Children with disabilities: many more services, a few more establishments – Faire Face

1% of those under 20 are accompanied by a specialized structure for disabled children and teenagers. Establishments above all, but the reception capacity of the services is increasing much faster. And if schooling in the general environment also progresses, almost 10% of these children are still not in school.

They are 25,000 more young people than twelve years ago. At the end of 2018, according to the latest data published by DREES, an organization of the public statistical service, 167,000 children with disabilities were welcomed in an institution and / or accompanied by a specialized service. This corresponds to just over 1% of all people under the age of 20, compared with just under 0.9% in 2006.

Sessad is on the rise

The number of places therefore continued to grow at a nice pace during the same period. But the dynamics between institutions and medico-social services (ESMS) are not the same.

Creation took place mainly in specialized education and home care (Sessad). These provide pedagogical and therapeutic support at school, at home, etc. Their reception capacity has increased by two thirds (+ 67%) to reach 56 000. But places in institutions are still twice as many (108 000).

Priority for multi-handicap

In the latter, on the other hand, the increase was limited to 2%. However, it was slightly stronger in them for children with multiple disabilities and in therapeutic, educational and pedagogical institutes (Itep). The purpose of these ITEPs is to promote the return to a regular or adapted education system for children with behavioral problems.

Type of business or service Number of places and development between 2006 and 2018
Medical Educational Institutions (IME) 70,700 / + 1.2%
Itep 16,000 / +6.8%
Establishments for children with multiple disabilities 5,700 / +12.9%
Motor education institutions 7,200 / – 2.4%
Institutions for young people with sensory disabilities 6,700 / – 19.8%
Services 56,000 / + 67%

Boarding school remains an important reception modality

Overall, the services now accommodate a third of disabled children receiving support from an ESMS. “A basic trend” which corresponds to the political goal of favoring the most inclusive solutions. But in institutions, boarding school still concerns almost every fourth child on average.

Type of establishment Percentage of children accommodated in full or weekly boarding schools *
Medical Educational Institutions (IME) 19%
Itep 23%
Institutions for young people with sensory disabilities 25%
Motor education institutions 27%
Establishments for children with multiple disabilities 28%

* Exclusive sequential boarding (not every night of the week), which concerns 20% of children in Itep, 8% in IME …

General education is advancing

In general, schooling in an ordinary environment progresses at the expense of that within the establishment.

But less gratifying is the fact that almost one in ten children aged 6 to 15 stay out of school (8%). And this proportion has fallen only slightly since 2010. It is almost nine times higher in institutions for multi-handicapped children. Inclusive schooling is not yet a reality for everyone.

Type of business or service Percentage of children in mainstream education, Ulis, Segpa, Érea and UEE included*
Percentage of children outside school
Establishments for children with multiple disabilities 3% 69%
Medical Educational Institutions (IME) 20% 12%
Motor education institutions 26% 13%
Institutions for young people with sensory disabilities 49% 3%
Itep 56% 2%
Services 97% 2%

(1) Ulis, Segpa, Érea and UEE are adapted school systems located within the schools.

15% of children protected by child welfare

25,400 young people accompanied by medico-social structures for children or young people with disabilities benefit from an assistance scheme for children (Ase) because they are in a dangerous situation or in danger of danger in their family.*. They therefore represent 15% of this population, again according to DREES. This is far more than the proportion of young people protected by Ase among all minors living in France (2.1%).

Beneficiaries of Ase are much more likely to have psychological, behavioral, or communication disorders. Thus, two out of five young people received in Itep benefit from an Ase measure.

* Some are placed in an institution. Others stay home but are supervised by a professional who visits regularly.

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