What CMSEA does

CMSEA (Comit\u00e9 Mosellan de Sauvegarde de l'Enfance, de l'Adolescence et des Adultes) is a French non-profit association (loi 1901) founded in 1990 and headquartered in Metz, France. It operates the Centre Les Wads \u2014 a CSAPA (outpatient addiction treatment) and CAARUD (harm reduction) platform \u2014 serving individuals with substance use and behavioral addictions across the Lorraine region. The organization delivers a comprehensive, integrated care model spanning harm reduction and syringe exchange, outpatient medical/psychological/social follow-up, opioid substitution treatment, residential therapeutic housing (CTR Foville, 5 therapeutic apartments, and a family host network across Midi-Pyr\u00e9n\u00e9es/Aquitaine), youth and family consultations (CJC, PAEJEP), workplace and institutional prevention training, and ethnographic drug trend research through the TREND/SINTES national observation system (one of 7 sites coordinated by OFDT).

The technology base is modest and human-intensive: an institutional website, a Facebook presence, remote harm reduction consulting via Skype/SMS/email, and a mobile prevention bus (INFOCAR) for outreach. The TREND/SINTES system represents the most research-intensive component, providing qualitative drug trend observation and product composition analysis but without disclosed AI/ML automation. All services are provided anonymously and free of charge to users, in accordance with the establishment's founding principles.

CMSEA operates entirely on public health funding from ARS Lorraine, MILDECA, ACSE, local Communaut\u00e9s d'agglom\u00e9rations, and EU INTERREG programs. Revenue is not publicly disclosed. The organization employs approximately 145 staff across 8+ fixed locations in Metz, Forbach, Freyming-Merlebach, Saint Avold, Hombourg Haut, Creutzwald, Foville, and the Midi-Pyr\u00e9n\u00e9es/Aquitaine family host network. Customer segments include individuals with addictions, youth and families, and enterprise/institutional clients seeking workplace prevention training.

Name

CMSEA

Legal name

CMSEA (Comité Mosellan de Sauvegarde de l'Enfance, de l'Adolescence et des Adultes)

Website

https://leswadscmsea.fr

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

101–250 employees

Short description

CMSEA is a French non-profit association operating the Centre Les Wads (CSAPA/CAARUD), providing free, anonymous addiction treatment, harm reduction, residential therapy, and prevention services across the Lorraine region for individuals, youth, families, and institutions.

Ownership category

akta.pro rank

Product category

Addiction Treatment and Prevention Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (62322), Individual and Family Services (6241)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Substance Use Disorder Prevention & Recovery Services (BPAGACAE), Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO), Outpatient Substance Use Disorder (SUD) Treatment Programs (HLAFABAD)

Keywords

• Addiction treatment services
• Harm reduction services
• Substance use prevention
• Residential therapeutic care
• Youth addiction counseling

Headquarters

HQ city

Metz

HQ country

France

HQ region

Europe

Offices8 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Others, Marketing or Sales

Revenue model

1. Public Health Funding: As a medico-social establishment, CMSEA operates entirely through public funding from government health authorities (ARS Lorraine, MILDECA, ACSE) and local government bodies (Communautés d'agglomérations: Pays Naborien, Wandt, Freyming-Merlebach, Forbach – Porte de France). All services are provided free of charge to users.

Go-to-market motion3 records

Distribution channels5 records

Marketing channels6 records

Core offering

CMSEA, through its Centre "Les Wads" facility, operates a CSAPA (Centre de Soins d'Accompagnement et de Prévention en Addictologie) and a CAARUD (Centre d'Accueil et d'Accompagnement à la Réduction des Risques des Usagers de Drogues). The organization delivers outpatient medical, psychological, and social care for substance use disorders, harm reduction services, opioid substitution treatment, residential therapeutic housing, youth and family counseling (PAEJEP, CJC), and drug trend observation research (TREND & SINTES), all provided anonymously and free of charge.

Product overview

CMSEA operates a comprehensive addiction treatment and prevention ecosystem through its Centre Les Wads facility. The organization provides a multi-tiered service portfolio centered on two core programs: CSAPA (ambulatory addiction treatment) and CAARUD (harm reduction services). These core services are complemented by specialized programs including PAEJEP (youth counseling), Service En Amont (prevention interventions), therapeutic housing (Centre Thérapeutique Résidentiel de Foville, Appartements Thérapeutiques Relais, and Réseau d'Accueil en Famille), Consultation Jeune Consommateur (youth consultations), and substitution treatment services. Prevention activities include interactive theater, mobile outreach (INFOCAR), workplace training, and festive environment interventions. The organization also conducts research through the TREND & SINTES program in partnership with OFDT. All services are provided anonymously and free of charge.

