Forensic neuropsychological services are provided with a commitment to accuracy, integrity and effective communication. CNS doctors are trained and peer-reviewed in systematic and objective measurement of the validity of psychological and brain injury cases.

Objective measurement of valid vs. invalid claims is performed in cases involving questions of brain disorder, emotional/psychological disorder, and chronic pain. From the initial contact with our administrative staff through the completion of the case, time-tested procedures are implemented to support accurate findings and effective recommendations.

Verbal and written reporting by CNS doctors is clear and concise. Communications are timely. A unique report format gives readers easy access to all or any part of the data, including history and systematic assessment of major domains of brain function, emotion, and validity.

The CNS report empowers involved parties and triers of fact to identify, manage, and adjudicate legitimate claims in a cost-effective manner and to have a solid foundation for limiting the adverse impact and expense of invalid claims.

CNS has a formalized and systematic commitment to accurate and objective forensic analysis. Written policies and procedures to mitigate potential examiner bias are in place. The entire CNS staff remains engaged in continued development and implementation of systems to support straightforward forensic assessments which serve the highest interests of society, adjudicators, and the profession.

Procedures:

 

  • Informal verbal consultation – CNS doctors are available to discuss the indications and contraindications for referral in particular cases.
  • Record review – May be performed as a stand-alone service or in preparation for direct examination. Record reviews may be completed with or without reports. Relevant documents in a particular case may include, but are not limited to, pediatrician and primary care physician or any of a variety of medical specialties, educational transcripts and files, military records, vocational records, deposition and testimony transcripts, images and videos, and police accident reports.
  • Diagnostic interview/history – This service may be provided separately from, or as part of, an examination. Major areas include family structure and functioning as well as medical, psychological, substance use, educational, vocational, military, leisure, sexual, and legal histories.
  • Test administration – Selection of procedures depends upon the nature of the case and referral questions. Instruments and procedures measure the major domains of brain function, emotion/ personality, and validity.
  • Scoring and interpretation – Using accepted procedures, appropriate norms, and responsible procedural adaptations and bias management strategies, CNS harnesses the power of neuropsychological data to provide objective and trustworthy examination findings.
  • Reports – Report length may be tailored to the needs of the client. Brief reports with bottom-line diagnoses and recommendations represent one end of a continuum. Complex and lengthy reports with explicit maximum basis for findings may be requested as a single document or as an executive summary and appendix with supporting data.
  • Feedback – Designed to clearly and effectively communicate examination findings and recommendations directly to examinees and others. CNS doctors are committed to a rehabilitative orientation intended to translate diagnostic results into treatment and intervention recommendations that make a difference.
  • Consultation – CNS doctors are available for consultations that vary in length and complexity depending upon the needs of the client. This service is available to answer a wide range of referral questions regarding cases, diagnoses, treatments, practices, and programs. In addition, we can help develop relevant consultation questions.
  • Preparation – Prior to testimony at depositions, hearings, and trials, CNS doctors help attorneys prepare to present experts so that opinions are offered in a clear, informative, and engaging fashion. We can also maximize counsel’s effectiveness in the examination of other treaters and experts.
  • Testimony – As expert witnesses, CNS doctors communicate their qualifications, professional activities and procedures, opinions, and recommendations in simple and straightforward terms that stand up to rigorous scrutiny.

Venues:

Independent of nature and/or source of referral, venue, jurisdiction, or type of legal determination, CNS doctors maintain the highest professional and ethical standards in assisting various involved parties and triers of fact in truly understanding the cases before them.

Civil

  • Plaintiff and defense
  • Personal injury
  • Product liability
  • Competency
  • Medical malpractice (e.g., misdiagnosis, standards of care)
  • Peer review

Criminal

  • Fitness and competency
  • Mitigating factors
  • Insanity

Education

  • School violence
  • Conflict resolution and avoidance
  • Due process hearings

Workplace

  • Workers’ Compensation claims (claimant and respondent)
  • Fitness for duty examinations
  • Employee assistance program (EAP) examinations
  • Work-related disability evaluations

Family/Probate

  • Custody
  • Parent fitness/competency

Case Examples:

Our combined forensic examination and clinical treatment documented the severe life-altering sequelae of brain injury in a high-value case without loss of consciousness but with permanent posttraumatic amnesia. Injuries caused by impact from a corporate-owned truck resulted in permanent loss of vocational, parenting, and independent living capacity for a mother of two young sons.

The theatrical effect of a high-speed front-end collision of a car and truck that resulted in removal of most of an older gentleman’s scalp was mitigated by neuropsychological examination, which showed no significant injury to the brain but symptoms of major depression that were maintained by unrelated factors of unexpected and premature death of a loved adult son and loss of a lifelong profession due to displacement by technological innovations.

