APRETO

What APRETO does

APRETO is a French nonprofit association (loi 1901) headquartered in Annemasse, Haute-Savoie, that operates an integrated continuum of addiction services spanning prevention, harm reduction, treatment, and social reintegration. Under the direction of Latifa ADJMI, the organization delivers state-authorized programs including a CSAPA (addiction treatment center), CAARUD Le Fil Rouge (harm-reduction outreach with a mobile bus), CEGIDD (sexual-health screening), therapeutic apartments (8 places), prison antennes, the Appart'74 program for victims of prostitution and trafficking, youth consultations ('T'en es ou ?'), and a Geneva cross-border antenna operated jointly with Première Ligne. Its beneficiary base is deliberately diversified across SUD patients, sex workers, trafficking victims, incarcerated individuals, youth, and cross-border populations in the Grand Genève metropolitan area.

The operational core is human clinical labor and authorized public-health infrastructure rather than proprietary technology; the only disclosed technical footprint is Matomo web analytics on the public site. There is no platform, no SaaS product, no data asset, and no commercial pricing model. APRETO is a service-delivery nonprofit, not a technology company.

Revenue is derived entirely from French public funding streams: ARS Auvergne-Rhône-Alpes grants, Sécurité Sociale reimbursements, departmental authority allocations, and complementary public partners (CHAL, EPSM VA). There are no disclosed commercial customers, no fee-for-service pricing, and no equity funding. Governance is exercised through an annual general assembly reviewing the rapport d'activité, with the most recent activity report covering 2024 presented at the June 2025 AG.

Name

APRETO

Legal name

APRETO

Website

https://apreto.fr

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

11–50 employees

Short description

APRETO is a French nonprofit association (loi 1901) in Haute-Savoie delivering integrated addiction prevention, harm-reduction, treatment, and social-reintegration services through CSAPA, CAARUD, and CEGIDD programs for SUD patients, sex workers, trafficking victims, prisoners, youth, and cross-border populations.

Ownership category

akta.pro rank

Product category

Addiction Treatment and Harm Reduction Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (623220), Individual and Family Services (6241)

SIC

Services-Social Services (8300), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)

akta.pro secondary industries

Substance Use Disorder Prevention & Recovery Services (BPAGACAE), Youth Justice, At-Risk Youth & Violence Prevention Nonprofits (BPAGADAM), Substance Use Prevention & Recovery Services (EDALAFAE)

Keywords

• Addiction treatment services
• Harm reduction programs
• Public health nonprofit
• Therapeutic housing services
• Outpatient mental health

Headquarters

HQ city

Annemasse

HQ country

France

HQ region

Europe

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Public Health System Funding: APRETO operates as a nonprofit association (type loi 1901) financed by the French regional health agency (ARS Auvergne-Rhône-Alpes), health insurance funds (Sécurité Sociale), and departmental authorities. Services including CSAPA and CAARUD are covered under France's public addiction treatment framework. Additional public grants support specific programs such as Appart'74 for prostitution victims.

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels4 records

Core offering

APRETO is a French non-profit association operating a CSAPA (ambulatory and residential addiction care center) and a CAARUD (harm-reduction center with a mobile bus) in Haute-Savoie, providing medical, psychological, educational, and social support for people with substance use disorders and behavioral addictions. The core offering is complemented by eight therapeutic relay apartments, a therapeutic foster-family network, free infectious disease screening (CEGIDD antenna), youth consultations, family support groups, prison outreach at Bonneville, a cross-border Geneva outpost, and the Appart'74 program for people in prostitution or victims of trafficking — all delivered free of charge under a publicly funded harm-reduction and care model.

Product overview

APRETO is a non-profit healthcare association providing a coordinated portfolio of addiction prevention, harm reduction, and treatment services in Haute-Savoie. The core offerings center on two main facility-based programs: CSAPA (ambulatory and residential addiction care) and CAARUD Le Fil Rouge (harm reduction for drug users). These are complemented by specialized services including therapeutic apartments (ATR), a therapeutic family care network, youth consultations ('T'en es ou ?'), family support groups, a prison antenna at Bonneville, a cross-border Geneva outpost, community mediation/prevention, CEGIDD STI screening, and Appart'74 support for people in prostitution. The organization operates across Annemasse, Cluses, Thonon-les-Bains, and surrounding communes, with an approach based on free, anonymous care and harm reduction.

