Le 7 octobre 2026, s\u2019est tenue au minist\u00e8re de la Sant\u00e9 la premi\u00e8re rencontre nationale du service public d\u00e9partemental de l\u2019autonomie (SPDA), en pr\u00e9sence notamment de la ministre d\u00e9l\u00e9gu\u00e9e \u00e0 l\u2019autonomie et aux personnes handicap\u00e9es, Camille Galliard-Minier. \u00c0 cette occasion, un hommage a \u00e9t\u00e9 rendu \u00e0 Dominique Libault, \u00e0 l\u2019origine d\u00e8s 2022 des contours du \u00ab service public territorial de l\u2019autonomie \u00bb destin\u00e9 \u00e0 faciliter la vie des personnes \u00e2g\u00e9es et des personnes handicap\u00e9es. Cette rencontre intervient quatre ans apr\u00e8s ce rapport fondateur, deux ans et demi apr\u00e8s la cr\u00e9ation du SPDA par la loi Bien vieillir, et 18 mois apr\u00e8s la g\u00e9n\u00e9ralisation de la d\u00e9marche \u00e0 l\u2019ensemble des d\u00e9partements, apr\u00e8s une phase de pr\u00e9figuration dans 18 d\u00e9partements.<\/p>\n
La Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) rappelle que le SPDA est copilot\u00e9 par les conseils d\u00e9partementaux et les agences r\u00e9gionales de sant\u00e9 (ARS), avec vocation \u00e0 mobiliser l\u2019ensemble des acteurs locaux concern\u00e9s. Elle en pr\u00e9cise quatre missions structurantes : garantir un accueil et une orientation quel que soit le point d\u2019entr\u00e9e pour les usagers ; \u00e9valuer les situations et attribuer les prestations dans les d\u00e9lais ; soutenir des parcours personnalis\u00e9s et coordonn\u00e9s ; mener des actions de pr\u00e9vention et d\u2019\u00ab aller-vers \u00bb aupr\u00e8s des personnes les plus vuln\u00e9rables. Selon la CNSA, la dynamique est d\u00e9sormais engag\u00e9e dans tous les d\u00e9partements : une grande majorit\u00e9 des territoires est en train de mettre en place un mod\u00e8le de gouvernance locale visant \u00e0 partager une vision commune et \u00e0 renforcer la coh\u00e9rence des actions entre membres du SPDA.<\/p>\n
Les 18 d\u00e9partements pr\u00e9figurateurs, engag\u00e9s d\u00e8s 2024, sont \u00e0 un stade plus avanc\u00e9, tandis que les autres d\u00e9partements finalisent leurs plans d\u2019actions et devraient entrer en phase op\u00e9rationnelle d\u00e9but 2027. Le directeur g\u00e9n\u00e9ral de la CNSA, Ma\u00eblig Le Bayon, souligne le succ\u00e8s de cette premi\u00e8re rencontre nationale, qui a r\u00e9uni environ 400 participants, y voyant le signe d\u2019un int\u00e9r\u00eat marqu\u00e9 pour la politique de l\u2019autonomie \u00ab au plus haut niveau des collectivit\u00e9s territoriales \u00bb. Il rel\u00e8ve \u00e9galement une \u00e9volution de la perception du SPDA : initialement critiqu\u00e9 par certains comme un dispositif jug\u00e9 technocratique, il tend d\u00e9sormais \u00e0 \u00eatre appr\u00e9hend\u00e9 comme un outil de pilotage politique de l\u2019autonomie dans les territoires.<\/p>\n
Sur le plan op\u00e9rationnel, l\u2019exemple de la Seine-Saint-Denis illustre une approche consistant \u00e0 ne pas cr\u00e9er syst\u00e9matiquement de nouveaux guichets mais \u00e0 structurer la coop\u00e9ration entre institutions et \u00e0 renforcer la formation des agents d\u2019accueil. Le d\u00e9ploiement du \u00ab guichet int\u00e9gr\u00e9 seniors \u00bb vise \u00e0 ce que les agents ne renvoient plus les usagers vers d\u2019autres organismes, mais assurent eux-m\u00eames la coordination en interne, de mani\u00e8re fluide et \u00ab sans que ce soit visible de l\u2019usager \u00bb. Cet exemple met en \u00e9vidence un enjeu majeur de la r\u00e9forme : am\u00e9liorer l\u2019accessibilit\u00e9, la lisibilit\u00e9 et la continuit\u00e9 des parcours pour les publics \u00e2g\u00e9s et handicap\u00e9s par une meilleure coordination des acteurs, sans complexifier l\u2019exp\u00e9rience des usagers.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le 7 octobre 2026, s\u2019est tenue au minist\u00e8re de la Sant\u00e9 la premi\u00e8re rencontre nationale du service public d\u00e9partemental de l\u2019autonomie (SPDA), en pr\u00e9sence notamment de la ministre d\u00e9l\u00e9gu\u00e9e \u00e0 […]<\/p>\n","protected":false},"author":1,"featured_media":9221,"comment_status":"","ping_status":"","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 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