This report explores the challenges and mutations of the director's function in the medico-social sector, highlighting the need for adaptability and innovation in the face of changing societal demands and commercial logic. With a focus on management and legal skills, this training provides tools for reflection and analysis to inform decision-making and ensure the quality of service provided.
Extract
[...] Moreover, it was frequent that a director intervening would share with us a problem encountered within his structure and solicit us as future peers to think with him about the problem, to find a solution. This exercise proved to be extremely useful for my personal training, as it allowed me to see that the implementation was always much more complex than the theory. The meeting with these field actors showed me the need to innovate and, above all, to be reactive to its environment. [...]
[...] I also retain from this training that only a synergy of skills and reflections will allow us to face the future challenges. It is by modifying our governance and management modes and by associating, in a collective and transversal approach, all the actors, both users and employees, that our sector will respond to the challenges of tomorrow. [...]
[...] In this, the philosophical courses of the training allowed me to project and explore the field of possible futures. This subject allows us to see far and imagine while taking into account the present situation. Understanding group dynamics with the aim of establishing a healthy dynamic and establishing our legitimacy as a manager is also an important contribution of the training, especially in the changing context that is upsetting the pyramidal hierarchical line. It seems important to me to note that what is important is not to constantly compare the director's function as it was in the past and as it is today, but to adapt to the changes in society that inevitably impact all sectors, including the one that concerns us. [...]
[...] This impacts the modes of governance and management of directors, and this new managerial logic constitutes an unprecedented upheaval in the function and which differs totally from the image that we have of the function of director of medico-social organizations when we embark on such training. The changes have been and are so rapid that there is a certain gap between the image of the director as we imagine it, and its real function today, not to mention that of tomorrow. [...]
[...] This transition in the medico-social sector is explained by several phenomena. Firstly, healthcare expenditures have significantly increased due to the rise in life expectancy, but also due to the aging of populations, particularly European ones, which are accompanied by sometimes severe and long-lasting pathologies. Secondly, the number of people considered to be "in a situation of disability" has also increased, due to constant health advances and new requirements in this area. The number of individuals in precarious situations has also risen, due to the decrease in social subsidies, but also to the evolution of requirements and challenges related to the world of work. [...]
