Overview
- The National Assembly commission published a nearly 300-page report concluding that France spends heavily on last-resort interventions rather than early support and prevention.
- The report quantifies 27.8 billion euros in direct 2023 spending on psychiatric disorders and psychotropic drugs and estimates total annual societal costs at 163 billion euros, with a 64.5 billion-euro national effort on disability in 2024.
- At the start of the 2025 school year, about 50,000 children with official AESH notifications had no effective support, and the commission says inclusive schooling functions as a territorial lottery.
- Territorial gaps are stark, with 14 departments reported to have no AESH in place for autistic children, and the report urges revaluing AESH status and broadening missions to improve recruitment and stability.
- Key proposals include a National Agency for impact studies, a unified dashboard to track care and delays, stronger CMP teams and training, prevention tools such as a Pronote assistance module, and a mental health drive extended into 2026 as civil society pushes legal action for faster implementation.