Main missions

• Contribute to the screening of childhood disorders and prevent their consequences.
• Provide outpatient care, particularly rehabilitation.
• Promote coordination between hospital and private practitioners responsible for the child.
• Welcome, inform, and support parents.
• Promote the integration of children into mainstream environments, particularly early childhood facilities.

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

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

Main duties

• Exercise legal safeguards, guardianship, trusteeship, and judicial support measures entrusted by the guardianship judge when they cannot be entrusted to a family member.
• Assist, supervise, and represent the persons receiving support.
• Provide clear, understandable, and appropriate information.
• Advise and guide the person.
• Encourage the person's participation in their journey and the choices that affect them, and carefully listen to their wishes and needs.

Main source of funding

Paid for by the person receiving support.

Professionals involved in care

• Legal representatives who hold a National Certificate of Competence, employees or agents of a health, social, or medical-social institution, or independent professionals.

Good to know: These structures can also be used by elderly people and, more broadly, by anyone who is not in full possession of their cognitive faculties.

Main responsibilities

• Diagnosing developmental disorders (learning, language, psychomotor skills) and behavioral disorders in children.
• Provide follow-up and systemic support for the therapeutic, educational, and individualized plan for the child or adolescent, developed in collaboration with the family.
• Promote the social, educational, and professional inclusion of the person being supported.

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

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

Main responsibilities

• Listen and advise.
• Encourage the sharing of experiences.
• Assist with everyday tasks.
• Encourage social and civic participation.
• Promote and support the inclusion of people.

Good to know: These can be very diverse structures, including day centers, mobile teams, SA ESAT (Annex Sections of Work Assistance Establishments and Services), experimental apartment homes, experimental platforms, respite services, etc.

Main source of funding

They receive temporary funding (e.g., FISS - Health System Investment Fund, Article 51) from the ARS.

Professionals involved in care

• Professionals providing social, professional, and educational support.
• Healthcare support professionals.

Main missions

• Promote access to education, academic and professional integration, and the inclusion of young people in mainstream settings.
• Involve families in the development and implementation of support measures.
• Develop communication, self-expression, and independence in young people.
• Provide psychosocial and rehabilitative care.

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

• Healthcare professionals (doctors, paramedics, etc.).
• Social, professional, and educational support professionals (educators, teachers seconded from the National Education System, social workers, etc.).

Main responsibilities

• Carry out the duties of a Medical-Educational Institute (see IME fact sheet).
• Provide the necessary motor skills training and functional rehabilitation for the child or adolescent being cared for.
• Ensuring the necessary equipment and apparatus are available.

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

• Professionals providing social, professional, and educational support (educators, teachers seconded from the National Education System, social workers, etc.).
• Healthcare support professionals (functional rehabilitation and re-education specialists, pediatricians, physical therapists, occupational therapists, psychomotor therapists, orthoptists, medical assistants, etc.).

Main responsibilities

• Welcoming and supporting children and adolescents with psychological behavioral disorders who are unable to attend mainstream schools.
• Provide therapeutic, pedagogical, and educational support by ensuring individualized follow-up (support with schooling, learning, and social integration in a mainstream environment).

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

• Professionals providing social, professional, and educational support (educational team, special education teachers, teaching assistants, teaching staff, special education teachers, psychologists, etc.).
• Healthcare support professionals (medical and paramedical team, nurses, psychiatrists, psychomotor therapists, etc.).

Main tasks

• Provide medical, psychological, and educational assistance directly at the child's place of residence (home, nursery, school, college, or any other specialized institution).
• Promote the integration of young people into mainstream society.

Good to know: There are various types of SESSADs tailored to different types of disabilities, as well as family support and early education services (SAFEP), independence and schooling assistance services (SAAAS), family education and school integration support services (SSEFIS), and home care and assistance services (SSAD).

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

• Care support professionals (physical therapists, occupational therapists, speech therapists, psychomotor therapists, etc.). 
• Social, professional, and educational support professionals (specialized educators, school assistants, etc.).

Main tasks

• Providing support in carrying out everyday tasks.
• Provide social support in a normal environment.
• Promote learning independence (at home, in institutions, or in day care).
• Provide educational and psychological support (maintaining or restoring family, social, school, or professional ties).

Good to know: SAMSAH also provides medical and paramedical support.

Main source of funding

Funded by the Departmental Council (daily rate) for social support, and by Health Insurance (care package) for the provision of care.

Professionals involved in care

• Social, professional, and educational support professionals (including social workers).
• Healthcare support professionals (SAMSAH only).

Main tasks

Providing accommodation for adults with little or no independence. 

Assist them in carrying out everyday tasks.

Provide constant care and medical supervision.

Offer medical and social support, known as systemic support, promoting independence, social and cultural life, artistic, sporting, cognitive and educational activities.

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

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to establishments via the ARS.

Professionals involved in care

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

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

Main tasks

• Providing accommodation and support for relatively independent adults with disabilities.
• Offer activities adapted to their abilities (manual, sporting, cultural, physical, etc.) that promote the development or maintenance of independence and inclusion.

Good to know: The residential care home is intended for adults who do not qualify for ESAT, FAM, or MAS services. The residential home is intended in particular for adults working in ESAT. These facilities are not medicalized.

Main source of funding

Funded by the Department and by the user via the Allowance for Disabled Adults (AAH).

Professionals involved in care

• Professionals providing social, professional, and educational support (specialized educators, educational instructors, medical-psychological assistants, personal care assistants, medical-psychological assistants, and paramedical professionals in residential care homes only). 

Main tasks

• Provide support in defining a career plan (ESPO) or preparing and implementing a professional integration or retraining plan (ESRP).
• Offer individualized medical, psychological, and social support.
• Assess, pre-orient, orient, and train.
• Bring together and work closely with all relevant stakeholders.

Main source of funding

Funded by insurance funds from the Social Security health branch.

Professionals involved in care

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

Good to know: Other types of services are available: Social and Professional Re-training and Guidance Units (UEROS), Social Guidance Centers (COS), and Educational Guidance Investigation Services (SIOE).

Main responsibilities

• Employing people with disabilities.
• Provide medical, social, and educational support to promote their personal development and work-life balance.

Main source of funding

Funded by the Global Expenditure Target (OGD), covered by Health Insurance and the CNSA, and paid to institutions via the ARS.

Professionals involved in care

• Professionals providing social, professional, and educational support (specialized educators, educational instructors, medical and psychological assistants).

Good to know: The ESAT Hors les Murs scheme has been set up to facilitate the transition between "ordinary" companies and sheltered and adapted work.