Short Delay
Free Recall = 50th percentile), but did not benefit from sematic cueing (Short Delay Cued Recall = 16 th percentile).
Performance substantially declined with a long delay, with impaired performance on both free recall and cued recall
(Long Delay Free Recall = 2nd percentile; Long Delay Cued Recall = 2 nd percentile), suggestive of rapid forgetting.
Mr. Blackmon was able to improve to the average range with recognition testing; he correctly identified 16 of the 16
list items (Delayed Recognition Hits = 50th percentile), with zero false positive errors (Delayed Recognition False
Positives = 50th percentile).
On a second task of verbal memory (WMS-R Logical Memory), when additional structure was provided in prose
format, Mr. Blackmon’s overall performance improved. His score was average for immediate recall (Immediate
Recall = 41st percentile) and low average for delayed recall (Delayed Recall = 22 nd percentile).
With regard to visual memory, Mr. Blackmon’s ability to recreate geometric designs of increasing complexity on the
WMS-R (Visual Reproduction) was average for the immediate trial (70th percentile), and low average following a
brief delay (Delayed Recall = 22nd percentile). On the Rey Complex Figure Task, immediate recall was within
normal limits, and delayed recall of the complex figure was notable for some omission of detail.
Findings of the memory evaluation suggest that Mr. Blackmon exhibits rapid forgetting of verbal information when
provided in an unstructured format. Performance within this domain disproportionately improved during recognition
testing which is suggestive of difficulties with the retrieval aspect of memory. Memory and learning of structured
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 5 of 9
verbal content is intact. Visual memory is intact as well and appears to be a relative strength within the memory
domain.
Executive Functioning and Abstract Reasoning: With regard to executive functions, set shifting performance on
Trail Making Test-B was below average (13th percentile), and notable for two set loss errors. Verbal abstract
reasoning was average (WAIS-R Similarities ss=10, 50th percentile). Mr. Blackmon’s ability to reason and integrate
examiner feedback to guide future responses on Wisconsin Card Sorting was average. He successfully completed
6 out of 6 card sorts. Perseverative responses (28th percentile), perseverative errors (26th percentile), and total
errors (32nd percentile) were all within the average range. Performance on the Booklet Category Test improved and
indicated superior overall performance relative to matched-peers, with Mr. Blackmon only committing 7 errors
across all 7 trials (99th percentile). Mr. Blackmon’s performance within this domain suggests mild difficulties with
set-shifting within the context of grossly intact executive functioning. Results reflect intact flexible thinking, planning,
and reasoning.
Motor Functioning: Finger tapping performance was impaired for his dominant (right) hand (1 st percentile), which
is expected given Mr. Blackmon’s right hemiparesis resulting from the accident. Non-dominant (left) tapping
performance was average (37th percentile). Motor planning was assessed using the Luria paradigm. He committed
two errors on Contrasting Motor (WNL), and no errors on Go-No-Go (WNL). Consistent with his brain injury, Mr.
Blackmon exhibits residual right-sided motor weakness that affects speeded motor performance. Motor
programming is intact.
Visuospatial, Visuoperceptual, and Visuoconstructional Skills: Mr. Blackmon’s overall performance within this
domain was average. He exhibited average facial recognition and matching (Facial Recognition Test = 41, 72nd
percentile) and visuospatial ability (Judgment of Line Orientation = 26, 56th percentile). Mr. Blackmon’s copy of the
Rey Osterrieth Complex Figure was within appropriate limits. The design was drawn accurately and to appropriate
scale and Mr. Blackmon appeared to appreciate the gestalt of the image. Collectively, Mr. Blackmon’s construction,
visuospatial and perceptual skills appear intact suggestive of intact posterior cortical functioning.
Language and Language-Related Skills: Mr. Blackmon’s speech was fluent, prosodic, and without grammatical
error. His comprehension was deemed intact as evidenced by little need for test instruction clarification. Visual
confrontation naming was within the average range (Boston Naming Test = 54, 27th percentile). His letter fluency
was average (50th percentile), and semantic (animal) fluency was within the impaired range (5th percentile). More
specifically, Mr. Blackmon’s output was generally slow across two attempted category trials (fruits/vegetables and
animals). His knowledge of vocabulary words was low average (WAIS-R Vocabulary ss = 7, 16th percentile). A
writing sample was grossly normal. Performance on language measures indicate impairments localized to temporal
lobe language networks. Naming, letter fluency and grammar/syntax abilities are within normal limits.
Self-Reported Personality and Emotional Function: Results of the MMI-2 revealed a Welsh code of 4”6389’12+7/05: F-LK/. Validity scales were within an acceptable range and suggest that Mr. Blackmon did not attempt to
exaggerate or minimize physical or psychological symptoms. His response pattern was generally consistent across
items.
