Aides Professionnelles Et Mobilisation Familiale : La Prise En Charge Des Personnes Démentes

This study documents the specific nature of the configurations of home help set up for elderly people suffering from behavioural and memory disorders (BMD). The analysis is based on a comparison of a sample of people with MCTs (Medips survey) with a representative sample of dependent people aged over 60 (Share France survey). After neutralising the effects of protocol, the support configurations put in place for people suffering from MCTs are characterised by an almost systematic and inelastic recourse to family carers outside the household: the presence of a carer living with the elderly person does not exempt other members of the family from becoming involved, even when a professional carer is involved. Even the reasons for filial involvement, whether individual or collective, appear to be sensitive to the origin of the dependency. The analysis suggests, however, that most of these results can be replicated for the representative sample, by limiting ourselves to the quartile with the highest number of disabilities: in terms of care provision, psychological dependency mobilises the same resources as the most severe physical dependency. These results, which only concern people living at home, can be interpreted, in negative terms, in terms of differences in the conditions under which collective accommodation is used.