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Home L'Elan retrouvé ["Recovered Momentum"] The IMU Centre, one of three mobile units in Ile de France created to respond to complex situations involving autism and PDD sometimes difficuté or failure specialized accompaniments.
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L'Elan retrouvé ["Recovered Momentum"]
  • 23 rue de La Rochefoucauld 75009 Paris France
  • +33 (0)1 47 70 85 23
  • elan@nullelan-retrouve.asso.fr
  • Moïse Assouline
  • moise.assouline@nullelan-retrouve.asso.fr
  • Mobile Intervention Einheit IMU-ZENTRUM


The IMU Centre, one of three mobile units in Ile de France created to respond to complex situations involving autism and PDD sometimes difficuté or failure specialized accompaniments.

  • Health
  • Europe : France
  • Experience Index Card

From Moïse Assouline the Mar 29, 2012

A device dedicated to rehablitation of these people in their environment or institution, or looking for an alternative worthy of inclusion and adapted
  1. Background:
 
The situation of autism was radically different in France, before the Veil circular that established autism as a national priority. Previously, it was a lack of space for all ages and very little active management and specialized; only supported by default in a hospital or occupational.
If children had been rehabilitated in their family since the discovery of autism in the 40 and 50, the situation of children and adolescents was very difficult (see Report IGAS, 1994). Approximately 5000 teenagers were welcomed nowhere, and were at risk of the asylum option, below the occupational, when first signs of serious disorders.
Today, people with autism are entitled to a technical support diverse and complementary: education, education, healthcare, social services. Their individual benefit most are often provided: rehabilitation, motor skills, speech therapy, psychotherapy, etc.. In childhood, adolescence, adulthood, their needs and desires vary depending on their level of social adaptation. Institutional change their course and can go through schools, institutes, hospitals, homes, businesses or ordinary protected. Thus, various centers and specialized services now exist to support people with autism throughout their lives.
Autism and pervasive developmental disorders (PDD) disorders are accompanied by disability beginning in early childhood. ASD have many varieties of difficulty. Increasingly, we favor the genetic nature of diseases associated with autism and PDD.
The association Elan Found, established in 1945, has 17 services historically dedicated to psychiatric disorders in adulthood: day hospitals, counseling, therapeutic workshops, and ESAT. From 2007, three day hospitals created in the 60 and 70 joined the Elan Found, thus constituting its pole autism. Since then, a fourth hospital day he was joined, and the Elan Found in 2010 created the UMI Centre for complex situations.
 
  1. Purpose:
 
In the course described above, ruptures sometimes occur as a result of incidents or crises increased by misunderstanding of their family or institutional environment. When these incidents are sporadic, the usual course of their lives and those who help them resume of himself. But they can be repeated, dramatized, dangerous. Interactions can become unbearable, the source of great tension between partners. The exclusion may result, generating new risks to the person. It means then that set by "complex situation in autism and pervasive developmental disorders." To respond to these situations led to the creation of the IMU.
 
Between 1995 and 2010, around the day hospital Santos-Dumont has created a network of host these complex non formalized supported by the Regional Agency Hospital. The existence of these situations was proven abandoned along with the possibility of solutions has emerged. Particularly those awaiting the opening of UMI were the families, the specialized agencies for which about 10% of outpatients were in these situations, and finally the control bodies. The regional technical committee for autism, SROSS 3 of 2005, the CRAIF were the most active organizations in the request for creation of specialized device.
 
  1. Progress
 
UMI The Centre was established in 2010. It consists of a mobile team, hence the name of Mobile Intervention Unit (IMU). It may be requested by schools, EMI, day hospitals, social assistance to children, the day of reception centers, the ESAT, the foyers, foster care healthcare, hospitals psychiatric, businesses, or the Homes of Disabled People. Families can also apply directly to it if no service accompanies their child.
 
Fields of action of IMU are:
  • assistance in maintaining the institution or business, and family support. The UMI help existing centers and families in their support. They facilitate their mobility connections with somatic care services, assessment services functional and diagnostic services that provide social benefits. But the IMU does not absolve themselves of these services.
  • Support for redirection if the autistic person must leave the institution or business. They are seeking alternatives in the network of existing services in different departments served. But the IMU can not substitute for nursing homes, and they can not do themselves a daily accompaniment if the person is no longer a center. Interventions are ad hoc. They aim to ensure that the person finds a home in the community daily. All three have the same UMI percentage of visits to site or home.
 
  •       4 . Means
  •  
    The IMU is composed of a multidisciplinary team including a psychiatrist, a teacher-coordinator, nurse, psychologist, social worker and a secretary. Regarding the UMI Centre, it is part of the Centre Françoise Grémy also composed the center Santos-Dumont, a service integration and service interface with the Department of Genetics, Necker. This allows to set these various bodies in synergy. Thus, the UMI team was part of a wider network to cope with complex situations.
     
    The funding is provided by the IMU Regional Health Agency (LRA).
     
     
  •     5. Teaching and assessment
  •  
    Designed as experimental, the Centre comes UMI with an active membership of 90 cases per year, demonstrating its relevance. The situations are real complexities. There is sometimes some families along the tragic event. In emergency situations, we expect the central part of the device, which in this case the Temporary Emergency Health Unit (USIDATU) for the Ile-de-France. Four beds are planned for 2012, and the opening of 18 beds at the Pitié Salpêtrière be effective in 2014. Temporary receptions being 4 months, this gives an opportunity to host 56 cases per year.
     
    Meanwhile, the IMU held with support systems handicrafts. Insecurity and stress accompany still ongoing work of IMU. However, having a mandate has brought real comfort compared to the previous situation.
    The main changes USIDATU is expected. This unit is intended for equipment and means of appeasement. If we can compare, the IMU will light horses and the cocoon USIDATU repairman.
     
    Other mobile units exist, including one who was born in Alsace a history quite similar. An attempt to Marseille has collapsed. It seems likely that the device Ile-de-France is taken up by other regions.
    To our knowledge, there are three U.S. units near the USIDATU financed by private mutual, highlighting the fact that if they have no means of intensive care for autism and PDD, it would cost them more expensive care. French-speaking Belgium, the Foundation Suza comes with a special device called ESCAPE.
    An initial assessment was made at a symposium in November 2011 organized by the Regional Centre for Autism in Ile de France. It was used to measure how this device was relevant, and responded well to need was reproducible in other regions.
      
Translation project
Canonical language : French
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