Disabled children: more services, few institutions – Faire Face

1% of those under 20 years of age accompanied by a specialized chassis for children and adolescents with disabilities. Institutions above all, but the reception capabilities of services are increasing more rapidly. And if education in the normal environment is also progressing, then approximately 10% of these children are still out of school.

Their number is 25,000 more young people than it was twelve years ago. At the end of 2018, according to the latest data published by DREES, an organization of the General Statistical Service, 167,000 children with disabilities were welcomed into an institution and / or accompanied by a specialized service. This represents just over 1% of all children under the age of 20 compared to less than 0.9% in 2006.

Sessad is rising

So the number of places continued to grow at a good pace during the same period. However, the dynamics between institutions and medical and social services (ESMS) are not the same.

Innovations have occurred mainly in specialized education and home care services (Sessad). These institutions provide educational and therapeutic support at school, at home, etc. Its reception capacity has increased by two-thirds (+67%) to 56,000. But places in establishments are still twice as many (108,000).

Multiple Disabilities Priority

On the other hand, the increase in the latter was limited to 2%. However, it was slightly stronger in children with multiple disabilities and in Therapeutic, Teaching and Pedagogical Institutes (Itep). The goal of ITEPs is to encourage a return to a normal or adapted educational system for children with behavioral problems.

Type of facility or service Number of places and development between 2006 and 2018
Medical Institutes of Education (IME) 70700 / +1.2%
Itip 16,000 / +6.8%
Institutions for children with multiple disabilities 5,700 / +12.9%
kinetic education institutes 7,200/- 2.4%
Institutions for young people with sensory disabilities 6,700/- 19.8%
Services 56000 / +67%

Boarding school remains an important reception method

Overall, services now accommodate a third of children with disabilities who receive support from the ESMS system. “basic trend” which responds to the political goal of favoring more comprehensive solutions. But in institutions, boarding still belongs to an average of one in four children.

Facility type Percentage of children who are accommodated in full boarding or weekly schools *
Medical Institutes of Education (IME) 19%
Itip 23%
Institutions for young people with sensory disabilities 25%
kinetic education institutes 27%
Institutions for children with multiple disabilities 28%

* Excluding sequential boarding (not every night of the week) which is for 20% of children in Itep and 8% in IME…

Formal education is progressing

In general, education in a normal environment advances at the expense of that within the institution.

But, even less satisfactorily, nearly one in ten children between the ages of 6 and 15 remains out of school (8%). This percentage has decreased slightly since 2010. It is about nine times higher in institutions for children with multiple disabilities. Inclusive education has not yet become a reality for all.

Type of facility or service Percentage of children included in regular education, Ulis, Segpa, Erea and UEE*
Percentage of out-of-school children
Institutions for children with multiple disabilities 3% 69%
Medical Institutes of Education (IME) 20% 12%
kinetic education institutes 26% 13%
Institutions for young people with sensory disabilities 49% 3%
Itip 56% 2%
Services 97% 2%

(1) Ulis, Segpa, Érea and UEE are Modified Education Systems, and they are located within schools.

15% of children are protected by child care

25,400 young people with medical social facilities for children or adolescents with disabilities benefit from the Child Social Assistance (ASE) measure, because they are in danger or at risk in their families*. So they represent 15% of that population, again according to DREES. This is significantly more than the proportion of young people protected by Ase in all minors living in France (2.1%).

Ase recipients are more likely to have mental, behavioral, or communication disorders. Two out of five young adults in Itep benefit from the Ase scale.

* Some are placed in an institution. Others stay at home but are monitored by a specialist who visits regularly.

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