Home support structures

Services Autonomie Domicile (SAD)

2022 figures

11 972

Structures in France

Main missions

  • Intervene in the person's home (household help and support with intellectual and sensory activities, and mobility).
  • Provide home nursing care (in coordination with the intervention of medical and paramedical professionals also working in the person's home).

Main source of funding

Financed by the "Intervention" Fund of the CNSA budget, paid by the Departmental Councils.

Professionals involved in care

  • Professionals providing support for social, professional and educational life (home helps and life auxiliaries, etc.
    • ).
  • Care support professionals (medical and paramedical professionals, physiotherapists, etc.).

Good to know: On June 30, 2023, Service Autonomie Domicile (SAD) was created following the merger of Services de Soins Infirmiers à Domicile (SSIAD), Services d'Aide et d'Accompagnement à Domicile (SAAD) and Services Polyvalents d'Aide et de Soins à Domicile (SPASAD). Learn more about SAD reform.

Sector
Medical-social
Target audience
All ages

Support services for people in precarious situations

Precarity Health Mobile Team (EMSP)/Precarity Specialized Nursing Team (ESSIP)

2022 figures

73

Structures in France

399

Authorized spaces per year

Main missions

  • Respond to the "go towards" approach of the most deprived and precarious populations, by intervening in the place where the person lives or frequents.
  • Provide first aid and health check-ups.
  • Contribute to health education and therapeutic education.
  • Assure preventive and mediation actions, while interfacing with health, social and medico-social actors.
  • Promote the referral of supported people to the right players, and the coordination of their pathway.
  • Provide training and awareness-raising initiatives for professionals.

Main source of funding

Financed by ARS via measure 27 of the Ségur de la santé.

Professionals involved in care

  • At a minimum, a nurse and social worker pair, or a nurse and care assistant pair (for ESSIPs).
Sector
Medical and Social
Target audience
All ages

Home support: A pillar of autonomy and quality of life

Home support has become an essential service for many people wishing to maintain their independence while remaining in the comfort of their own home. With the creation of the Service Autonomie Domicile (SAD) on June 30, 2023, following the merger of Services de Soins Infirmiers à Domicile (SSIAD), Services d'Aide et d'Accompagnement à Domicile (SAAD) and Services Polyvalents d'Aide et de Soins à Domicile (SPASAD), this sector is undergoing a real transformation.

Homecare services: A response tailored to the needs of each individual

Home services are varied and aim to meet the specific needs of each individual. They encompass services ranging from assistance with daily living to specialized medical care. These services enable individuals to continue living at home in optimal conditions of comfort and safety.

Service Autonomie Domicile (SAD)

Service Autonomie Domicile (SAD) is a key structure that brings together various services to support people in their daily lives. Services include help with meals, home maintenance, accompaniment on outings and social activities, as well as home nursing care. The SAD promotes the autonomy of elderly people or those in precarious situations, by offering them personalized support.

Services d'accompagnement des personnes en situation de précarité

The Equipe Mobile Santé Précarité (EMSP) and Equipe Spécialisée de Soins Infirmiers Précarité (ESSIP) are services specially designed to help people in precarious situations regain stability and improve their quality of life. They offer social and administrative support, financial aid, and resources for access to healthcare and employment. These services are essential to support the social and economic inclusion of the most vulnerable people.

The importance of autonomy and quality of life

One of the main aims of homecare is to maintain people's autonomy while improving their quality of life. The services offered enable us to meet the specific needs of each individual, respecting their pace and preferences. This includes adapted activities, balanced meals, and regular medical monitoring.

Activities and meals: essential aspects of support

Activities and meals play a crucial role in home support. The services offer a variety of activities to stimulate the cognitive and physical abilities of those accompanied. Meals are prepared with specific nutritional requirements in mind, guaranteeing a balanced and adapted diet.

The role of SAAD and social assistance

Services d'Aide et d'Accompagnement à Domicile (SAAD) are essential for offering comprehensive support to people losing their independence. They work in collaboration with social welfare agencies to provide services that are adapted and accessible to all. SAADs play a central role in coordinating care and services at home, ensuring comprehensive, ongoing care.

Quality care and services

Home care is a crucial aspect of support, enabling people to receive medical treatment without having to travel. Services include nursing care, medical follow-ups, and specialized interventions. Homecare professionals provide a quality of care equivalent to that of healthcare institutions, while offering a familiar and reassuring setting.

A rapidly expanding sector

Homecare is a rapidly expanding sector, responding to the growing needs of the population. With diversified and adapted services, it plays an essential role in maintaining autonomy and improving people's quality of life. The Service Autonomie Domicile (SAD), as well as support structures for people in precarious situations, are pillars of this development, offering essential services to help individuals adopt a healthy lifestyle. The SAD reform, which brings together several services under a single structure, enables better coordination and greater efficiency of home interventions.

Homecare represents a real opportunity to transform the health and social sector. With high-quality homecare services, enhanced coordination thanks to recent reforms, and a strong commitment to people's autonomy and dignity, the future of homecare looks bright. Innovators have a key role to play in this evolution, bringing fresh ideas and implementing concrete solutions to improve the daily lives of beneficiaries.

Home support is a type of structures in the medico-social and social sector.

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