This document contains a number of contributions that will help to shed light on certain practices in times of crisis due to Covid-19. Insofar as the context weakens the balance between protection and maintenance of autonomy, it seemed appropriate to reflect on the fundamental principles that guide social and health care action.
Those contributions aim to:
- Guarantee the direct expression of the person so that he or she can participate in decisions thanks to information by appropriate means (encourage the participatory approach).
- Promote the participation of supported persons and the taking into account of their views in the measures, or even reorganisation projects, required for protection against the virus.
- Guarantee protection without infringing on people’s rights.
- Allow, at the heart of the crisis, a balance between protection and autonomy/self-determination.
- Measuring the impact of movement restriction measures on those most in difficulty in order to adapt their contours.
- Provide an adapted and personalised response for all over the long term.
- To ensure the participation of the people supported in the new daily functioning of the structures throughout the crisis period.
- To enable the continuity of social links and to fight against isolation.
- Involve families and relatives in decisions relating to the development of the projects of supported persons.
- Preserve the ethics of decision-making under the constraints of health security.
Haute Autorité de Santé, Covid-19 – Entre protection et autonomie : les principes de l’action sociale et médicosociale à l’épreuve de la crise. Paris, Ministère des Solidarités et de la Santé, 2020, 39 p.
French / Europe / France