In this section
Monitoring and insight
skills enable people to think about, evaluate and anticipate the
consequences of their actions. Sometimes these skills are affected
by a brain injury.
There are a collection of
cognitive, or thinking, skills that are often discussed as a group
and called 'higher level thinking skills' or 'executive functions'. These skills include
monitoring and insight. These skills help people
to reflect, evaluate and anticipate the consequences of their
actions so they can work effectively and interact appropriately
The following list outlines
some of the common difficulties that could indicate problems in this area. These difficulties would tend to be seen on an everyday basis.
The child or young person:
monitoring and insight, as well as other cognitive difficulties,
are formally identified by having a neuropsychological assessment.
A neuropsychologist can help develop compensatory
and management strategies that are suitable for each individual
child and their particular cognitive strengths and weaknesses. A
clinical psychologist may also be able to provide individual
strategies to help a child or adolescent cope with monitoring and
Developed by The Royal Children's
Hospital Paediatric Rehabilitation Service based on information from the Brain
Injury Service at Westmead Children’s Hospital. We acknowledge the input of RCH
consumers and carers.
Reviewed September 2020.
Kids Health Info is supported by
The Royal Children’s Hospital Foundation. To donate, visit www.rchfoundation.org.au.
This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. The Royal Children's Hospital Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts. Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout. The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout.