Elaboração de protocolo de avaliação neuropsicológica infanto-juvenil para transtornos do neurodesenvolvimento e aprendizagem na saúde pública

Abstract

Neurodevelopmental Disorders and learning difficulties manifest early and can cause significant functional impairments throughout life, requiring precise differential diagnoses. In the Brazilian public health scenario, high demand and limited resources challenge the implementation of specialized assessments. This study aims to report the experience of developing and systematizing a brief and institutionally feasible child and adolescent neuropsychological assessment protocol, adapted to the reality of an outpatient service within the Unified Health System (SUS). This is a descriptive study, of the experience report type, grounded in the documentary analysis of field notes produced from the author's experience between May 2024 and September 2025 at a Federal University Hospital. The process involved a critical analysis of the service’s routine and the strategic selection of instruments based on criteria of clinical feasibility, administration time, and psychometric validity. As a result, a care workflow was structured into an initial screening and three assessment sessions. The protocol integrated standardized instruments (WASI, Neupsilin, Neupsilin-Inf, RAVLT), qualitative tasks (based on Luria), and screening scales (CBCL, ATA, SCARED, CDI). The intervention enabled the integration of Psychology with the multiprofessional team, enhancing diagnostic construction and therapeutic planning. It is concluded that the systematization of practice, through a focused protocol, makes neuropsychological assessment feasible within the public service, optimizing available resources. The importance of documenting work processes to improve care quality is highlighted, as well as the need for continuous investment in professional training to ensure the effective social inclusion of the patients served.