{"id":683020,"date":"2023-03-31T17:19:48","date_gmt":"2023-03-31T15:19:48","guid":{"rendered":"https:\/\/www.uges-isere.fr\/?p=683020"},"modified":"2023-03-31T17:20:22","modified_gmt":"2023-03-31T15:20:22","slug":"accompagnement-des-personnes-dependantes-non-a-un-service-daide-a-domicile-a-deux-vitesses","status":"publish","type":"post","link":"https:\/\/www.uges-isere.fr\/index.php\/2023\/03\/31\/accompagnement-des-personnes-dependantes-non-a-un-service-daide-a-domicile-a-deux-vitesses\/","title":{"rendered":"Accompagnement des personnes d\u00e9pendantes : non \u00e0 un accompagnement \u00e0 deux vitesses !"},"content":{"rendered":"\n

Amandine Demore est revenue au nom du groupe UGES sur les orientations du nouveau sch\u00e9ma autonomie des personnes \u00e2g\u00e9es et en situation de handicap et sur l’action du D\u00e9partement en la mati\u00e8re qui renforcent de fait les in\u00e9galit\u00e9s d’acc\u00e8s \u00e0 un service de qualit\u00e9 pour les personnes d\u00e9pendantes. <\/strong><\/p>\n\n\n\n

Le sch\u00e9ma \u00e9met de belles id\u00e9es mettant en avant le r\u00f4le de pilote du D\u00e9partement mais Marie Questiaux a bien d\u00e9montr\u00e9 que les mesures financi\u00e8res attribu\u00e9es pour sa mise en \u0153uvre concr\u00e8te n\u2019\u00e9taient pas \u00e0 la hauteur.<\/p>\n\n\n\n

De fait, le sch\u00e9ma affiche beaucoup de d\u00e9clarations d’intentions sans forc\u00e9ment d\u00e9cliner les modalit\u00e9s de mise en \u0153uvre et reste insuffisant pour couvrir le besoin de suivi des situations complexes de plus en plus importantes, et je pense l\u00e0 au dispositif d\u2019appui \u00e0 la coordination des parcours de sant\u00e9 complexe par exemple, avec ce double effet de l\u2019accroissement de la population concern\u00e9e mais aussi du contexte \u00e9conomique qui a \u00e9volu\u00e9 avec la crise sanitaire et la crise \u00e9nerg\u00e9tique.<\/p>\n\n\n\n

Les cons\u00e9quences sont nombreuses.<\/p>\n\n\n\n

Les r\u00e9alit\u00e9s de terrain risquent de mettre en \u00e9chec ces volont\u00e9s si elles ne sont pas port\u00e9es par des services publics<\/strong> qui garantissent le service dans tous les territoires, de la ruralit\u00e9 aux Quartiers prioritaires de la politique de la Ville.<\/p>\n\n\n\n

Les acteurs \u00e9conomiques lib\u00e9raux attendent de plus en plus nombreux au coin du bois pour apporter des r\u00e9ponses \u00e0 ces populations en perte d\u2019autonomie ou en besoin de services. Et on le sait, c\u2019est par le porte-feuille que les clients et non plus usagers auront acc\u00e8s ou non \u00e0 ces services.<\/p>\n\n\n\n

Et si les acteurs \u00e9conomiques peuvent investir ce champ, c\u2019est que le service public n\u2019est pas suffisamment pr\u00e9sent, voici la d\u00e9monstration une fois de plus que nos services publics repr\u00e9sentent un bouclier social qui permet un \u00e9gal acc\u00e8s aux prestations et services dont nos populations ont besoin.<\/p>\n\n\n\n

Nous ne voulons pas d\u2019un service \u00e0 deux vitesses ou les plus ais\u00e9s pourraient avoir acc\u00e8s \u00e0 un service surfactur\u00e9, tandis que les familles les plus pr\u00e9caires et les classes moyennes se verraient elles en grandes difficult\u00e9s.<\/strong><\/p>\n\n\n\n

L\u2019enjeu du vieillissement est bien d\u2019appr\u00e9hender la d\u00e9pendance de nos a\u00een\u00e9s, et de toutes et tous, pauvres comme riches, vivant en zone rurale comme urbaine.<\/p>\n\n\n\n

