Le D\u00e9fenseur des droits a publi\u00e9 le 1er juillet une d\u00e9cision-cadre relative au droit \u00e0 l\u2019autonomie des personnes en situation de handicap accompagn\u00e9es \u00e0 domicile. Cette d\u00e9cision fait suite \u00e0 une saisine des associations APF France Handicap et AFM-T\u00e9l\u00e9thon, qui signalent une augmentation des faits et manquements r\u00e9p\u00e9t\u00e9s dans l\u2019accompagnement \u00e0 domicile, qualifi\u00e9s de menaces graves pour la s\u00e9curit\u00e9, l\u2019int\u00e9grit\u00e9, la dignit\u00e9, voire la vie de certaines personnes handicap\u00e9es. Les situations d\u00e9crites concernent notamment des absences d\u2019auxiliaires \u00e0 domicile entra\u00eenant des ruptures d\u2019aide pour les actes essentiels de la vie quotidienne, avec un sentiment de mise en danger chez les usagers.<\/p>\n
La d\u00e9cision-cadre se concentre sur les atteintes aux droits des personnes handicap\u00e9es lorsqu\u2019elles sont accompagn\u00e9es par un service d\u2019aide \u00e0 domicile prestataire, mode d\u2019intervention majoritairement vis\u00e9 par les r\u00e9clamations re\u00e7ues, tout en mentionnant \u00e9galement des difficult\u00e9s dans le cadre de l\u2019emploi direct et des services mandataires. Sur une quarantaine de pages, le D\u00e9fenseur des droits analyse les causes structurelles des dysfonctionnements et formule 17 recommandations.<\/p>\n
Les difficult\u00e9s financi\u00e8res des services autonomie \u00e0 domicile (SAD), en particulier associatifs, sont identifi\u00e9es comme un facteur majeur, en lien avec un tarif plancher jug\u00e9 par les f\u00e9d\u00e9rations tr\u00e8s inf\u00e9rieur au co\u00fbt r\u00e9el d\u2019une heure d\u2019aide \u00e0 domicile. Le D\u00e9fenseur des droits demande au minist\u00e8re de la Sant\u00e9 de financer le diff\u00e9rentiel entre ce tarif plancher et le co\u00fbt de revient, en veillant \u00e0 \u00e9viter toute cons\u00e9quence n\u00e9gative pour les personnes accompagn\u00e9es, notamment en mati\u00e8re de reste \u00e0 charge et d\u2019acc\u00e8s aux prestations.<\/p>\n
Plusieurs recommandations visent \u00e0 r\u00e9duire les disparit\u00e9s de financement entre d\u00e9partements. Elles portent sur l\u2019instauration d\u2019une contribution minimale obligatoire au fonds d\u00e9partemental de compensation du handicap par l\u2019ensemble des contributeurs pr\u00e9vus par le code de l\u2019action sociale, la mise en place d\u2019un syst\u00e8me d\u2019information national permettant de centraliser les donn\u00e9es sur la tarification des services et la consommation des plans d\u2019aide de prestation de compensation du handicap (PCH), ainsi que le renforcement du r\u00f4le de la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) dans le pilotage de la politique de l\u2019autonomie afin d\u2019harmoniser davantage les pratiques de financement d\u00e9partementales. La d\u00e9cision souligne enfin la n\u00e9cessit\u00e9 d\u2019un service d\u2019astreinte op\u00e9rationnel pour pr\u00e9venir les ruptures d\u2019accompagnement \u00e0 domicile.\u00a0(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le D\u00e9fenseur des droits a publi\u00e9 le 1er juillet une d\u00e9cision-cadre relative au droit \u00e0 l\u2019autonomie des personnes en situation de handicap accompagn\u00e9es \u00e0 domicile. Cette d\u00e9cision fait suite \u00e0 […]<\/p>\n","protected":false},"author":1,"featured_media":9221,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[17],"tags":[192],"class_list":["post-13650","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-handicap-et-accessibilite","tag-caisse-des-depots"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13650","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13650"}],"version-history":[{"count":1,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13650\/revisions"}],"predecessor-version":[{"id":14387,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13650\/revisions\/14387"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/9221"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13650"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13650"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13650"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}