Differentiator

Problem solved

Functional benefit

Brands

• CSAPA Les Wads: Centre de Soins d'Accompagnement et de Prévention en Addictologie - outpatient addiction care and prevention center
• CAARUD Les Wads
• Service En Amont
• PAEJEP
• Réseau d'Accueil en Famille
• Centre Thérapeutique Résidentiel de Foville
• Appartements Thérapeutiques Relais

Products and services

• CSAPA (Centre de Soins d'Accompagnement et de Prévention en Addictologie) Ambulatory addiction treatment center providing medical, psychological, social, and educational care for individuals with substance use disorders, operating in Metz, Saulnois, and Bassin Houiller regions. Targets adults and youth with addiction issues including alcohol, heroin, cocaine, cannabis, and gambling.
• CAARUD (Centre d'Accueil et d'Accompagnement à la Réduction des Risques des Usagers de Drogues) Harm reduction center providing information, sterile equipment distribution, and support services for drug users without requiring abstinence as a condition of service. Operates in Metz, Forbach, and rural Moselle areas.
• PAEJEP (Point Accueil Ecoute Jeunes et Parents) Youth and parent listening point offering counseling for young people aged 10-25 and their families on issues including schooling difficulties, parent-child relationships, risk behaviors, sexuality, and social isolation. Locations in Forbach, Saint Avold, Hombourg Haut, and Creutzwald.
• Service En Amont Upstream prevention service conducting educational interventions, training, project development, and outreach in educational settings, workplaces, and festive environments in Metz and Freyming-Merlebach. Targets enterprises, schools, and public institutions.
• Centre Thérapeutique Résidentiel de Foville Residential therapeutic center offering collective accommodation for adults 18+ in a protected rural setting, providing medical monitoring, psychological support, and social reintegration activities for 1-7 month stays. Located in Foville.
• Appartements Thérapeutiques Relais Therapeutic relay apartments providing 5 independent housing units for individuals or families, focusing on autonomy building and reintegration with contracts lasting 1-12 months. Includes 2 external placement places for alternatives to incarceration.
• Réseau d'Accueil en Famille Family hosting network with 21 host families in Midi-Pyrénées and Aquitaine regions, offering 12 places for 1-7 month therapeutic stays in family settings for individuals or couples with or without children.
• Consultation Jeune Consommateur (CJC) Young consumer consultation service for individuals under 25, families, and professionals, providing early intervention, information, evaluation, and harm reduction counseling on tobacco, alcohol, and drug use.
• Unité de Délivrance de Substitution Opioid substitution treatment unit providing initial assessment, prescription, and delivery of substitution medications (methadone, buprenorphine) on an outpatient or residential basis at Metz and Forbach locations.
• TREND & SINTES Regional drug observation and research program coordinated with OFDT, conducting ethnographic observation and substance analysis to track emerging drug trends in Lorraine. One of 7 national TREND sites.
• RDR Postale (Rural Harm Reduction) Remote harm reduction service for rural areas of Moselle, offering material distribution by post, advice via Skype/SMS, and outreach via Facebook and email. Includes syringe recovery and medical addictologist support for rural physicians and pharmacists.
• Formations sur les Addictions Customized training programs on addiction topics developed in collaboration with institutions, companies, and professionals based on identified needs.

Quantifiable outcome

• Annual TREND & SINTES reports produced and presented to regional prefecture and national OFDT

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

13 partnerships are on record, tiered core and minor.

