H - 56 Culturally-Responsive Neuropsychological Evaluations: Two Case Studies Demonstrating the Application of the ECLECTIC Framework in Pediatric Medical Populations.

Abstract

This case series aimed to demonstrate the application of Dr. Daryl Fujii's ECLECTIC model to pediatric neuropsychological evaluations. The ECLECTIC model identifies a wide range of social and cultural factors (e.g., bilingual language development, economic factors, and social determinants) that are integrated to provide patient-centered, culturally responsive neuropsychological services. The application of the ECLECTIC model to pediatric evaluations will be reviewed. Two cases of pediatric patients with different levels of bilingualism (English/Spanish) and diagnoses of Spina Bifida (SB) will be presented. These cases will illustrate a range of cultural and social factors (including ethnic, linguistic, and economic factors) that impact a pediatric neuropsychological evaluation. Clinical considerations and practical solutions will be provided. The ECLECTIC model provides a framework for understanding and integrating social-cultural factors and the intersection of such factors in a pediatric neuropsychological evaluation. This is the first case series to demonstrate the use of the ECLECTIC model in a pediatric medical population. With the aim of reducing existing healthcare disparities, a social-cultural lens is critical to conducting a neuropsychological evaluation, formulating diagnoses and conceptualization, and offering relevant and patient/family-centered recommendations.