La part des seniors d\u00e9pendants qui vivent \u00e0 domicile est importante en Is\u00e8re, bien sup\u00e9rieur au niveau r\u00e9gional. Les PA aspirent effectivement dans leur majorit\u00e9 \u00e0 rester chez eux malgr\u00e9 l’expression de la solitude \u2026. cela n\u00e9cessite un besoin d’accompagnement important \u00e0 domicile au moment m\u00eame o\u00f9 les SAAD rencontrent des difficult\u00e9s.<\/p>\n\n\n\n

La question des aidant-es est un vrai sujet aujourd\u2019hui !<\/strong> Les plans d\u2019aide APA \u00e9labor\u00e9s sur la base d\u2019un r\u00e9f\u00e9rentiel d\u00e9partemental ne permettent pas de pr\u00e9voir des temps de r\u00e9pit pour que les aidants puissent participer aux actions d\u00e9ploy\u00e9es en faveur de l\u2019aide aux aidants.<\/p>\n\n\n\n

\u00catre aidant, est une charge extr\u00eamement lourde, tr\u00e8s souvent support\u00e9e par des femmes, les mettant souvent en difficult\u00e9 financi\u00e8re, les privant parfois d\u2019acc\u00e8s \u00e0 un emploi \u00e0 temps plein ce qui amplifie le nombre de temps partiel subis (et en cette p\u00e9riode de r\u00e9forme des retraites, on mesure l\u2019importance de pouvoir b\u00e9n\u00e9ficier d\u2019une carri\u00e8re compl\u00e8te, le plus rapidement possible).<\/p>\n\n\n\n

Je prendrai l\u2019exemple sp\u00e9cifique et fr\u00e9quent avec l\u2019avanc\u00e9e en \u00e2ge de la question des sorties d\u2019hospitalisations. Ces sorties, souvent pr\u00e9cipit\u00e9es, n\u00e9cessitent une organisation particuli\u00e8re pour les aidant-es, souvent en lien avec le champ de la sant\u00e9, mais qui va tellement mal que cela complique aussi les choses. Il faut permettre \u00e0 la personne de r\u00e9int\u00e9grer son domicile en toute s\u00e9curit\u00e9 avec les \u00e9tayages suffisants, tant en aides qu\u2019en soins.<\/p>\n\n\n\n

Enfin, le sch\u00e9ma met l\u2019accent sur le r\u00e9\u00e9quilibrage de l\u2019offre en r\u00e9sidence autonomie mais les moyens sont loin d\u2019\u00eatre suffisants pour s\u00e9curiser les mod\u00e8les. Elles fonctionnent aujourd\u2019hui gr\u00e2ce aux financements attribu\u00e9s par les communes pour leur \u00e9quilibre. Et les taux directeurs annuels apport\u00e9s depuis quelques ann\u00e9es, cela a \u00e9t\u00e9 dit et m\u00eame r\u00e9p\u00e9t\u00e9, ne compensent pas l\u2019\u00e9volution du co\u00fbt de la vie.<\/p>\n\n\n\n

Ainsi on peut dire que leurs moyens sont en baisse alors que leurs missions sont \u00e9toff\u00e9es vers des publics sp\u00e9cifiques r\u00e9clamant des temps accompagnements croissants. Pour toutes les raisons que nous venons d\u2019exprimer \u00e0 travers les diff\u00e9rentes interventions de notre groupe, nous nous abstiendrons sur ce rapport.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Amandine Demore est revenue au nom du groupe UGES sur les orientations du nouveau sch\u00e9ma autonomie des personnes … <\/p>\n","protected":false},"author":8,"featured_media":683021,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,110],"tags":[],"class_list":["post-683020","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-action-sociale","category-seance-publique-mars-2023"],"yoast_head":"\nAccompagnement des personnes d\u00e9pendantes : non \u00e0 un accompagnement \u00e0 deux vitesses ! - D\u00e9partement de l'Is\u00e8re<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uges-isere.fr\/index.php\/2023\/03\/31\/accompagnement-des-personnes-dependantes-non-a-un-service-daide-a-domicile-a-deux-vitesses\/\" \/>\n<meta property=\"og:locale\" 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