Support structures for people in specific difficulty
Addiction prevention and support
Addiction prevention and care center (CSAPA)
2022 figures
517
Structures in France
1 820
Authorized spaces per year
Main missions
- Take care of anyone suffering from an addiction (use of licit or illicit psychoactive substances, substance-free addictions).
- Provide medico-psycho-social support, after assessing demand and objectifying needs.
- Guarantee care services to reduce the risks associated with consumption and treat co-morbidities.
- Conduct individual and collective prevention actions.
- Accommodation in collective or individual residences if necessary.
Main source of funding
Financed by a portion of the medico-social ONDAM (Objectif National de Dépenses de l'Assurance Maladie), paid by the Assurance Maladie.
The Assurance Maladie benefits are funded by the Assurance Maladie.
Professionals involved in care
- Professionals providing support for social, professional and educational life (social workers, psychologists, etc.).
- Professionals providing care support (nurses, psychiatrists and general practitioners, etc.).
Harm reduction support for drug users
Centers d'Accueil et d'Accompagnement à la Réduction des Risques pour Usagers de Drogue (CAARUD - centers for the support and reduction of risks for drug users)
2022 figures
163
Structures in France
466
Authorized spaces per year
Main missions
- Welcome, inform and advise.
- Support access to care and access to rights (housing, social and professional integration or reintegration).
- Provide infection prevention equipment.
- Conduct harm reduction (RDR) actions, particularly to reduce infections.
Main source of funding
Financed by a portion of the medico-social ONDAM (Objectif national des dépenses d'assurance maladie), paid by the Assurance maladie.
Professionals involved in care
- Professionals involved in social, professional and educational support (specialized educators, animators, etc.
Shelters for the homeless
Lits Halte Soins Santé (LHSS)/Lits d'Accueil Médicalisés (LAM)/Appartements de Coordination Thérapeutique (ACT)
2022 figures
468
Structures in France
10 318
Authorized spaces per year
Main missions
- Welcome, unconditionally, people in need of accommodation, care and psycho-social support, without justifying hospitalization.
- In particular, LHSSs welcome homeless adults, whose state of health requires it, for a period of 2 months.
- LAMs take in homeless adults of full age with chronic, non-benign pathologies requiring care, with no planned length of stay.
- ACTs temporarily house people in situations of psychological and social fragility, requiring care.
Good to know:Admission is conditional on medical referral.
Main source of funding
Financed by part of the medico-social ONDAM (Objectif National de Dépenses de l'Assurance Maladie), paid by the Assurance Maladie.
Professionals involved in care
- Care support professionals (including doctors).
- Professionals involved in supporting social, professional and educational life (including educational staff).