Clinical scale elevations indicate that Mr. Blackmon has some concern with somatic symptoms and his physical
well-being, which is in accordance with the nature of his injuries. Results suggest that Mr. Blackmon’s stress
symptoms tend to manifest physically. His response pattern is suggestive of depressive symptoms including
feelings of uselessness, poor initiation, and hopelessness. This profile also is reflective of an individual who has
deviated from societal standards through his actions and defiance, and responds to others with suspiciousness and
feelings of persecution. Overall, Mr. Blackmon’s responses indicate poor coping strategies and poor anger
management/impulse control.
ASSESSMENT SUMMARY & IMPRESSIONS:
Mr. Blackmon is a 21-year-old approximately 5 years status post severe traumatic brain injury resulting from a
motor vehicle accident. At the accident site, Mr. Blackmon had an initial GCS of 4, and was found unconscious,
decerebrate, and with non-reactive pupils. Mr. Blackmon and remained in a coma for three weeks, and required 6
weeks of intensive treatments promoting physical, cognitive, and emotional recovery. He has been seen routinely
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 6 of 9
by other professionals for neuropsychological examination to track recovery as well as to assist in determination of
his competency. Based on previous evaluations, Mr. Blackmon has been found to have relatively reduced verbal
memory, as well as significant changes in personality secondary to his traumatic brain injury which deemed him
incompetent to stand trail at that time.
Comparing results to his past evaluations since injury, Mr. Blackmon has made an outstanding recovery given the
magnitude of initial brain impairment. Results of today’s testing are primarily reflective of a profile remarkable for
residual frontal and temporal lobe injury. From a cognitive standpoint, findings from today’s evaluation suggest
temporal lobe dysfunction affecting memory retrieval of unstructured verbal information. Impaired semantic fluency
was further suggestive of temporal lobe impairment. Mr. Blackmon’s performance on simple tasks of attention and
working memory, letter fluency, vocabulary, visual memory, visuospatial and construction skills, were within normal
limits. There was evidence of residual right-sided motor weakness affecting speeded motor performance.
Behaviorally, Mr. Blackmon’s has persisting neurobehavioral disturbance, resulting in low frustration tolerance,
disinhibited behavior, and previous acts of aggression, suggesting potential orbitofrontal injury. Poor behavioral
management since the accident has resulted in Mr. Blackmon’s difficulty maintaining steady employment as well as
his current legal charges. During both days of neuropsychological evaluation, Mr. Blackmon’s behavior was wellregulated and within reason despite the challenging cognitive tasks he faced. He was well-mannered and able to
recognize his personal limits as evidenced by his request to complete testing the following day. Additionally,
traditional measures of frontal-executive functioning indicate that Mr. Blackmon is capable of thinking flexibly and
incorporating information to provide adaptive, appropriate responses. He showed good effort on tests regardless of
difficulty. Interpersonally, he presented as mildly depressed and was initially guarded and hesitant to disclose
personal information. Self-report measures suggest that Mr. Blackmon continues to experience symptoms of
depression, has poor coping skills, and difficulties managing anger. His responses indicate mild paranoia regarding
future outcomes and feelings of persecution.
Opinions Regarding Competency:
It is the evaluator’s opinion that Mr. Blackmon is competent to stand trial. Based on result of today’s evaluation, Mr.
Blackmon’s appears to posses the capacity to serve in the role of defendant and assist counsel.
Mr. Blackmon appears capable of serving the role of a defendant in a criminal proceeding within reasonable
demands. That is, Mr. Blackmon appears to possess the cognitive capacity to rationalize, integrate new
information, and think abstractly; however, he would likely benefit from breaks if required to provide extensive
testimony as fatigue may affect his level of cognitive engagement. Given the weakness in his auditory memory, Mr.
Blackmon may be best served by providing information that he must retain and recall in written format.
With regard to behavioral management concerns, Mr. Blackmon appears capable of managing and regulating his
behavior in a professional manner when explicitly required. While occasionally impulsive during testing, Mr.
Blackmon was not disruptive and in no way was his behavior unmanageable or threatening. Additionally, he
appears generally motivated to assist in court proceedings given his proclaimed innocence during the clinical
interview, and would therefore likely be more cooperative and compliant.
Results of neuropsychological testing also suggest that Mr. Blackmon possesses the cognitive skills (e.g.,
processing speed, abstract thinking, language, and memory) that permit Mr. Blackmon to consult with his attorney
in a meaningful manner and assist with his defense. He was able to provide a detailed account of the incidents
leading up to the alleged crimes. His responses to the evaluator’s line of questioning also suggested intact
receptive language as well as expressive language that was coherent and linear. He appeared to exhibit
awareness of the need to bring any information that is pertinent to his case to the lawyer’s attention and seems
capable of doing so. While there was some evidence of paranoia, Mr. Blackmon appears motivated and expressed
belief that his lawyer is “on his side.” As such, Mr. Blackmon demonstrates sufficient ability to maintain a
collaborative relationship with his attorney and the cognitive capacity to contribute to building a meaningful court
case.