Differentiator

Problem solved

Functional benefit

Brands

• Le Fil Rouge: CAARUD (Centre d'Accueil et d'Accompagnement à la Réduction des risques pour Usagers de Drogues) operated by APRETO, with a boutique and mobile bus unit in Annemasse.
• Appart'74
• CSAPA
• CAARUD

Products and services

• CSAPA (Centre de Soins, d'Accompagnement et de Prévention en Addictologie) Ambulatory and residential addiction care center providing medical, psychological, educational, and social support for people with substance use disorders and behavioral addictions, including substitution therapy (methadone, buprenorphine), withdrawal, and family support.
• CAARUD Le Fil Rouge Center for reception and harm reduction for drug users, providing information, sterile equipment distribution, testing, and orientation services through a fixed boutique in Annemasse and a mobile bus unit.
• CEGIDD (Centre Gratuit d'Information, de Dépistage et de Diagnostic) Free screening and diagnosis center for HIV, HCV, HBV, syphilis, and other STIs, operated as an advanced antenna of Centre Hospitalier Alpes Leman within APRETO's premises.
• Appartements Thérapeutiques Relais (ATR) Eight therapeutic apartment placements offering transitional housing with therapeutic, medical, psychological, and educational support for adults facing addiction issues, located across Annemasse, Cluses, and Thonon.
• Réseau de Familles d'Accueil Thérapeutique Therapeutic family care network in the Alpine arc (Ain, Jura, Isère, Haute-Savoie, Savoie departments) providing hosted accommodation for people completing addiction treatment recovery journeys.
• Appart'74 Support and prevention service for people in prostitution and/or victims of human trafficking, operating street patrols (maraudes), phone outreach, and accompaniment to healthcare and social services in Haute-Savoie.
• Consultations jeunes consommateurs 'T'en es ou ?' Youth addiction consultation service for young people with substance or behavioral addictions and their families, offered four half-days per week at locations in Vétraz-Monthoux and Saint-Julien-en-Genevois.
• Groupe de parole et d'entraide pour l'entourage Peer support and discussion group for family members and relatives of people with addiction, meeting on the first and third Wednesday of each month, facilitated by a psychologist and a nurse.
• Antenne maison d'arrêt de Bonneville Full-time socio-educational presence at Bonneville prison providing individual and group support, risk reduction, and pre-release preparation for incarcerated drug users, in partnership with EPSM de la Vallée de l'Arve.
• Antenne transfrontalière (Genève - Quai 9) Cross-border outreach service at Geneva's Quai 9 safe consumption facility, in partnership with Première Ligne, providing information, orientation, and accompaniment for French nationals toward care in France.
• Médiation / Prévention / Quartiers Community mediation and street-based prevention service covering 12 communes of the Annemassienne Agglomeration, operating Monday to Friday to engage with populations affected by drug use and mediate with residents.

Named customers3 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered core and minor.

