L\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) publie un rapport consacr\u00e9 aux personnes pr\u00e9caires vieillissantes, en particulier les personnes sans abri \u00e2g\u00e9es, dont le nombre croissant pose un d\u00e9fi aux secteurs de l\u2019h\u00e9bergement, du m\u00e9dico-social et de la prise en charge du grand \u00e2ge. Le travail, conduit notamment par Dr Julien Emmanuelli et Mireille Ga\u00fcz\u00e8re, s\u2019appuie sur une revue de litt\u00e9rature cibl\u00e9e sur la grande pr\u00e9carit\u00e9, un parangonnage europ\u00e9en, l\u2019exploitation de donn\u00e9es de la statistique publique et un questionnaire diffus\u00e9 via la F\u00e9d\u00e9ration des acteurs de la solidarit\u00e9 (FAS) aupr\u00e8s de structures susceptibles d\u2019accueillir ces publics. Il repose principalement sur des entretiens de terrain men\u00e9s aupr\u00e8s de plus de 200 personnes, notamment des usagers sur leur lieu de vie.<\/p>\n
Le rapport rappelle que l\u2019esp\u00e9rance de vie des personnes sans abri est d\u2019environ 30 ans inf\u00e9rieure \u00e0 celle de la population g\u00e9n\u00e9rale, du fait d\u2019une surmortalit\u00e9 pr\u00e9matur\u00e9e, ce qui limite en volume le nombre de personnes \u00e2g\u00e9es concern\u00e9es. N\u00e9anmoins, le nombre de personnes sans abri de plus de 50 ans en France \u00e9tait estim\u00e9 en 2012 entre 35 000 (derni\u00e8res donn\u00e9es disponibles de l\u2019INSEE) et 70 000 (sources associatives), soit environ un quart de la population sans abri, en hausse par rapport \u00e0 2002 (17 %). En 2021 (derniers chiffres disponibles), la part des personnes de plus de 60 ans devient significative dans les structures d\u2019h\u00e9bergement g\u00e9n\u00e9raliste, dans les structures d\u2019h\u00e9bergement m\u00e9dicalis\u00e9 et dans le logement accompagn\u00e9.<\/p>\n
Les personnes pr\u00e9caires vieillissantes se caract\u00e9risent par l\u2019intrication de multiples vuln\u00e9rabilit\u00e9s (sociales, \u00e9conomiques, psychiques, somatiques et li\u00e9es au handicap) et par des besoins situ\u00e9s au croisement des champs social, m\u00e9dico-social et sanitaire. Le rapport souligne \u00e9galement une relation parfois ambivalente \u00e0 l\u2019aide, des comportements difficiles \u00e0 accompagner en collectif et des difficult\u00e9s d\u2019insertion et de maintien dans les diff\u00e9rentes institutions.<\/p>\n
La mission formule une douzaine de recommandations op\u00e9rationnelles, pr\u00e9sent\u00e9es comme rapidement mobilisables \u00e0 droit constant par l\u2019\u00c9tat et les autres acteurs concern\u00e9s. Elles incluent notamment l\u2019adaptation du b\u00e2ti des structures d\u2019h\u00e9bergement aux besoins de publics devenus d\u00e9pendants et un renforcement des moyens du programme budg\u00e9taire n\u00b0 177 port\u00e9 par la D\u00e9l\u00e9gation interminist\u00e9rielle \u00e0 l\u2019h\u00e9bergement et \u00e0 l\u2019acc\u00e8s au logement (DIHAL), \u00e0 hauteur d\u2019au moins 55 millions d\u2019euros en base. En mati\u00e8re de logement accompagn\u00e9, le rapport met en avant la n\u00e9cessit\u00e9 de d\u00e9velopper les pensions de famille, en particulier via la mise en \u0153uvre compl\u00e8te du plan de coh\u00e9sion sociale dit \u00ab plan Borloo \u00bb de 2005, ainsi que l\u2019ach\u00e8vement du plan de r\u00e9habilitation des foyers de travailleurs migrants, dans une perspective d\u2019adaptation de l\u2019offre existante au vieillissement des publics en grande pr\u00e9carit\u00e9.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" L\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) publie un rapport consacr\u00e9 aux personnes pr\u00e9caires vieillissantes, en particulier les personnes sans abri \u00e2g\u00e9es, dont le nombre croissant pose un d\u00e9fi aux secteurs 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