Extract
[...] These individuals will never be able to integrate into active life and will need permanent assistance on a daily basis, whether for care (permanent, frequent or occasional), for accompanying them in daily gestures. The medicalized reception hostels offer both internal and external accommodation according to the specificities of the disabilities of the people received. As for the integrated hostels, the profile of the adults with disabilities received is quite different: the people have a disability level considered low or slightly harmful. Thus, they can live independently, benefit from integration support in active life. [...]
[...] In addition to professional insertion activities, they provide a solid and structured medical and social support to people with disabilities and whose professional abilities are significantly reduced or little significant. ESATs therefore have a double role, namely assistance with insertion and medical and social support. Furthermore, they can come from local authorities (public establishments) and, as such, are subject to the regulations and standards published by the regional health agencies benefit from the support of social workers mandated by local authorities. Hostels provide the fact of welcoming people with disabilities at night and on weekends who are in CITL or ESAT during the day. [...]
[...] Project Management - Creation of a Medical and Social Platform in the Hauts-de-Seine Department Context The Hauts-de-Seine is one of the most densely populated departments in France, Europe, and the world: it has more than 1,647,435 inhabitants spread over 176 km², or 9,360 inhabitants per km² according to the 2022 INSEE census, distributed across 36 municipalities. For international comparison, London (metropolitan area), a global city, has a population density almost half that, with around 5,600 inhabitants/km². The demographics of Hauts-de-Seine have experienced a remarkable growth rate of approximately 5,600 inhabitants per year between 2015 and 2021, although this is an average and disparities exist between the different municipalities of the department. [...]
[...] The fact of welcoming and hosting people with ASD ensures better control and follow-up of daily progress. As for other socio-medical structures, they are generalist, as they welcome and host adults with disabilities suffering from various forms of disability. They mainly evaluate the level of autonomy and potential for social integration. An adult with ASD may find themselves with other people suffering from other forms of disability. However, our project aims to offer exclusive reception and accommodation to people suffering from ASD, so we will be specialized in caring for these people. [...]
[...] Each structure has its own specificity, for example, our project is a medical-social platform for durable, temporary, and accompanying people with adult disabilities suffering from autism spectrum disorders (ASD). The great diversity of structures throughout the department testifies to the department's political will to respond to the active need for structures intended for the reception or accommodation of adults suffering from various forms of disability (this can be a physical or psychological disability such as ASD). To this end, we will present the different categories of operational structures in the Hauts-de-Seine department, starting with the category to which our project can be identified or related: first, we have the platforms which are structures composed of personnel delivering accompanying services, support for adult disabled people of the type TSA (autism spectrum disorders). [...]
