L’accueil institutionnel du handicap et de la dépendance : différenciations, conséquences territoriales et parcours résidentiels

Abstract : Studying the accessibility of nursing homes for the elderly and for disabled adults sheds light on their respective freedom of choice in the selection of a place of residence. The article studies financial and geographic accessibility as well as access in terms of rights. Nursing homes for the disabled and for elderly persons are both part of the medical-social sector. They are partially governed by a common body of regulations and are funded by the same institutions: department councils and the National Solidarity Fund for Autonomy [Caisse nationale de solidarité pour l’autonomie (CNSA)], via regional health agencies (ARS). However, the methods of financing the systems are different, particularly in reference to an individual’s participation. The institutions also have separate administrative methods and have historically differentiated geographic foundations. There is a much denser geographical coverage of accommodation facilities for dependant elderly persons than for the corresponding accommodation for disabled persons, the latter being much less widely distributed. The specificities of each sector have consequences on individuals in terms of their residential pathway.
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Journal articles
Revue française des affaires sociales, La documentation française, 2016, pp.225-247
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Mélina Ramos-Gorand, Noémie Rapegno. L’accueil institutionnel du handicap et de la dépendance : différenciations, conséquences territoriales et parcours résidentiels. Revue française des affaires sociales, La documentation française, 2016, pp.225-247. 〈hal-01635515〉

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