It is important to us that we practice in a culturally safe way. We are committed to using a "two-eyed seeing" approach in psychological assessment. We value the wisdom of First Nations, Metis, and Inuit communities and integrate them into our assessments.
Are you interested in learning about diagnoses? Are you interested in learning about the strengths and weaknesses in a person's thinking skills? Are you interested in learning what types of interventions and supports would be helpful, given someone's experiences and current felt sense? We can help answer questions about what type of assessment might be best for you, and what types of issues are really at the heart of the assessment question you seek.
A neuropsychologist is a psychologist who specializes in studying brain-behaviour relationships. Neuropsychologists have training in the anatomy, physiology, and pathology of the nervous system and specialize in evaluating (and treating) people . They focus on cognition (the ability to think, remember, learn, etc.) in relation to the effects of brain injury, organic brain disease, or any condition that impacts on cognitive functions.
Based in Kingston, Ontario, but boasting a clinic in Trenton as well, we specialize in providing a full range of clinical psychology services to individuals and couples in the South Eastern Ontario region, and also offer comprehensive services to attorneys, insurance companies, rehabilitation services, the Canadian Forces, and others who may be looking for an independent expert opinion with regard to psychological and neuropsychological functioning of their clients and members.
A typical neuropsychological assessment takes a full day with the individual, sometimes more, measuring a number of different aspects of cognitive functioning and coping. This process includes:
Detailed Clinical Interview
(this usually lasts 1 – 3 hours)
Detailed File Review
(approximately 100 pages reviewed per hour; up to 500 pages included in the flare rate fee)
Administering standardized tests and procedures that measure functioning in a number of domains, including:
Psychological assessments are similar to neuropsychological assessments but they do not measure cognitive domains as extensively. They may include some basic academic or achievement level information but they are primarily focused on mood, coping styles and personality structures. A typical psychological assessment takes about 3 hours with the examinee, sometimes more. This process includes:
Detailed Clinical Interview
(this usually lasts 1 – 2 hours)
Detailed File Review
(approximately 100 pages per hour; 500 pages are included in the flat fee)
Administering standardized self-report measures that provide information about symptoms, mood, psychopathology, coping problems and personality issues:
Incapacity assessments are specialized investigations into an individual’s ability to function independently, reason and make sound decisions, understand and appreciate the circumstances around important decisions and grasp the consequences of making (or failing to make) decisions that impact their health, finances, activities of daily living, or respond to legal concerns. Incapacity assessments are also requested to comment on an individual’s ability to grant or revoke power of attorney, make an advance directive, instruct counsel to create a will (testamentary capacity), instruct counsel as part of a civil proceeding (need for a litigation guardian), or retrospectively in the context of estate disputes.
Dr. Day and Dr. Gale offer incapacity assessments under the Adult Protection and Decision Making Act in Yukon. Dr. Gale is also a designated capacity assessor in Ontario, where she offers assessments of capacity to manage property and personal care under the Substitute Decisions Act (1992). If you are interested in referring for an assessment under the Substitute Decisions Act, please contact us to arrange a pre-assessment screening phone call with Dr. Gale.
Detailed Clinical Interview
(this usually lasts 1 – 3 hours)
Detailed Document Review
(approximately 100 pages per hour)
Administering standardized tests and procedures that measure functioning in the important relevant domains of cognitive ability, decision-making, and general aspects of judgement, insight, and risk-evaluation ability. These tests include:
Most of the individuals we assess have experienced changes in their abilities or in their functioning as a result of injury, neurological insult or some disease process. However, not everyone has to wait until something bad happens to get a clear understanding of their strengths and weaknesses. We offer BASELINE ASSESSMENTS for any individuals who may be concerned about changes yet to come (e.g. family history of dementia or stroke), or to have comprehensive baseline data about their abilities to compare later, knowing that they are about to face expected or known risks (e.g., individuals scheduled for neurosurgery, or professionals athletes engaged in high level competitive sports where head injuries sometimes happen, such as MMA, hockey, football, soccer, or other contact sports). These baseline assessments are also recommended for anyone who just wants a clear picture of their current cognitive strengths and weaknesses, to help them focus their current training, educational, or vocational pursuits more efficiently. Since these assessments are not “pathology” focused, they take less time (from 2 – 3 hours), and are less costly. This process includes:
Detailed Clinical Interview
(this usually lasts 1 hour)
Administering standardized tests that measure:
Dr. Duncan Day & Associates also offers comprehensive services to attorneys, insurance companies and others who may be looking for an independent expert opinion with regard to psychological and neuropsychological functioning of their clients.
We have been using inclusive flat-rate fee structures since 2019 but can offer hourly or per-service fee information as well.
The fees we charge are competitive, consistent with industry standards, and reflect the standards of the assessment fees typically found in our area.
The flat-rate approach reflects requests from clients over the years for a simpler, more inclusive system.
Things like multiple testing sessions, documentation review or travel can drive up the costs of an assessment, but this is best discussed with our office in advance to get more information.
Our flat-rate assessment fees typically include a review of up to 500 pages of medical documents.
Any additional documentation reviewed over the amount included in the flat fee should be negotiated in advance. We do charge late cancellation fees and “No Show” fees.
Please contact our office directly for a complete breakdown of our fee structure.