• Première Ligne (Geneva)coreStrategic or Co-development PartnerTransborder collaboration between Première Ligne (Geneva) and APRETO (Annemasse). APRETO staff maintain a socio-educational permanence at Quai 9, the supervised consumption site in Geneva, to inform, orient, and accompany French drug users toward sanitary and social care in France, specifically the Annemasse area. The partnership addresses the unique cross-border dynamics of the Geneva-Annemasse region.
• Centre Hospitalier Alpes Leman (CHAL)coreStrategic or Co-development PartnerCHAL hosts an advanced antenna of its CEGIDD (Centre Gratuit d'Information, de Dépistage et de Diagnostic — free screening and diagnosis center for HIV, HCV, HBV, and STIs) within APRETO's premises in Annemasse. The antenna is open Tuesday mornings and Wednesday afternoons. APRETO manages the local coordination and patient flow.
• Établissement Public de Santé Mentale de la Vallée de l'Arve (EPSM VA)coreStrategic or Co-development PartnerAPRETO partners with EPSM VA (located in La Roche-sur-Foron) for its socio-educational intervention at the Maison d'arrêt de Bonneville prison. EPSM VA provides the institutional framework while APRETO delivers direct field support to incarcerated drug users. APRETO also partners with the Service Pénitentiaire d'Insertion et de Probation (SPIP) and the Unitée Sanitaire Niveau 1 (USN1) at the prison.
• ARS Auvergne-Rhône-Alpes (Regional Health Agency)coreStrategic or Co-development PartnerAPRETO receives primary operational funding and regulatory oversight from ARS Auvergne-Rhône-Alpes, which manages public health institutions and addiction treatment networks in the region.
• ASUD, AIDES, Psychoactif (Patient/Advocacy Organizations)minorOthersListed as partner resources on APRETO's website. ASUD (Auto-Support des Usagers de Drogues), AIDES (major harm reduction association), and Psychoactif (online forum) serve as referral and resource partners for peer support and patient advocacy.
• Association Addictions France / CSAPA networkminorOthersAPRETO is linked with other CSAPA organizations including Oppélia (Thylac/Annecy, Aria/Lyon, Tempo/Valence), CSAPA Le Pélican (Chambéry), CSAPA Rimbaud (Saint-Étienne), and participates in the Fédération Addiction network for professional exchange and best practices.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Others

• Centre Hospitalier Alpes Léman (CHAL): Regional hospital hosting the CEGIDD screening antenna within APRETO premises. Provides comparable infectious disease screening and is a direct institutional partner. While not a peer CSAPA, it is materially relevant given APRETO's hospital-embedded service delivery model.
• Fédération Addiction: National federation of French addiction nonprofits and CSAPAs, of which APRETO is a member-network participant. Provides comparable professional exchange and advocacy infrastructure rather than direct service delivery.

Direct peers

• CSAPA Rimbaud: Saint-Étienne-based CSAPA referenced as a peer/partner of APRETO. Provides comparable ambulatory addiction care, substitution therapy, and harm reduction services within the same national framework.
• Première Ligne (Geneva): Geneva-based nonprofit operating the Quai 9 supervised consumption site — APRETO's direct cross-border partner. Operates harm reduction services for the same population (including French nationals frequenting Geneva), with shared outreach philosophy.
• AIDES: France's largest harm reduction nonprofit, directly listed as an APRETO partner. Comparable in harm reduction (CAARUD-like) mission, with broader national reach but overlapping service philosophy and target populations.
• CSAPA Le Pélican: CSAPA based in Chambéry, Savoie — directly cited as an APRETO partner in the regional addiction network. Comparable size and scope, serving an adjacent Alpine department with similar ambulatory and residential addiction services.
• Oppélia: France's largest nonprofit CSAPA network with multiple centers including Thylac (Annecy), Aria (Lyon), and Tempo (Valence). Directly comparable to APRETO as a multi-service addiction care provider operating in the same Auvergne-Rhône-Alpes region and referenced as a partner.

Broad incumbents

• Médecins du Monde: International medical humanitarian organization with significant harm reduction and addiction outreach programs in France (including bus-based and maraudes models similar to APRETO's CAARUD Le Fil Rouge). Comparable outreach methodology and harm reduction mission at much greater scale.
• Association Addictions France (ex-ANPAA): National nonprofit federation providing addiction prevention and care across France, predecessor network to the Fédération Addiction. Operates CSAPA-style services at much larger scale than APRETO and is a direct functional comparable in the same regulatory framework.

Emerging players

• ASUD (Auto-Support des Usagers de Drogues): Peer-led drug user advocacy organization listed as an APRETO partner. Comparable in serving the same population (people who use drugs) but focused on peer advocacy rather than direct clinical care delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

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Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about APRETO