Disability: an action plan for Seine-Saint-Denis

Today what the French are telling us is that things have to go faster, that it be simpler and more efficient.“, Hammered Sophie Cluzel, Secretary of State in charge of disabled people, to present the agreement signed Tuesday, July 20 with the departmental council of Seine-Saint-Denis and the CNSA.

The result of three months of work, this agreement includes around fifty measures “that will allow the elimination of pending cases and improve the processing process so that there are no more“, Describes Anne Marseault, who supervises the support mission of the CNSA set up in February to offer support to MDPHs in difficulty. In this context, the CNSA grants a subsidy of 966,000 euros to the MDPH of Seine-Saint-Denis, which should allow in particular the recruitment of 16 full-time equivalents.

Too long processing times

The current situation is not satisfactory“, Points out Stéphane Troussel, the president of the departmental council. “We are 8 to 9 months for adults and 5 for children while the legal deadline is 4 months.”

Compared to the other Ile-de-France departments, Seine-Saint-Denis is poor: between the dates of submission of complete applications and the dates of decisions, the average time is, in fact, 4.2 months in Val-de -Marne, 4.3 in Hauts-de-Seine, 3.2 in Val-d’Oise or 3.6 in Paris for example (between January and March 2021) according to data from the MDPH barometer set up by the CNSA.

For the disability compensation benefit (PCH), it can take up to a little less than a year before the rights are paid, according to Clotilde Durand, the director of the MDPH. Enough to tickle Sophie Cluzel, while the disability policy has been established as a priority for Emmanuel Macron’s five-year term: “The rights must be real (…) I am a staunch supporter of the package: it would go much faster“, She comments.

For PCH parenting, which since January 1 has been intended for parents who are beneficiaries of PCH and have children under the age of seven, it is the “flat-rate” approach that has been favored. The deadline has already reached five months for a user that was to meet the Secretary of State and Stéphane Troussel. Both had to be content with a telephone exchange: this one, resident in Bondy, could not find a bus with a wheelchair access ramp. After the third attempt, she gave up moving. A symbol of the difficulties of access to the most basic rights for people with disabilities.

30,000 files in stock

To partially explain these extended delays, Benjamin Voisin, Deputy Director General of the Departmental Council, advances the absence, when filing the request, of certain documents or information that delays the processing of files, such as the name of a service. approved service provider. “It is a very well identified indicator, correlated with the difficulties of access to very concrete rights of the population in the department.. ” From his point of view, “the complexity of the procedure can sometimes also create obstacles.”
Result files pile up. At the MDPH in Bobigny, Clotilde Durand estimates that around 30,000 people “are in stock“, For 35 to 36,000 treated each year.

Or, “We feel more and more the gap between the expression of the demand on the issue of disability and the implementation of rights”, notes Stéphane Troussel who cites 1,800 requests for places in a medico-educational institute (IME) on the waiting list. 3,000 children are also waiting to be taken care of by a special education and home care service (SESSAD). “It is linked to the fact that there are too few liberal professionals: the department is a medical desert from this point of view.“, Explains Clotilde Durand.

© Charles Henry
Signature of the agreement between the CNSA, the departmental council and the government on July 19 in Bobigny.

Lifetime entitlement

So to streamline the processing of cases, the MDPH relies on the opening of rights for life. Since 2019, this government directive concerns the allowance for disabled adults (AAH) and the mobility inclusion card (CMI). “PCH will also be possible from January 2022“, Underlined Sophie Cluzel. “It’s a win-win“, Welcomes Clotilde Durand: knowing that the MDPH receives 15,000 AAH requests per year which are mostly renewal requests, we understand the impact that the opening of lifelong rights is likely to have in term. case management.

In fact, for the time being, 3,000 users have seen their rights extended for life, without their having requested it, thanks to a “scan in our database“, Specifies Eléonore Busi, head of the adult assessment office. The targeted user profiles are those with a permanent disability rate of at least 80% and whose activity limitations are unlikely to evolve favorably.

Virginie Magnant, director of the CNSA agrees “it’s a change of posture: we no longer wait for the user to come to us“. In fact, it is all the work of the MPDH upstream that is redefined in order to process the requests more finely. “With the CNSA we are also reflecting on the consumption of our administrative profession. We will save time with digitization thanks to the online MDPH and it must be used for monitoring a much better quality user relationship.“, Says Clotilde Durand.

For his part, Stéphane Troussel, who has been reappointed at the head of the department, wishes to create a house of autonomy. Monday, July 19, the departmental council has for that recorded the acquisition of the building Erik Sati neighbor of the MDPH to accommodate the future structure.

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