Question 11697 — children

Summary

Ms. Alexandra Martin (Alpes-Maritimes) draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the future of the PEGASE program, today threatened by the orientations presented as part of the future “Reinforced coordinated pathway – health of protected children” (PCR). Since 2018, PEGASE has demonstrated its effectiveness, with 96% of medical assessments carried out on admission, 87% of follow-up assessments and 80% children returning, after two years, to development consistent with their age group. These results, confirmed by an independent evaluation, attest that structured, coordinated monitoring based on standardized tools significantly improves the trajectory of children in care. However, the arbitrations currently envisaged for the future PCR do not include either the methodological foundations or the human, technical and financial resources which enabled this success: elimination of national coordination, reduction by three of local coordination times, lack of funding for the software, reduction in medical services, etc. Such a development would call into question the very sustainability of PEGASE and prevent it from serving as the basis for a coherent national policy on the health of protected children. Given the vulnerability of children entrusted to protection of childhood and the urgency of strengthening their access to structured and effective monitoring, she asks what measures the Government intends to take to guarantee full integration of PEGASE into common law, in particular by maintaining the current level of funding per child; securing national coordination; ensuring long-term financing of the Mediateam PEGASE software; maintaining the scope 0-7 years; secure the position of local coordinator; integrating the entire PEGASE protocol, including the development scales, into the upcoming order and continuing the ESPER research comparing the “PEGASE” and “control” cohorts. She would also like to know how the Government intends to avoid the weakening of a system whose effectiveness has been demonstrated and to guarantee the continuity of an early prevention policy that meets the needs. protected children.

Machine translation from French. The official text remains authoritative.

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