A neuropsychological capacity assessment is a formal evaluation of a person’s ability to make a particular decision when a condition affecting the brain may be compromising it. Capacity is decision-specific — someone may be able to make some decisions but not others — so we assess the specific areas in question, such as finances, accommodation or healthcare.
Our approach
Our goal is to protect individual autonomy by recognising each person’s strengths, while making sure they have the right supports and safeguards to prevent vulnerability. We take time to understand the person, their values and their circumstances — not just their test scores.
Decisions we assess
- Financial management — managing everyday finances, bills, investments and property.
- Lifestyle and accommodation — where and how a person lives, including moves into supported accommodation or residential care.
- Healthcare — understanding and making decisions about medical treatment and care.
When a capacity assessment may help
- Cognitive decline from dementia or mild cognitive impairment
- Brain injury or stroke
- Intellectual disability or other neurodevelopmental conditions
- Significant mental health conditions affecting judgement
- Family or care-team uncertainty about how much support someone needs
What the assessment involves
- Clarifying the question. We confirm exactly which decision(s) need to be assessed and why.
- Gathering information. Relevant medical history and input from family or carers (with consent).
- Interview and cognitive testing. We look at the person’s understanding of the decision, their ability to weigh up options and consequences, and their ability to communicate a choice — supported by cognitive testing where relevant.
- Report and recommendations. A clear written opinion about the specific decision(s), with practical recommendations for supports and safeguards.
Cost and funding
We provide an all-inclusive quote once we understand the referral question, based on our $240 hourly rate. Medicare does not cover capacity assessments. Depending on circumstances, funding may be available through Support at Home, NDIS (for participants), DVA or the Lifetime Support Authority, usually with prior approval.
