INFORMACIONES PSIQUIÁTRICAS 253

Informaciones Psiquiátricas 2024 - n.º 253 39 ve dementias. The duration of admission is 90 days and the main objective is rehabilitation. The therapies provided include cognitive stimulation, agenda management, deficit adaptation, autonomy management, physical therapy and social inclusion. The objective of the manuscript is to present the experience of the multidisciplinary approach applied during the years 2015 to 2022, and describe its resolution capacity, understanding it as the ability to improve the cognitive skills, behavior, physical balance and functionality of the people cared for. Methods: The information has been obtained from the assessments carried out according to the hospital's multidisciplinary evaluation protocols. Descriptive statistics were performed and the t test for means of two paired samples was used to evaluate significant differences between the assessments at admission and at discharge. The sample consists of 435 people, with an average age of 51.54 years, of which 185 (42.53%) were women. Cognitive screening tests, behavioral assessment tests, balance and functionality tests, and a quality of life questionnaire have been used as measurement instruments. Results: A total of 435 people were included with the following diagnostic profiles: acquired brain damage (n = 199), cognitive impairment associated with substance use (n = 103), Huntington's disease (n = 41), early-onset degenerative dementias (n = 32), HIV-associated cognitive impairment (n = 2) and unspecified cognitive impairment (n = 58). Considering the entire sample there was a significant improvement in cognitive screening tests, behavioral assessment, balance and functionality, and quality of life. People with acquired brain damage show as well a significant improvement in cognitive screening tests, behavioral assessment, balance and functionality, and quality of life. People with cognitive impairment associated with substance show a significant improvement in cognitive screening tests, behavioral assessment, balance and functionality tests. Apathy significantly improves in people with Huntington's disease. In early-onset degenerative dementias, there were a significant improvement in cognitive screening and behavioral assessment tests. The comprehensive neuropsychological assessment improves in 21.36% of the people treated and remains stable in 72.82%. Conclusions: The multidisciplinary approach of the Neuropsychiatry day hospital seems to be valid to improve behavioral alterations, functionality and the perception of quality of life of the overall people treated. Brief cognitive tests also improve in the overall sample, but a longer treatment period might be necessary to improve the comprehensive neuropsychological assessment. It is underlined a growing complexity of the people attended. Keywords: multidisciplinary rehabilitation, neuropsychiatry, acquired brain damage, substance use disorder, early onset dementia, Huntington's disease. EXPERIENCIA DEL ABORDAJE MULTIDISCIPLINAR APLICADO EN EL HOSPITAL DE DÍA DE NEUROPSIQUIATRÍA DEL HOSPITAL MARE DE DÉU DE LA MERCÈ (A OS 2015 A 2022)

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