Cancers & Brain Tumors

Cancer Late Effects Assessment and Rehabilitation (CLEAR™)

The Cancer Late Effects Assessment and Rehabilitation (CLEAR™) program addresses neurocognitive (cognitive, academic, social and emotional) functioning from diagnosis through survivorship. We evaluate, monitor and managing the neurocognitive health of children and adults following oncological treatment (chemotherapy, cranial radiation, brain resection, and/or hydrocephalus). We consult and collaborate with physicians and psycho-oncologists both regionally and nationally, in developing state of the art assessment and treatment modalities for rehabilitation following a diagnosis and treatment of a brain tumor or leukemia. We also work closely with the oncologists, pediatricians, rehabilitation therapists (speech and language, occupational, and physical therapy), and schools/colleges to establish, coordinate and monitor treatment. Ongoing management of schoolwork, affective and behavioral health, and physical activity is critical as late effects of treatment emerge from 6 to 24 months post treatment.

The program typically involves

  • A baseline neuropsychological evaluation prior to treatment. If this is not possible, a baseline evaluation is obtained once the individual is medically stable.
  • Parent/caregiver education to address neurocognitive needs of the child during the initial recovery period.
  • An individualized neurocognitive rehabilitation program started at the end of the induction phase of chemotherapy or after cranial radiation.
  • An evaluation of neurocognitive functioning prior to return to school to help with school placement and accommodation needs.
  • Assistance with back-to-school or back-to-work transitions following recovery that include classroom and staff education, and peer presentations at school reentry following a prolonged absence.
  • Periodic monitoring of neurocognitive functioning.

The program goals are to

  • Provide the highest level of service to children, adolescents and young adult cancer survivors in the evaluation and treatment of secondary and late effects of cancers.
  • Improve the general knowledge and skill of persons in the medical and educational fields, and community regarding the specific treatment/needs of individuals following cancer and increase awareness of the late effects of oncological therapy through seminars, workshops, in-services, and consultations.   We are available to give talks and workshops.

Frequently Asked Questions