Main missions

• Contribute to screening for childhood disorders and preventing their consequences.
• Provide outpatient care, particularly rehabilitation.
• Foster coordination between hospital and private practitioners in charge of the child.
• Welcome, inform and support parents.
• Foster the child's integration into the ordinary environment, particularly in early childhood structures.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Care support professionals (doctors including pediatricians and psychiatrists, paramedics, medical auxiliaries and rehabilitation professionals including speech therapists, psychomotor therapists and occupational therapists, etc.
).
• Social and educational support professionals (psychologists, social workers, etc.).

Main missions

• Exercise the measures of safeguard of justice, curatorship, guardianship and measures of judicial accompaniment, entrusted by the Judge of guardianship, when it can not be entrusted to a family member.
• Assist, control and represent the persons accompanied.
• Inform in a clear, intelligible and appropriate manner.
• Advise and guide the person.
• Foster the person's participation in his or her journey and the choices concerning him or her, and gather, with attention his or her wishes and needs.

Main source of funding

To be paid for by the protected person.

Professionals involved in care

• Judicial representatives, holders of a Certificat National de Compétences, salaried or in charge of a health, social or medico-social establishment, or self-employed.

Good to know:These structures can also cater for the elderly and, more broadly, anyone who is not in full possession of their cognitive faculties.

Main missions

• Diagnose developmental (learning, language, psychomotricity) and behavioral disorders, in children.
• Provide systemic follow-up and support around the child or adolescent's therapeutic, educational and individualized project, co-constructed with the family.
• Foster the social, educational and professional inclusion of the person accompanied.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Care support professionals (child psychiatrists, psychomotor therapists, psychoeducators, speech therapists, etc.).
• Professionals supporting social, professional and educational life (educators, psychologists, social workers, etc.).

Main missions

• Listen and advise.
• Foster the sharing of experiences.
• Assist with the acts of daily living.
• Foster social and civic participation.
• Promote and support the inclusion of people.

Good to know: These can be very diverse structures, including day care centers, mobile teams, SA ESATs (Sections Annexes des Etablissements et Services d'Aide par le Travail), experimental apartment homes, experimental platforms, respite care offers, etc.

Main source of funding

Benefit from temporary funding (e.g. FISS - Fond d'Investissement du Système de Santé, Article 51), paid by ARS.

Professionals involved in care

• Professionals providing support for social, professional and educational life.
• Professionals providing care support.

Main missions

• Favor access to education, school and professional integration, and inclusion of the young person in an ordinary environment.
• Associate the family in the development and implementation of support.
• Develop the young person's communication, self-expression and autonomy.
• Provide psychosocial and rehabilitative care.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Care support professionals (doctors, paramedics, etc.).
• Professionals supporting social, professional and educational life (educators, teachers seconded from the French Ministry of Education, social workers, etc.).

Main missions

• Assume the missions of an Insitut Médico-Educatif (cf fiche IME).
• Provide motor education and the necessary functional rehabilitation for the child or teenager being cared for.
• Guarantee the necessary equipment and fittings.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Professionals providing support for social, professional and educational life (educators, teachers seconded from the Education Nationale, social assistants, etc.
).
• Care support professionals (functional re-education and rehabilitation specialists, pediatricians, physiotherapists, occupational therapists, psychomotricians, orthoptists, paramedics, etc).

Main missions

• Welcome and accompany children and adolescents presenting psychological behavioral disorders, and demonstrating an inability to follow ordinary schooling.
• Assure a triple action, therapeutic, pedagogical and educational by guaranteeing individualized follow-up (support for schooling, learning, and social insertion in an ordinary environment.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Professionals providing support for social, professional and educational life (educational team, specialized educators, monitor-educators, pedagogical team, specialized teachers, psychologists, etc.
).
• Care support professionals (medical and paramedical team, nurses, psychiatrists, psychomotricians, etc.).

Main missions

• Provide medical, psychological and educational assistance, directly in the home of the accompanied child (home, crèche, school, college or any other specialized establishment).
• Foster the young person's integration into the mainstream environment.

Good to know: Different SESSADs adapted to different types of disability exist, as well as family support and early education services (SAFEP), autonomy and schooling support services (SAAAS), family education and school integration support services (SSEFIS) and home care and support services (SSAD).

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

• Care support professionals (physiotherapists, occupational therapists, speech therapists, psychomotricians, etc.).
• Professionals supporting social, professional and educational life (specialized educators, school life assistants, etc.).

Main missions

• Provide support in carrying out acts of daily living.
• Provide social support in an ordinary environment.
• Foster independent learning (at home, in a facility or in day care).
• Provide educational and psychological support (maintaining or restoring family, social, educational or professional ties).

Good to know: SAMSAHs also provide medical and paramedical support.

Main source of funding

Financed by the Conseil départemental (day rate) for the social support part, and by the Assurance Maladie (care package) for the provision of care.

Professionals involved in care

• Professionals providing support for social, professional and educational life (including social workers).
• Care support professionals (SAMSAH only).

Main missions

Hosting adults with little or no autonomy.

To accompany them in carrying out the acts of daily life.

Provide constant care and medical supervision.

Provide medico-social support, known as systemic support, promoting autonomy, social and cultural life, artistic, sporting, cognitive or educational activity.

Good to know: The population of FAMs is less dependent than that of MASs (the only difference between the 2 structures).

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by Assurance Maladie and CNSA, and paid to establishments via ARS.

Professionals involved in care

Care support professionals (paramedical and medical staff, etc.).

Social support professionals (specialized educators, medical-psychological assistants, etc.).

Main missions

• Host and accompany relatively autonomous adults with disabilities.
• Propose activities adapted to their abilities (manual, sports, cultural, physical, etc.), and which promote the development or maintenance of autonomy, and inclusion.

Good to know: The living home is for adults who do not belong to an ESAT, FAM or MAS. Residential homes are for adults working in ESATs. These structures are not medicalized.

Main source of funding

Financed by the Département, and by the user via the Allocation aux Adultes Handicapés (AAH).

Professionals involved in care

• Professionals providing support for social, professional and educational life (specialized educators, educational monitors, medical-psychological aids, life auxiliaries, medical-psychological aids, and paramedical professionals only in living homes).

Main missions

• Assist with the definition of a professional project (ESPO) or the preparation and implementation of a professional integration or retraining project (ESRP).
• Provide individualized medical, psychological and social support.
• Evaluate, pre-orientate, orient and train.
• Unite and work with all the players involved.

Main source of funding

Financed by insurance funds from the Social Security health branch.

Professionals involved in care

• Professionals providing support for social, professional and educational life (guidance, integration and training professionals, psychologists).
• Care support professionals (doctors).

Good to know:There are other types of services: Unités d'Evaluation de Réentrainement et d'Orientation Sociale et Professionnelle (UEROS), Centres d'Orientation Sociale (COS) and Services Investigation Orientation Educative (SIOE).

Main missions

• Employ people with disabilities.
• Provide medical, social and educational support to encourage their personal development and life balance.

Main source of funding

Financed by the Objectif Global de Dépenses (OGD), covered by the Assurance Maladie and the CNSA, and paid to establishments via the ARS.

Professionals involved in care

• Professionals providing social, professional and educational support (specialized educators, educational monitors, medical-psychological aids).

Good to know: The ESAT Hors les Murs scheme is emerging to facilitate bridges between "ordinary" business and sheltered and adapted work.