The aim of this research project is to analyse the activities of accommodation centres providing on-site medical support for people experiencing homelessness. It examines these facilities from two complementary perspectives: that of the staff working in them and that of the individuals they serve. The project is based on data from the survey of facilities and services supporting adults and families facing social hardship, conducted regularly by the DREES since 1982.
The analysis covers three types of accommodation centres providing on-site medical support: therapeutic coordination apartments (Appartements de coordination thérapeutique, ACT), medical respite care beds (Lits halte soins santé, LHSS), and medical care beds (Lits d’accueil médicalisé, LAM).
The project examines the long-term evolution of the provision of these facilities and their workforce. It aims to identify staff profiles, working conditions, occupational categories, and staffing ratios within accommodation centres. In addition, the survey data make it possible to document the characteristics and trajectories of people experiencing homelessness who are accommodated in these different types of facilities, as well as how these have evolved over time.
A first study documents the continuing decline in staffing ratios in accommodation centres and provides a detailed analysis of the characteristics of their workforce: Le taux d’encadrement dans les centres d’hébergement social continue de baisser, Les dossiers de la Drees n° 132, paru le 26/11/2025.
This project is the subject of a postdoctoral agreement with DREES.