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.).
Secteur
Social
Public cible
Tous les âges

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.
).
Secteur
Médical et social
Public cible
Tous les âges

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).
Secteur
Médical et social
Public cible
Tous les âges sauf