Skip Navigation

Programs of Evaluation, Development And Learning (PEDAL)

The Programs of Evaluation, Development and Learning (PEDAL), a service through St. Charles Health System in Bend, Oregon, offers clinical excellence to provide the best care for children and youth with special health needs in Central and Eastern Oregon.

PEDAL staff specialize in diagnosis, assessment and intervention related to disorders affecting a child’s development. Depending on the child and referral question, a single discipline consultation, neuropsychological evaluation or full team evaluation will be completed. Each child’s needs are carefully reviewed by our lead psychologist to ensure the best type of evaluation within PEDAL to answer the referral question. 

What is a Single Discipline Consultation?
Children and youth with special health care needs and their families are referred to PEDAL Providers for a variety of neurodevelopmental and behavioral concerns.  We can provide consultation services to offer diagnostic, intervention and resource information to help families and referring providers make important treatment decisions.  Examples may include working with a family of a child who has a self-harming or repetitive behavior, guiding a family to community resources after being rendered a neurodevelopment diagnosis, or helping with ongoing behavior concerns.  Our consultation is to the family and we work with appropriate providers who would work directly with the child/youth. 

What is Neuropsychological Testing?
A Neuropsychological evaluation is a comprehensive assessment of cognitive and behavioral functions using a set of standardizes tests and procedures. Various functions are systematically tested, which may include but are not limited to:

  • Intelligence
  • Problem solving and conceptualization
  • Planning and organization
  • Attention, memory and learning
  • Language
  • Academic skills
  • Perceptual and motor abilities
  • Emotions, behavior and personality

When is a neuropsychological evaluation needed?
A neuropsychological evaluation is recommended for any case in which brain-based impairment in cognitive function or behavior is suspected. Typical referrals are made to diagnose or rule out the following conditions and to describe their impact on a person’s cognitive functioning:

  • Asperger’s Syndrome
  • Autism
  • Developmental learning disabilities
  • Attention deficit disorders
  • Traumatic brain injury (including concussion)
  • Strokes
  • Psychiatric or Neuropsychiatric disorders
  • Seizure disorders
  • Medical illness or treatments
  • Effects of toxic chemicals or chronic substance abuse
  • Memory disorders

An evaluation is particularly useful for tracking progress in rehabilitation after brain injury or other neurological disease. Neuropsychological evaluation can assist greatly in planning educational and vocational programs.

What are Team Evaluations?  A Full team evaluation is recommended when a child/youth is known or thought to have a complex neurodevelopment condition or syndrome and would benefit from the expertise of a Developmental Pediatrician, Psychologist and Speech and Language Pathologist, working together in efforts to provide differential diagnosis and treatment recommendations. 
PEDAL Neurodevelopment Clinic
This team consists of the board certified developmental pediatrician (from OHSU), clinical psychologist, speech and language pathologist, and social worker.  This team assesses children with neurodevelopmental concerns such as autism spectrum disorders, genetic syndromes, complex ADHD, fetal alcohol, language impairments, and other developmental delays.  
PEDAL 0-5 Clinic
This team consists of the board certified developmental pediatrician (from OHSU) and clinical psychologist.   This dyad team assesses children with neurodevelopmental concerns such as autism spectrum disorders, genetic syndromes, complex ADHD, fetal alcohol, language impairments, and other developmental delays and who are between the ages of 0 and 5.
PEDAL Cardiac Clinic
This team consists of the board certified developmental pediatrician (from OHSU) and clinical psychologist.   This dyad team assesses children and youth who have complex neurodevelopmental concerns associated with a cardiac disorder.   

PEDAL NICU Follow Up Clinic
This team consists of a neonatologist, clinical psychologist, speech and language pathologist, occupational therapist, physical therapist, nutritionist and registered nurse.  We provide neurodevelopmental screening for infants discharged from the St. Charles Bend NICU who meet specific criteria.
How to Refer 
While many insurance companies allow patients to self-refer, we prefer to work directly with each child's primary care physician to ensure collaborative care.  As a result, we do require a physician referral for most of our patients. Additionally, we have information we need prior to scheduling your initial appointment.
As needed, each referral will be assigned to one of the PEDAL clinical psychologists who will:

  • Review current concerns, past assessments, and treatments
  • Detail a developmental history from initial concerns to the present
  • Conduct neuropsychological, psychiatric, and other assessments
  • Establish a treatment/intervention priority for follow-up care with the family and may provide behavioral support.

Should I wait to initiate therapy for my child/myself until after the evaluation?
No. regardless of diagnosis, therapeutic interventions are aimed at addressing certain behaviors. The results and formulation of the assessment can be richer and more comprehensive when we collaborate with the therapist. The therapist can use evaluation results to “fine tune” their interventions. We are happy to help with a referral if you would like.

The Pediatric Psychology Team

Sondra Marshall PhD
Licensed Psychologist

Rebecca Scrafford PsyD
Licensed Psychologist

Laura Shank PsyD
Licensed Psychologist

Daniel Kriz, PsyD, ABPdN
Licensed Psychologist

For any questions please call 541-706-6843