title: [Schooling and care of mild intellectual disability children].
abstract: Studies on mild intellectual disability (MID) are scarce. The aim of this study was to describe the educational and medical care trajectories and their determinants in children with MID. The study population concerned children born in 1997 and resident in a French county (Isère) in 2008. MID was defined as an overall IQ score between 50 and 69. For the present study, this definition was adjusted by integrating the IQ confidence intervals so that the risk of IQ measurement relativity and possible score discrepancy could be taken into account. Of the 267 children included, 180 (67%) were identified through an institute that decides upon special education and allowances (MDPH) and 87 (33%) through the educational system. The parents of 181 children (68%) accepted to answer a telephone questionnaire, describing their child's educational and medical history. Children with MID frequently presented clinical signs and comorbidities. Educational trajectories were quite varied: a majority of the children (52.9%) were oriented toward sections with adapted general and professional education (SEGPA) after finishing primary school, a minority (41.3%) were oriented towards specialized schools, such as medical-educational institutions, and a small proportion of children (5.8%) stayed in ordinary school. Children followed the SEGPA orientation more frequently when a relative written language disorder was present, and autism-spectrum disorders or other clinical signs were absent. Concerning follow-up care and rehabilitation, children mostly took part in speech therapy (76.2%) and psychotherapy (55.8%). The French law dating from 2005, ensuring equal opportunity for people with disabilities, has borne fruit in the diversification of educational trajectories.
authors: RHEOP, 23, avenue Albert 1(er) de Belgique, 38000 Grenoble, France. Electronic address: etudedil.rheop@orange.fr.
authors: M
authors: M
authors: David
authors: Rectorat de Grenoble, BP 1065, 7, place Bir-Hakeim, 38021 Grenoble cedex, France.
authors: A
authors: A
authors: Billette de Villemeur
authors: Génétique clinique, hôpital Couple-Enfant, CHU de Grenoble, BP217, 38043 Grenoble cedex 09, France.
authors: F
authors: F
authors: Devillard
authors: Génétique clinique, hôpital Couple-Enfant, CHU de Grenoble, BP217, 38043 Grenoble cedex 09, France.
authors: K
authors: K
authors: Dieterich
authors: RHEOP, 23, avenue Albert 1(er) de Belgique, 38000 Grenoble, France; Génétique clinique, hôpital Couple-Enfant, CHU de Grenoble, BP217, 38043 Grenoble cedex 09, France; UMR CNRS 5525, TIMC-IMAG, équipe DYctim, 38706 La Tronche cedex, France.
authors: P-S
authors: PS
authors: Jouk
authors: Médecine physique réadaptation pédiatrique, hôpital Couple-Enfant, CHU de Grenoble, BP217, 38043 Grenoble cedex 09, France.
authors: C
authors: C
authors: Prado
authors: Médecine physique réadaptation pédiatrique, hôpital Couple-Enfant, CHU de Grenoble, BP217, 38043 Grenoble cedex 09, France.
authors: A
authors: A
authors: Descotes
authors: AFPA, pôle enfance MRSI, 48, rue Bizanet, 38000 Grenoble, France.
authors: J-L
authors: JL
authors: Guillon
authors: RHEOP, 23, avenue Albert 1(er) de Belgique, 38000 Grenoble, France.
authors: J
authors: J
authors: Counillon
authors: CNSA, direction scientifique, 66, avenue du Maine, 75682 Paris cedex 14, France.
authors: J
authors: J
authors: Bloch
authors: RHEOP, 23, avenue Albert 1(er) de Belgique, 38000 Grenoble, France; Équipe ThEMAS, Grenoble université-1, pôle santé publique, CHU de Grenoble, boulevard de la Chantourne, 38043 Grenoble cedex 09, France.
authors: C
authors: C
authors: Cans
mesh_terms: D000293:Adolescent; D002648:Child; D004495:Education of Persons with Intellectual Disabilities; D005260:Female; D005602:France; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy; D008297:Male; D012720:Severity of Illness Index