Based on content provided during the interview, Mr. Blackmon was able to cite his charges and has an appreciation
for the charges held against him as well as his plea options and potential outcomes. He was able to cite the roles of
Confidential Psychological Report
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 7 of 9
those involved in the court proceedings (attorney, prosecutor, judge, and jury) and demonstrated understanding of
their respective roles.
Based on these considerations, it is this evaluator’s opinion that Mr. Blackmon is indeed competent to proceed and
that residual impairment from his brain injury should not preclude him from a fair trial with the above-mentioned
accommodations in effect. The diagnostic impression is:
Personality Change Due to Traumatic Brain Injury (DSM-5: 310.1)
Mild Neurocognitive Disorder Due to Traumatic Brain Injury (DSM-5: 331.83)
I appreciate the opportunity to conduct this evaluation of Mr. Blackmon.
____________________________________
Tanisha G. Hill-Jarrett, M.S.
Graduate Student Trainee
Department of Clinical & Health Psychology
Confidential Psychological Report
INTELLECTUAL FUNCTIONING
WAIS-R FSIQ
Verbal IQ
Information
Comprehension
Vocabulary
Similarities
Arithmetic
Digit Span
Performance IQ
Block Design
Object Assembly
Digit Symbol
Picture Arrangement
Picture Completion
ACADEMIC ACHIEVEMENT
WRAT3 Reading
ATTENTION & WORKING MEMORY
WAIS-R Digit Span
Forward Span
Backward Span
PROCESSING SPEED
WAIS-R Digit Symbol
Trail Making Test
Part A
LEARNING & MEMORY
CVLT
Trial 1
Trial 5
Total
Short Delay Free Recall
Short Delay Cued Recall
Long Delay Free Recall
Long Delay Cued Recall
Delayed Recognition Hits
False Positives
WMS-R Logical Memory
Immediate Recall
Delayed Recall
WMS-R Visual Reproduction
Immediate Recall
Delayed Recall
Rey Complex Figure
Immediate Recall
Delayed Recall
LANGUAGE
BNT
COWA
FAS
Animals
VISUOPERCEPTUAL, VISUO-
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 8 of 9
Raw Score
15
19
33
20
19
18
41
34
46
14
19
Raw Score
51
Raw Score
18
8
5
Raw Score
46
21”(0 er)
Raw Score
8
10
49
12
12
9
10
>16
0
Ss
SS=102
101
8
9
7
10
15
11
104
12
11
7
10
14
SS
SS=109
Ss
ss=11
--ss/T
7
T=53
z/T
0
-4
T=35
0
-1
-2
-2
0
0
%ile
55
53
25
37
16
50
95
63
63
75
63
16
50
91
%ile
73
%ile
63
--%ile
16
Descriptor
Average
Average
Average
Average
Low Average
Average
Superior
Average
Average
Average
Average
Low Average
Average
Above Average
Descriptor
Average
Descriptor
Average
--Descriptor
Low Average
61
%ile
Average
Descriptor
50
<1
7
50
16
2
2
50
50
Average
Impaired
Below Average
Average
Low Average
Impaired
Impaired
Average
Average
26
16
---
41
22
Average
Low Average
36
27
---
70
22
Average
Low Average
118”
85”
Raw Score
54
T-Score
44
%ile
27
WNL
WNL
Descriptor
Average
43
15
Raw Score
50
34
T-Score
50
5
%ile
Average
Impaired
Descriptor
Confidential Psychological Report
SPATIAL,VISUOCONSTRUCTION
Benton Facial Recognition
Judgment of Line Orientation
Rey Complex Figure: Copy
Copy Time
EXECUTIVE FUNCTIONING
Trail Making Test
Part B
WCST
# Categories
Perseverative Responses
Perseverative Errors
Total Errors
Booklet Category Test
# Errors (subtests 1-7)
MOTOR FUNCTIONS
Finger Tapping Test
Right Hand (Dominant)
Left Hand (Non-Dominant)
Luria Motor Programmes
Contrasting Motor
Go-No-Go
MMPI-2/ T-score
L
56
Pd (4)
F
64
Mf (5)
K
56
Pa (6)
Hs (1) 68
Pt (7)
D (2) 68
Sc (8)
Hy (3) 76
Ma (9)
Si (10)
82
42
79
57
72
72
44
Welsh Code: 4”6389’12+-7/05: F-LK/
Patient Name: Blackmon, Kevin
MRN: 1234567
Page 9 of 9
41
26
117”
Raw
T
%ile
Average
Average
WNL
WNL
Descriptor
80”(2 er)
39
13
Below Average
6
10
10
18
Z=0.08
Z= -0.57
Z= -0.63
Z= -0.48
53
28
26
32
Average
Average
Average
Average
7
Raw
T=76
Z
99
%ile
Superior
Descriptor
31.8
46.4
-2.24
-0.32
1
37
Impaired
Average
2er
0er
72
56
WNL
WNL
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