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Services / WCB Claims and Disability Management

Cognitive Evaluation

Cognition is the ability to process thought, reasoning, memory, regulate mood, self-control, etc.  Cognitive testing involves testing these dimensions and more.  Cognitive testing is appropriate for individuals with a history of Acquired Brain Injury (e.g. concussion), neurological conditions, personality disorders, depression, fatigue, headaches, depression, anxiety, and more.  

SureHire offers two cognitive evaluations:

  • The Cognitive Screen

  • Cognitive Functional Capacity Evaluation (FCE)


An employee’s psychosocial ability to return to work is just as important as their physical ability. The Cognitive Screen is an added test in conjunction with a Functional Capacity Evaluation (FCE) to determine if psychosocial barriers exist that may impede an effective return to work.   The Screen is a cost-effective evaluation to determine if psychosocial barriers exist that may prohibit successful return to work.

What is a Cognitive Screen?

A series of questionnaires, standardized tests, and structured observations performed in a FCE to screen for psychosocial barriers to returning to work, such as(1):

  • Depression
  • Anxiety
  • Fatigue
  • Acquired Brain Injury (e.g. concussion)
  • Neurological conditions
  • Personality disorders

When should a Cognitive Screen be performed?

  • Should be done in conjunction with a FCE when any of the above medical conditions are reported.  
  • Should be done if absenteeism or presenteeism (the act of working despite illness resulting in reduced productivity) is a concern, or the length of disability is longer than expected.  

Where can a Cognitive Screen be performed?

SureHire has a network of providers across Canada.  These may be performed in all major centres and  SureHire has access to providers in several smaller communities.  

How can I book an Cognitive Screen?

Contact SureHire’s Contact centre at 1-866-944-4473.  

For more information please contact us to request a brochure about our FCE and Return to Work services.  

References:

(1) Percy, Tania. Cognitive Functional Capacity Evaluation Manual. Matheson Education and Training Solutions, 2018.   


What is a Cognitive Functional Capacity Evaluation (FCE)?

  • Cognition is the ability to process thought, reasoning, memory, regulate mood, self-control, etc.  
  • Evaluates an employee’s ability to return to work in the following dimensions(2):

    Physical: a worker’s ability to physically perform the job tasks,
    Physiological: a worker’s endurance to work the full work day,
    Cognitive: a worker’s ability to think through a problem at work,
    Behavioral: a worker’s ability to control their emotions at work.

  • Determines what psychosocial barrier exist that may prohibit successful return to work, examples include(1):

    - Attention
    - Executive functioning (such as planning, decision-making, error correction, etc.)
    - Memory
    - Emotional/Behavioral control
  • Makes observations of critical factors such as: pain, physiological complaints, fatigue, tasks persistence, etc. 

What is the purpose of a Cognitive FCE assessment?

  • Determines if the returning employee is capable of mentally handling the tasks associated with their essential job duties. 
  • The consequences of an employee returning to work with insufficient cognitive ability include the following and all of which undermine the worker’s ability to successfully return to full duties(1):

    - Presenteeism (the act of working despite illness resulting in reduced productivity),
    - burnout,
    - fatigue,
    - other psychosocial symptoms such as interpersonal relationship difficulties.  
  • Caring for a returning employee’s psychosocial abilities helps to keep them engaged, safe, and productive as the employer supports a psychologically healthy workplace(2)

When should a Cognitive FCE be performed?

  • If a significant mental health, cognitive, or behavioral component exists for an employee returning to work. Examples include(1):

    - Depression
    - Anxiety
    - Fatigue
    - Acquired Brain Injury (e.g. concussion)
    - Neurological conditions
    - Personality disorders

What information is available in the Cognitive FCE report?

  • DOT Duty Level capability in functional and cardiovascular domains
  • Behavioral and Cognitive abilities
  • Meaningful modified work duties, as needed
  • Recommendations to improve functional or cognitive domains, as requested

Where can a Cognitive FCE be performed?

SureHire has a network of providers across Canada.  These may be performed in all major centres and  SureHire has access to providers in several smaller communities.  

How can I book an Cognitive Screen?
Contact SureHire’s Contact centre at 1-866-944-4473.  
For more information please contact us to receive a brochure about our FCE and Return to Work services. 

References:
(1) Percy, Tania. Cognitive Functional Capacity Evaluation Manual. Matheson Education and Training Solutions, 2018. 

(2) Gilbert, M. Bilsker, D. Psychological Health & Safety An Action Guide for Employers.  Mental Health Commission of Canada and the Centre for Applied Research in Mental Health & Addiction, 2012.  


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