Home help structures

Services Autonomie Domicile (SAD)

2022 figures

11 972

Structures in France

Main missions

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

Main source of funding

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

Home nursing care services are funded by the "Intervention" Fund of the CNSA budget.

Professionals involved in care

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

Good to know: On June 30, 2023, Service Autonomie Domicile (SAD) is 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 the SAD reform.

The SAD reform.

Sector
Medical-social
Target audience
All ages

Services to help people in precarious situations

Mobile precariousness health team (EMSP)/Specialized precariousness nursing team (ESSIP)

2022 figures

73

Structures in France

399

Authorized spaces per year

Main missions

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

Main source of funding

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

Professionals involved in care

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

Homecare: A pillar of autonomy and quality of life

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Homecare has become an essential service for many people wishing to maintain their autonomy 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 individual needs

Homecare services

Homecare 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 people to continue living at home in optimum conditions of comfort and safety.

Service Autonomie Domicile (SAD)

Service Autonomie Domicile (SAD)

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

Services d'accompagnement des personnes en situation de précarité

Services d'accompagnement des personnes en situation de précarité.

The importance of autonomy and quality of life

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

Activities and meals: essential aspects of support

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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 being cared for. Meals are prepared with specific nutritional needs in mind, guaranteeing a balanced and adapted diet.

The role of SAAD and social assistance

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Quality care and services

ADAS plays a central role in coordinating home care and services.

Home care is a crucial aspect of assistance, 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 facilities, while offering a familiar and reassuring setting.

A rapidly expanding sector

Homecare is 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 people adopt a healthy lifestyle. The reform of the SAD, which brings together several services within a single structure, enables better coordination and greater efficiency of homecare interventions.

Homecare represents a real opportunity to transform the health and social sector. With high-quality homecare services, better coordination thanks to recent reforms, and a strong commitment to people's autonomy and dignity, the future of homecare is 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.

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