Using a New Calibrated Tool in Specific Language and Learning Disorders : the BMTi

The group of experts at High Authority of Health (HAS) has defined the places of first and second-line workers in specific disorders of development and learning, as defined in the international diagnostic classifications CIM 11 and DSM 5. The referral to a second-level structure, a multidisciplinary structure in charge of carrying out the different cognitive assessments, requires a preliminary evaluation.

This orientation is based on a medical consultation, carried out by a doctor specialized in the field, with an exploration tool adapted to the different fields concerned.

The BMTi, a battery of third-generation tests (after the BREV and then the EDA) will enable the doctor, from 2018, to carry out this orientation in a relevant way in response to children with a complaint about neurodevelopment and learning. .

The research project aims to validate this hypothesis, by comparing the diagnoses posed in a conventional way with the various multidisciplinary assessments, with the results of the transfer of all or part of the subtests of the BMTi by a doctor of second resort.

This research project finds its place in a more global approach for a complete application of the recommendations of the group of experts of the High Authority of Health with:

• the systematic evaluation of educational prevention strategies by intensive training in small groups of children with similar needs, in schools,
• the evaluation of the role of the primary care physician in the prescription of the initial investigation report in the face of a simple reading, writing or numeracy disorder (research project with letter of intent filed in the framework of the call for tenders 38/5000 general direction of the offer of care (DGOS) PREPS 2018),
• the current project to validate referral tools to second-level appraisals,
• an evaluation project of the financing modalities filed under the regional health agency "Occitanie" in the framework of the call for tenders of article 51,
• the introduction of training courses for the first and second-line tools for ambulatory doctors.

Inclusion criteria

• Child aged 5 to 13
• Complex complaint affecting one of the different areas of development and learning
• Affiliation to a social security scheme

Exclusion criteria

• Diagnosis of intellectual development disorder of autism spectrum disorder and suspect or confirm
• Refusal to participate