Neuropsychological Evaluation

Neuropsychological evaluations are now available on Saturdays!

Comprehensive neuropsychological evaluations provide a highly-detailed description of a child’s developmental status or learning style based upon a very careful integration of findings from developmental history, observations by parents, teachers and clinician(s), and data from NESCA’s own testing. These evaluations, which seek to paint a recognizable portrait of the whole child, assess the underlying reasons he/she may be struggling academically, socially or emotionally, and offer parents and teachers a set of tools for supporting his or her development.

  • Comprehensive Assessments
  • School Observations
  • Attendance at IEP Meetings
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Psychological (Projective) Testing

Focused on social-emotional development and functioning and involving additional, specialized testing by trained clinicians, these evaluations are helpful in understanding why a child may be experiencing emotional distress or exhibiting significant changes in behavior or social functioning.

International Evaluations

For the last three years, Dr. Ann Helmus has traveled quarterly to Asia and is happy to provide consultation to families there.

NESCA has now welcomed clients from 20+ countries, and our clinicians have performed evaluations on-site in several. For international clients and others who have traveled great distances, we can provide the following special services, as appropriate:

  • Expedited appointments
  • Assistance with local accommodations and transportation
  • Evaluations completed quickly—often in a single day or two—by clinical teams, for qualified clients with limited time
  • Arrangement of interpreter services available
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Transition Assessment, Consultation and Planning

Transition is the process, initiated at an early age and extending through high school and beyond, by which an adolescent or young adult develops the necessary skills to function independently in post-secondary school, the workplace, the community, and at home. NESCA offers an array of transition services including:

  • Assessment (including testing, functional evaluations and observations)
  • Planning, consultation, case coordination, training and support
  • 1:1 community-based skills coaching
  • Career and pre-college coaching
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Occupational Therapy Services

NESCA is pleased to be offering occupational therapy services specifically designed to help children, adolescents, and young adults have success in any environment or activity where they want to perform better—at home, in school, during leisure, in the community, and especially during the transition to adulthood. Through evaluation, observation and assessment, skills that are lacking and negatively impacting an individual’s ability to function successfully and navigate through everyday life are identified and goals and recommendations for remediating and accommodating those skill deficits are developed. Intervention and consultation are also provided as needed and appropriate.

NESCA offers a variety of OT services including:

  • Educational OT Assessment and Consultation (Primarily for students K-21)
  • Functional Assessment of Home- and Community-Based Skills (Primarily for 6th grade students and older)
  • Real-Life Skills Coaching and Transition Consultation (This is jointly offered as a transition service and occupational therapy service at NESCA)
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School Observations and Team Meetings

It is said that it takes a village to support a child, especially one who often struggles, despite best efforts to help them. With in-depth experience working in public and private schools, our clinicians collaborate with teachers and school staff to identify how and why commonplace school factors, along with a student’s underdeveloped skills, contribute to academic challenges or problematic behaviors. In addition our clinicians provide in-the-moment coaching to teachers and school staff for how to manage challenging behaviors and help reduce anxiety. In-the-moment demonstrations show best practices for intervening practicably and effectively. This service is offered to existing NESCA clients who are receiving neuropyschological, therapeutic and/or transition services.

  • Classroom and Community Observations
  • Attendance at IEP Meetings

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Consultation Services

NESCA’s consultation services are under the direction of Dot Lucci. Dot was the program director of MGH Aspire for many years. While at MGH Aspire she developed the 3S model (i.e. self -awareness, social competency and stress management). Dot has been an educational consultant for many years and she weaves the 3 S model into her consultation practice. She brings decades of experience and the ASD Needs Assessment Protocol (which she developed) to NESCA to lead its consultation and psychoeducational services.

NESCA’s consultants bring decades of clinical, business and educational expertise and experiences to inform our dynamic consultation practices. We have worked with public and private schools (PK – 22), colleges and universities, and agencies and businesses, to improve outcomes for neurodiverse students and employees.  Neurodiversity is a concept where neurological differences are recognized, valued, respected and considered part of any human variation.  Diagnoses such as: ADHD, ASD, Dyslexia, and others could be identified as neurodiversity.  NESCA Consultation have included these as well as many other diagnostic categories. Through consultation we have designed more inclusive school and work environments that support neurodiversity as well as all students and employees.

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Workshops and Trainings

NESCA’s clinical team provides workshops and trainings to mental health, medical, and school professionals. We also provide workshops for parents, religious educators, after-school teachers and camp staff, coaches, and youth organizations.  We often speak at SEPAC, PTOs and other parent organizations on a wide range of topics. Our workshops and trainings range in length and time depending upon the needs of the client.  Workshops and trainings range from an hour to an all-day presentation.  We also provide seminars and trainings that are multiple days in a row or a series of presentations over the course of a year.  Workshops and trainings may include a variety of presentation means: power point presentation/handouts, lecture, discussion, group work, video presentation, demonstrations and more.  A partial list of available trainings with descriptions is available here.

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Therapy Services

NESCA offers therapy for children, adolescents and young adults who are struggling with internalizing disorders, such as anxiety and depression, as well as externalizing disorders, such as behavioral challenges and Attention-Deficit/Hyperactivity Disorder. We also offer specialized therapeutic services for students and young adults who are diagnosed with Autism Spectrum Disorders to help gain skills for emotion regulation, communication, self-help and executive functioning. Therapists provide short-term cognitive behavioral therapy (CBT), longer-term counseling, and parent training to improve the social-emotional functioning of select individuals, as identified through the intake process. Children and adolescents with more complex psychiatric issues will typically need more specialized psychotherapeutic intervention than is offered at NESCA. We will be happy to provide referrals outside of NESCA as needed.

    • Individual Services
      1. Cognitive Behavioral Therapy (CBT)
      2. Counseling
      3. Psychoeducational Counseling
    • Parent Services
      1. Parent Child Interaction Therapy (PCIT)
      2. Individual Parent Guidance and Coaching
      3. Parent Guidance Groups
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Integrative Treatment

Many parents wish to explore alternative treatments for their children’s social and emotional needs. At NESCA, we offer the following services as an alternative or complementary approach to traditional therapy and medication inventions.

  • Personal and Social Coaching (PSC)
  • Therapeutic Acupuncture
  • Yoga
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(This) is one of the best, most well-written neuropsych reports I have ever read. It is very accessible not just to other professionals, but to parents and teachers as well. I think you captured (the child) perfectly, and beautifully. And I'm glad you could validate how much progress he's made, while still advocating for the continued supports he needs. Thank you so much!

Speech-Language Pathologist, Needham, MA