I work in England and use x2 other 'cognitive assessments' - the first is the Middlesex Elderly Assessment of Mental State (MEAMS)- I find this about twice as long to administer than the MMSE, however it appears to better distinguish between Depression and Dementia than the MMSE and offers additional sub-tests looking at different areas of the brain. Along side this I would usually also use the AMPS as this truly 'occupational' assessment often appears more able to 'detect' early dementia or other brain disorders and is increasingly gaining recognition form consultant psychiatrists and clinical psychologists. I also may use the Rivermead Behavioural Memory Battery- a more complexed assessment that evaluates memory abilities necessary for daily living, e.g.. remembering appointments, losing items, recalling conversations, recalling movements etc.
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