Question 14342 — social and medico-social institutions

Summary

Ms. Mathilde Paris draws the attention of the Minister of Health and Prevention to the lack of places in therapeutic coordination apartments (ACT) with “accommodation” and “outside the walls”. Therapeutic coordination apartments are medical-social establishments which operate without interruption and temporarily accommodate people in situations of psychological or social fragility and in need of care. and medical monitoring, in order to ensure the monitoring and coordination of care, to guarantee the administration of treatments and to allow psychological support and assistance with integration. To carry out their missions, the managers of the therapeutic coordination apartments use a multidisciplinary team, including at least one practicing doctor. The establishments which manage the apartments of Therapeutic coordination can also provide additional medico-social support missions without accommodation for people in very precarious circumstances, we speak of ACT “outside the walls”. These supported people are “regardless of their administrative situation, people in situations of psychological and social fragility and requiring care and medical monitoring”. Accommodation ACTs and ACTs outside the walls, are the subject of annual reports and the latest one is alarming. Indeed, the latest figures reveal an increase in refusals of treatment and care due to lack of places, thus leaving too many people in very precarious and sick conditions without a viable solution. We also note a strong increase in the number of people suffering from cancer, HIV and psychiatric disorders within these ACTs. Thus: 19.5% of patients treated in ACTs suffer from HIV, 17% suffer from cancer, 9% suffer from serious psychiatric illnesses. In light of all these elements, she asks her if she intends to review her commitment to developing better access to care for the most precarious by studying the possibility of developing ACTs across France.

Machine translation from French. The official text remains authoritative.

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