Unsolicited Testimonials:

State Board of Mediation and Arbitration, Labor Department

  • “The Majority focused their attention on the diagnostic evidence presented by the three health care professionals [Dr. Sarfaty, another neuropsychologist, and a forensic psychologist] who examined [subject]. Of those, we find that the presentation of Dr. Sarfaty was the most thorough and credible presentation of the facts and prognosis of the Grievant’s psychological fitness for duty. As his testimony showed, the breadth of Dr. Sarfaty’s evaluation was more extensive and comprehensive because he studied much pre-interview background, conducted a thorough and lengthy interview, reviewed [subject]’s personnel file and performed a battery of objective tests. Likewise he reviewed the Grievant’s medical records and other pertinent information. Of the two psychologists who testified, Dr. Sarfaty was the only to examine [subject].
  • In view of all the above factors, the Majority placed greater weight on the prognosis and evaluation offered through the testimony of Dr. Stephen Sarfaty.”

Plaintiff attorneys

  • “The Plaintiff had been involved in a prior incident in which he sustained a traumatic brain injury. He had cognitive deficiencies and right-sided paralysis prior to the [more recent] accident, in which he sustained a right frontal skull fracture. Dr. Sarfaty was retained to determine the extent, if any, of the subsequent accident. Dr. Sarfaty took the time to perform extensive testing of the Plaintiff which mirrored the test performed prior to the [more recent] accident. Using these results, Dr. Sarfaty was able to identify the increased deficiencies which the Plaintiff sustained as a result of the latest accident. Given the thorough testing and logical approach, the defense did not retain an expert and the case was resolved through mediation…It should be noted that the Plaintiff in this instance was an unwilling patient and he was resistant to the testing. Dr. Sarfaty exhibited the patience necessary to piecemeal the testing to arrive at the necessary conclusion…I want to thank you again for your patience and thoroughness in handling this matter. Your input obviously assisted the case, but more importantly helped the family in dealing with the injuries.”
  • “Thank you again for all of your assistance and efforts in evaluating this matter. Your input was essential to assisting both the recovery in the action as well as direction for the client to address in the future.”
  • “On behalf of his family and my entire staff I would like to extend our sincere appreciation for your assistance in [bringing his] case to a successful conclusion. In the coming days the press will report that the matter was settled for a record $million. In addition and equally important, the City has agreed to issue a public apology to [him] and his family and to institute retraining of all its police officers so that a tragedy such as befell [him] will hopefully never happen again. Without your help neither the size of the settlement nor the social change that comes with it would have been possible and for that we thank you.”
  • “Your efforts on behalf of [litigant family] have been extraordinary. It is obvious that a great deal of [his] progress is due to your immense competence as his treating neuropsychologist. But, further, your cooperation in keeping us apprised of [his] progress and your generosity in making yourself available to us throughout the litigation is unprecedented in the 24 years that I have been working as a paralegal. The successful result we achieved for [him] is due in part to your efforts. Your impressive ability to express the subtleties of [his] brain injury so that a jury would understand how it has impacted upon his life was key in giving us the ammunition to put pressure on the defendants to settle. It has been a real pleasure working with you.”

Defense attorneys

  • “I just wanted to let you know that the case settled this afternoon and to thank you for your report. Thanks again for your time and extraordinary consideration.”
  • “Balanced.” “Thorough and detailed reports.” “Responsive.” “Appreciates the nuances of litigation.” “Very accommodating to schedule problems.”
  • “Detailed and accurate.” Reported that, after four previous examinations with a multimillion dollar claim, based on the CNS examination, settled for 17% of claim.

Workers’ Compensation defense attorneys

  • “Your thoroughness worked in pursuit of records and in your report.” “The commissioner said his decision was based mostly on your neuropsychological examination.”
  • From a meeting of several attorneys in a Workers’ Compensation defense firm, “Extraordinarily thorough and meticulous.” “Professionally prepared reports.” “Responsive to litigation needs.” “You make yourself available.”

Defense attorney on a personal injury case

  • “We were most impressed by the thorough preparation.” “Testimony was on target and educational.” “Have the ability to explain in an understandable fashion and anticipate issues at trial.” “Extremely well prepared.” “Very knowledgeable.” “Very jury-friendly in testimony in court.”

Additional client comment

  • “Systematic, thoughtful analysis!”

 

Comprehensive Neuropsychological Services, P.C.
1095 South Main St.
Cheshire, CT 06410

Telephone: Local  203-271-3809, Toll-Free  877-788-7822
Fax: 203-272-6968
Email: cns@clinicalneuropsych.com