Prevention and Child Protection: Signing of the 1st Divisional Agreement in Isère

The goal of the National Child Prevention and Protection Strategy is to protect and release children who are not primarily entitled to the same privileges as others. Its objectives are to give children a right (health, right to education, mental security, right to autonomy after 18 years), to give them a voice and to better consider their views and survival.

It is based on four promises:

  • Work to meet the needs of children and their families as soon as possible (health, maternal and child protection, antenatal and postnatal support);
  • Protecting the path of protected children and preventing breaks (development of reception areas, strengthening of controls and inspection of structures);
  • Empowering children and protecting their rights;
  • Prepare their future and protect the lives of their adults (global support, access to rights, the agreement of adult youth).

The departmental agreement extends for more than three years and seals the mutual commitments of the state, ARS and the department to meet measurable objectives.

Isère adopts thirteen objectives (listed in the appendix), six mandatory objectives that directly contribute to the improvement of practice by its mission department in terms of maternal and child protection and social support for children, and seven objectives chosen following a region. Diagnosis among 26 national objectives. Specifically, it is designed to:

  • Transforming the existing maternity center into a parent center that allows both parents to stay, evolving for the family to care for outpatients, creating a reception area (28 places) and a special structure for reception children with disabilities (10 places);
  • Strengthen support to enable young people over the age of 18 to attend school and access their housing by prioritizing their professional integration;
  • The quality of home intervention by social and family intervention technologists at an early stage before any child welfare system. The number of families observed should increase from 231 in 2021 to 390 in 2024.

Isère the role of the state

For 2022, the state is providing financial support to the Isère department with a temporary amount of 3,386,000 euros, including:

  • € 2,914,500 under the Money Act;
  • স্বাস্থ্য 211,500 under Regional Health Agency Regional Intervention Fund (FIR);
  • € 260,000 to support human disability in child welfare for the medico-social sector under the National Health Insurance Expenditure Objective (ONDAM).

These resources will be renewed in 2023 and 2024, subject to action implementation, and bring the total allocation to about € 9 million.

The role of ARS

The Auvergne-Rhône-Alpes Regional Health Agency provides € 1,045,000 long-term support for children with disabilities under ONDAM:

  • € 600,000 to open in ten places in a medical-educational institute in 2023 for children with widespread behavioral problems who cannot find a place in disability or traditional child protection structures due to their problems. ARS / department co-funding will temporarily require higher care rates than medical and educational institutions (IMEs) and will allow assistance in a child protection structure,
  • € 445,000 to form a mobile team that will support family assistants caring for children with complex and unresolved disorders in the medico-social sector.

Department commitment

The department is responsible for preparing an annual performance report and maintaining the financial resources currently allocated to child welfare and maternal and child protection. It also promises to dedicate at least the equivalent financing objectives of the agreement given by the state. He will present the agreement at the Departmental Observatory for Child Protection.

Photo caption : Jean-Pierre Barbier, President of the Department, Prefect Laurent Provost of Isère, and Ann-Mel Cantinat, Representative of the ARS, signed the 1st Divisional Agreement on the Prevention and Protection of Children on June 20 (g. To r.)


National strategy for prevention and child protection

The National Child Protection and Prevention Strategy 2020-2022 is a combination of consultations executed by the Secretary of State for Child Protection between April and June 2019 in close collaboration with the Assembly of Departments de France (ADF). It begins with the observation that social and health inequalities in the French population continue or even increase and that it is from infancy. Responses to the needs of children and their families are often delayed and inadequately integrated. Access to health care for all children, identification of weak signals, transmission and assessment of disturbing information, as well as timelines for better protection of at-risk or at-risk children need to be improved.

A decentralized policy since 1983, the Child Protection Divisional Council, a strong association sector, as well as the state’s national and regional services, integrates the necessary responsibilities for access to legal policies. Respect for the general (health, education, culture, etc.) and rights. Recent efforts to reintroduce an active child protection policy in line with the March 14, 2016 Act have made significant progress in better accounting for the basic needs of children, in a consistent way. And integrated. Nonetheless, several indicators highlight regional inequalities, which do not always guarantee equal opportunities and the same rights for all children.

Maternal and child protection is a shared competency between health and medico-social prevention policies, state, health insurance and local authorities. Its implementation in the field is largely based on the mission entrusted to the Departmental Maternal and Child Protection Service (PMI) under the authority of the President of the Divisional Council. Mrs Michelle Payron, MP’s report, emphasized the need to re-focus PMI’s missions on prevention. Aiming to ensure fair access to health care for all children, the 2020-2022 National Prevention and Child Protection Strategy is a continuation of the Priority Prevention Plan, which prioritizes the first 1,000 days. Beacon of health policy 6 Also referred to by scientists as the “first 1000 days of the baby”, the strategy aims to accompany this moment from the first month of pregnancy to the nursery school threshold.

The National Strategy for the Prevention and Protection of Children is linked to the National Strategy for the Prevention and Fight against Poverty, announced by the President of the Republic on September 13, 2018, specifically for its commitment to prevent emigration without a solution. Welfare is also complementary to the Violence Against Children Plan announced on November 20, 2019, specifically to take steps aimed at improving the networking of professionals and strengthening units for collecting disturbing information.

Since the introduction of this strategy, two laws have been enacted in February 2022 that have actually improved child protection, especially for young people, extending the period of care or adoption to 21 years of age.

The departmental agreement for the prevention and protection of children represents the local version of the national strategy for the prevention and protection of children. This national strategy for the prevention and protection of children is expressed in conjunction with the National Strategy for the Prevention and Fight against Poverty for which the state has signed a three-year agreement with the department specifically to prevent emigration without a social assistance solution. To support young people over the age of 18 in their life projects and social and professional integration for children. This action has been transferred to this contract from this year 2022.

Thirteen Isère purpose

Promise d : Work as soon as possible to meet the needs of children and their families

Make early antenatal care (EPP) mandatory

  • Achieve a PMI coverage rate of at least 20% of the initial prenatal interview

Generalize health examinations in nursery schools

  • Increase the number of health check-ups in nursery schools run by PMI and move closer to the content of health checks defined in the health records

Increase the number of home visits and child counseling

  • Double the number of prenatal and postpartum home visits by PMI midwives for weaker families
  • Allow at least 15% of children to benefit from PMI child intervention at home by child care nurses, especially up to two years of age and in vulnerable families
  • Allow at least 20% of children to benefit from child counseling on PMI related to compulsory health check-ups for young children, especially children up to two years of age.
  • Strengthen social and family intervention staff (TISF) interventions

Support innovation in PMI

  • Support innovation in PMI in terms of public health

Promise 2: Protected children’s paths protected and prevent breaks

Create a national repository to monitor reception

  • Formulate a “risk control” component in departmental child protection plans that includes a control plan for organizations and services

Create ASE / disability-adapted systems

  • Assurance of support for all protected children with disabilities

Support the variety of offers

  • Create new reception space for siblings

Develop a parenting center and parenting skills

Pledge 3 : Empowering children and protecting their rights

Develop participation of children and youth

  • Organize the participation of children and youth in the Departmental Child Protection Observatories (ODPE)

Pledge 4 : Preparing for their future and securing their adult lives

Promote access to rights and support for autonomy for young adults

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