Creation of the personalised autonomy allowance (APA)

Allocation Personnalisée d'Autonomie (APA)

The Allocation Personnalisée d'Autonomie (APA) was introduced with the objective of improving the support for older persons experiencing loss of autonomy, enabling them to perform daily activities. The policy is overseen by the Ministry of Social Affairs, Labor, and Solidarity, and the Ministry of Health, Family, and Disabled Persons. Key stakeholders include older persons, healthcare providers, and social services. The APA targets older persons aged 60 and above, particularly those classified in GIR 1 to 4, indicating varying levels of dependency. It covers both those living at home and in care facilities across France. The APA provides financial assistance for home care services, technical aids, and minor home modifications. The amount of aid is determined by the individual's level of dependency and financial resources. Implementation involves assessments by a medico-social team and the creation of personalized care plans. As of June 2002, 299,000 older persons have benefited from the APA, with 65% residing in care facilities. The average monthly aid for home care is 515 euros, with 95% covered by the Conseil Général. The APA was adopted on January 1, 2002.