Question 14400 — people with disabilities

Summary

Ms. Danièle Obono questions the Minister of Solidarity and Health on the training of doctors in the screening of specific language and learning disorders (TSLA). The initial training of doctors to detect specific language and learning disorders (TSLA) and to make a diagnosis at level 1 is non-existent. No specialization is recognized to ensure a diagnosis for complex cases and a care coordination at level 2. It is almost the same for continuing education. Many children are not properly screened by school medicine, due to lack of training and staffing. Professionals capable of carrying out assessments and re-education (speech therapists, occupational therapists, psychomotor therapists, neuropsychologists) are absent from many areas and waiting lists are very long everywhere. There non-financial support for assessments and private rehabilitation (occupational therapy, psychomotor skills, neuropsychological assessment) causes significant out-of-pocket costs for families and consequently unequal opportunities. Local diagnostic teams are almost non-existent. The medical-psycho-pedagogical centers (CMPP) are not sufficiently trained in these specific disorders and their professionals remain most of the time under psychoanalytic influence (which the majority of families are unhappy with). The opening of special education and home care services (SESSAD) specialized in these disorders does not seem to be a priority for regional health agencies, while thousands of children are not taken care of. Level 2 care networks are very insufficient in number and lack resources from the ARS. The Reference Centers for language and learning disorders (level 3) are overwhelmed, which does not allow them to fulfill their mission of training and supporting level 1 and 2 professionals. Faced with these findings, known and denounced for many years, she asks what measures she intends to take to ensure that the care pathway is truly efficient and that the obstacle course experienced by families finally ends.

Machine translation from French. The official text remains authoritative.

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