Clinicians
Information for Health Professionals
Referral pathway and suitability information for the OBHM Research Clinic.
Suitability
The OBHM Research Clinic is suitable for adults aged 45 years and over who are experiencing persisting cognitive concerns and may benefit from further assessment of their cognitive and brain health.
The Clinic has been developed to support the early identification and careful characterisation of cognitive concerns from midlife, particularly where symptoms are subtle, emerging, or not yet clearly explained. In routine clinical practice, these individuals may not yet meet criteria for a dementia diagnosis or traditional memory clinic referral but may benefit from earlier assessment to better understand their symptoms and identify potentially modifiable contributors to cognitive change.
Relevant concerns may include changes in memory, concentration, word finding, processing speed, problem solving, navigation, brain fog, or other perceived changes in thinking. The Clinic may also be appropriate for individuals with cognitive concerns in the context of mood, sleep, stress, menopause, vascular or metabolic risk factors, family history of dementia, or other modifiable brain health risks.
The assessment pathway aims to clarify possible contributing factors, guide personalised recommendations, and support long-term brain health and dementia prevention.
The Clinic is less suitable for individuals with a confirmed diagnosis of moderate to advanced dementia, acute neurological or psychiatric presentations, or those requiring urgent medical care. In these circumstances, referral to acute, specialist, or local health services may be more appropriate.
Eligibility Criteria
People may be eligible to attend the Clinic if they:
- Are aged 45 years or older
- Have experienced concerns about memory, thinking, concentration, or cognition for at least six months
Participation Involves
Participation may involve:
- Attending the Clinic in Randwick on up to two occasions
- A blood test
- An MRI scan
- Cognitive testing
- Completion of questionnaires, including an informant report
- Clinical review and personalised recommendations
- The opportunity to contribute to research that may improve future brain health care and dementia prevention
Questions and Referrals
If you have any questions about the OBHM Clinic or would like to discuss your patient's suitability and eligibility, please contact us at obhm@neura.edu.au or on (02) 9399 1887.
Doctor FAQs
What types of cognitive concerns are appropriate for referral?
Appropriate concerns may include changes in memory, attention, concentration, word finding, processing speed, problem solving, planning, navigation, brain fog, or other perceived changes in thinking.
What information should be included in the referral?
Referrals should be submitted via the Clinic referral link. The online referral form will prompt referrers to provide the patient's contact details and the information needed to assess suitability and eligibility.
Referrers are also encouraged to upload or include any relevant medical reports or investigation results, such as recent blood test results, cognitive screening results, imaging reports, or specialist letters.
Should I organise blood tests or imaging before referral?
Please include any recent blood test results if available. The OBHM Research Clinic will coordinate additional investigations, including bloodwork and MRI brain imaging, where clinically appropriate as part of the assessment pathway.
What cognitive screening results are useful to include?
Any recent cognitive screening results are useful, including the MoCA, ACE-III, MMSE, Mini-Cog, GP Cog, or other brief cognitive screening tools. Please include the total score, date completed, and any qualitative observations if available, such as difficulties with attention, memory recall, language, visuospatial tasks, or executive functioning. Screening results are helpful but are not required for referral.
What does the neuropsychological assessment involve?
The neuropsychological assessment examines different areas of thinking, including attention, processing speed, learning and memory, language, executive functioning, and visuospatial skills.
How long does the assessment take?
The assessment usually takes place over two appointments. The first appointment is approximately 4–5 hours and includes MRI brain imaging and cognitive assessment. The second appointment is approximately 1 hour and involves review with the medical specialists, feedback on the assessment findings, and personalised recommendations to support and optimise brain health.
Are assessments available via telehealth or only face to face?
The OBHM Research Clinic assessment is primarily conducted face to face at NeuRA in Randwick. However, some components, such as initial communication or follow-up discussion, may be considered by phone or telehealth where appropriate.
How soon will the patient be seen?
After referral, the Clinic team will review the referral and contact the patient, within 10 business days, regarding suitability and next steps. Appointment availability may vary depending on clinic capacity and patient suitability.
How long until the report is available?
A written report is prepared after the assessment has been completed and the results have been reviewed by the clinical team. The timeframe may vary depending on the complexity of the assessment and whether additional investigations are required.
Who receives the report?
The clinical report is usually provided to the referring doctor and/or the patient's nominated GP. With the patient's consent, it may also be shared with other relevant treating clinicians involved in their care. The patient will also receive a separate, patient-friendly report outlining the assessment findings and recommendations.
Will the report include recommendations for further investigations?
Yes. Where appropriate, the report may include recommendations for further medical, neurological, psychiatric, sleep, imaging, pathology, or allied health review. Recommendations will be tailored to the individual's presentation and assessment findings.
Does the OBHM Clinic provide ongoing public or private care for patients requiring neurological or psychiatric care?
No. The OBHM Research Clinic does not provide ongoing public or private neurological or psychiatric care. Patients requiring ongoing specialist care, urgent review, crisis support, or treatment for significant neurological or psychiatric conditions should be referred to appropriate local public, private, specialist, or acute care services.
Following assessment, the patient receives feedback on the assessment findings, personalised brain health recommendations, and any referrals considered appropriate. Where clinically indicated, the Clinic may facilitate referrals within the scope of neurology and/or psychiatry. Recommendations for services outside this scope will be included in the report, with ongoing management returned to the GP or referrer.