National strategy

A national action strategy for cerebral palsy cannot wait

A slow but necessary progression

The Fondation Paralysie Cérébrale is the only research fully dedicated foundation to have invested in research for 10 years in order to speak up for people living with cerebral palsy and for professionals committed daily to advance research.

The white book based on reflections is today a plea for the implementation of a national action strategy for cerebral palsy.

2016 – 2017
October 3, 2019
October 6, 2021
December 6, 2021
2022

Major National Survey “ESPaCe”

The foundation launched a survey in order to support, through speech of people concerned in their daily life, a reflection to recommend best motor re-education best practices.

Signature of the “Charte de la rééducation/réadaptation” (Charter for re-education/rehabilitation)

Following the “ESPaCe” survey, a charter for re-education/rehabilitation was written thanks to people living with cerebral palsy and professionals who worked together. It was signed in 2019 by Sophie Cluzel, State Secretary for people with disabilities.

Unveiling of the “Cerebral Palsy White Book”

The white book was unveiled on Cerebral Palsy International Day. Handed over to the State Secretary in charge of disabled people, it was also sent to various actors of the French Health Policy and presented to the media. “L’appel du 6 octobre 2021”, launched by three young people (Julia Boivin, Matthieu Chatelin et Gaëlle Drewnowski) is attached to it, in the name of the 125 000 people affected. It is a plea for the implementation of a national action strategy for cerebral palsy.

HAS re-education recommendations

HAS (Haute Autorité de Santé) published its recommendation “Re-education and rehabilitation of the musculoskeletal system motor function of people diagnosed with cerebral palsy” This recommendation, addressed to cerebral palsy patients, families, caregivers and health professionals, comes in the wake of works initiated by the Fondation Paralysie Cérébrale and its partners in research & in the study of patient expectations.

Publishing of the “Manifeste du Livre blanc de la paralysie cérébrale” and development of thematic proposal sheets

Summary of the white book on specific measures, this manifesto addresses how deeply necessary a cerebral palsy national action strategy is, with the need to turn primary needs into concrete measures.

2016 – 2017

Major National Survey “ESPaCe”

The Fondation, in partnership with family associations, learned societies, field professionals, launched this survey ESPaCe (National survey on care received, perceived needs, satisfaction level and expected improvement priorities as far as motor re-education is concerned by people affected with cerebral palsy and their families) in order to support a reflection on best practices in the field of current motor re-education.

This national survey collected 1 010 answers to the questionnaire (354 children, 145 teenagers, 511 adults).

Key elements emerging from this survey are:

  • High need for information and improvement of communication with health professionals;
  • High priority given to access to physiotherapists trained for the care of persons affected with cerebral palsy;
  • Lack of coordination and psychological support for caregivers despite high levels of stress;
  • Insufficient organisation & support during the transition from childhood to adulthood.

Authors come to the conclusion that health policies should:

  • Concentrate on accessibility to re-education/rehabilitation at any age;
  • Consider that the transition to adulthood occurs over a long period of time, from age 12 to 25
  • Develop motor re-education programmes specific to teenagers;
  • Maintain a multidisciplinary re educative approach in adults.

October 6, 2021

Unveiling of the “Cerebral Palsy White Book”

In 2020 and 2021, a reflection by persons affected, families and professionals was set up under the leadership of Pr Marc Tardieu. Approximately 60 people (Parents of children affected with cerebral palsy, adults with cerebral palsy, professionals belonging to health, paramedical and paramedical sectors) shared thoughts on each of the four axes of the national health strategy 2018-2022.

  • Set up a policy promoting health including prevention in all spheres of society;
  • Fight against social and territorial inequalities regarding access to health;
  • Guarantee quality, safety and relevance of care at each step of the health journey.
  • Innovate to change our health system by reasserting the users’ place.

A general synthesis addressing one by one the subjects chosen as the most important and transversal was then written. An independent reading committee helped with the final format. Structured in 5 parts, this synthesis states the findings following by proposed solutions to develop the national strategy on the following topics:

  • Trust hubs and areas of expertise!
  • Who decides on quality and care?
  • From school to work: adapt singularity rather than reject complexity.
  • Social and territorial inequalities strengthen handicap injustice.
  • Scientific innovations, evaluated practices, progress for all.

This general synthesis, comments by actors of the handicap field on national and international levels, reports adopted by workshop participants and various annexes, constitute this Cerebral palsy white book.

This white book is the opportunity to start acting and draw the lines of a truly inclusive society.

Relive the round table with Ms Sophie Cluzel

On 8 November 2021, a round table called “Cerebral palsy White Book, and what’s next?” took place in the presence of Ms Sophie Cluzel, who was then State Secretary in charge of disabled people.

It gave the opportunity to exchange on the pillars of the White Book. A young man with cerebral palsy, one parent, one medical professional and one paramedical professional interviewed the minister.

Discussions focussed on participation to a social life, training of professionals, importance of research and creation of areas of trust and expertise.

Thematic sheets taken from the White Book

They are concrete proposals written in a collective effort. The writing and proofreading were always carried out by several contributors and with a double check by professionals and families. They usefully complement the plea of the White Book towards action at a time of the political cycle when it is essential to put proposals on the table.

These documents, made available to all those who contributed to the White Book, will be sent to all those concerned by the organisation of responses to the needs of children and adults with cerebral palsy, politicians and central administrations.

Thematic sheet N°1

STRENGTHEN SOCIAL PARTICIPATION

FIND OUT MORE +

Thematic sheet N°2

CREATE AREAS OF EXPERTISE

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Thematic sheet N°3

STRENGTHEN PREVENTION

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Thematic sheet N°4

ADAPT CARE SYSTEMS

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Thematic sheet N°5

DEVELOP THE PARTNERSHIP PATIENT BETWEEN FAMILY AND RESEARCHER

work in progress

Thematic sheet N°6

INCREASE TRAINING EVERYWHERE AND FOR EVERYONE

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Thematic sheet N°7

ADAPT ACADEMIC AND PROFESSIONAL ORIENTATION

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