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.).
Sector
Social
Target audience
All ages

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.
).
Sector
Medical and social
Target audience
All ages

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).
Sector
Medical and social
Target audience
All ages except