• OFDT (Observatoire Français des Drogues et Toxicomanies)coreStrategic or Co-development PartnerCSAPA Les Wads serves as the regional coordinator for the TREND & SINTES drug observation system under OFDT's national coordination. ORSAS contributes methodological expertise. Produces annual qualitative drug trend reports and product composition analyses from 7 national observation sites.
• ORSAS (Observatoire Régional de la Santé et des Affaires Sociales de Lorraine)coreStrategic or Co-development PartnerORSAS provides methodological and analytical expertise for the TREND & SINTES drug observation work, contributing epidemiological and statistical competencies to the regional research partnership.
• Fédération AddictioncoreStrategic or Co-development PartnerLes Wads is a member of the Fédération Addiction (resulting from the merger of ANITEA and F3A) and co-animates the Lorraine regional union. François Claval serves as regional deputy. Membership provides access to national research networks, best practice sharing, and policy influence.
• ANPAEJ (Association Nationale des Points Accueil Ecoute Jeunes)coreStrategic or Co-development PartnerLes Wads PAEJEP service operates under ANPAEJ framework. François Claval serves as regional deputy for Lorraine, linking local youth listening services to the national ANPAEJ network.
• Centre Hospitalier Régionale Metz – Thionville (CHR)minorImplementation/ SI/ Consulting PartnerReferral and care coordination partnership with the regional hospital for medical procedures, hospitalizations, and specialist consultations beyond the scope of outpatient addiction care.
• Hôpitaux Privés de MetzminorImplementation/ SI/ Consulting PartnerReferral and care coordination for inpatient medical services required by CSAPA patients beyond the scope of outpatient treatment.
• Centre Hospitalier Spécialisé de SarregueminesminorImplementation/ SI/ Consulting PartnerReferral pathway for psychiatric care and specialized mental health services required by patients with co-occurring addiction and psychiatric conditions.
• Centre Hospitalier de JuryminorImplementation/ SI/ Consulting PartnerReferral pathway for inpatient psychiatric and addiction treatment services at the Jury hospital near Metz.
• Compagnie Les BestiolesminorImplementation/ SI/ Consulting PartnerLongstanding partnership with this cultural association for interactive theatre-based prevention performances ('Hors Piste', 'Dernier Mix') presented in schools and institutions.
• AVSEA (La Croisée CSAPA & CAARUD)minorImplementation/ SI/ Consulting PartnerMedico-social network partnership for shared professional resources, referral pathways, and regional coordination in the Vosges/Lorraine addiction care network. Martine Demangeon serves as Lorraine regional delegate for Fédération Addiction.
• AIEM (Association d'Insertion et d'Entraide en Moselle)minorImplementation/ SI/ Consulting PartnerMedico-social partner for insertion and mutual aid services, supporting the broader social reintegration pathway for CSAPA patients.
• Nightlife venues and festival organizers (L'Autre Canal, Les Trinitaires, and others)minorStrategic or Co-development PartnerPartnership with music venues and event organizers for harm reduction presence at nightlife events across Lorraine. The Service En Amont team and 14 trained volunteers provide prevention, harm reduction information, and material distribution at these events.
• MAG-Net 2 (Interreg IV A Grande Région)minorStrategic or Co-development PartnerCross-border interregional project (128 GR DELUX 3 3 249) co-financed under INTERREG IV A GR 2007-2013 (January 2013 – December 2014) focused on professional training for medical and paramedical staff in the Grande Région on recreational drug use.

Scale indicators7 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• OPPELIA: National French network of CSAPAs and CAARUDs offering ambulatory addiction treatment and harm reduction services across multiple regions; comparable service mix (CSAPA, CAARUD, substitution, prevention) and not-for-profit status, but at materially larger geographic scale.
• La Croisée (AVSEA): Medico-social network operating CSAPA and CAARUD facilities across the Vosges and Lorraine regions, with overlapping service portfolio (outpatient care, harm reduction, residential) and explicit professional coordination with CMSEA. Most directly comparable French regional peer.
• CEID (Centre d'Étude et d'Intervention sur les Dépendances): Bordeaux-based association running CSAPA, CAARUD, and harm-reduction services including drug-consumption rooms and outreach; directly comparable on service model (prevention, harm reduction, ambulatory care) but anchored in a different region.
• Association Addictions France (formerly ANITEA / SOS Addictions réseau): National French network of regional addiction associations operating CSAPA-style outpatient centers, residential facilities, and prevention programs; directly comparable service portfolio and not-for-profit funding model across many French regions.

Broad incumbents

• AIDES: Major French non-profit specializing in harm reduction for people who use drugs, with community outreach, testing, and material distribution; overlapping harm-reduction and festive-environment outreach mandate, but operating at national scale without CMSEA's residential arm.
• ANPAA (Association Nationale de Prévention en Alcoologie et Addictologie): Long-standing national association operating CSAPAs and prevention programs across France, focused on alcohol and broader addiction prevention; broader geographic footprint and historical incumbency, with overlapping prevention and ambulatory care mandates.
• Médecins du Monde - Mission France: International NGO running harm-reduction and healthcare programs for vulnerable populations in France, including drug users and sex workers; overlapping outreach to marginalized users but with a broader clinical mandate.

Others

• Fédération Addiction: National federation of French addiction treatment and harm-reduction organizations of which CMSEA is a member; relevant as the coordinating/advocacy body, not a direct care provider, but defines standards and policy that shape CMSEA's operating environment.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/leswadscmsea
• LinkedInlinkedin.com/company/cmsea

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 CMSEA