APAJH Gironde

What APAJH Gironde does

APAJH Gironde (also APAJH 33) is a French non-profit association (association loi 1901 reconnue d'utilité publique), founded circa 1963 and headquartered in Bordeaux, that accompanies people with disabilities and vulnerable individuals across the Gironde department. It operates 35 establishments, services, and dispositifs through seven thematic poles — diagnosis and early intervention, childhood, vocational training and professional inclusion, social services, accommodation and care, life pathways, and home services. Core offerings include CMPP medical-psychological-educational centers with specialized neurodevelopmental poles (autism, ADHD, DYS disorders), home-help services (SAAD), home nursing care (SSIAD La Clé des âges), sheltered workshops (ESAT Cressonnet producing viticulture and woodworking products, plus a second ESAT), the federation-led PEA Handamos! supported-employment platform, professionalization services (SESSAD Pro, CIP officers), the recently opened Foyer d'Accueil Médicalisé Marc Boeuf for neurodegenerative-disease residents, and a Mission Habitat Inclusif overseeing 18 inclusive-housing dispositifs. As of 2025, the association employs 765 professionals and accompanies approximately 4,000 people across Gironde.

The association is structured across eight main office locations spanning Bordeaux (HQ, CMPP Rive gauche, Mission Habitat Inclusif), Pessac, Cenon, Libourne, Le Teich, and Saint-Laurent-Médoc, enabling territorial coverage of both Rive gauche and Rive droite platforms. Its underlying operating model is human-centered: no proprietary technology platform is referenced, and service delivery is governed by Haute Autorité de Santé (HAS) clinical practice recommendations and pursued Cap Handéo certification. Customers fall into four segments — individuals with disabilities and families (primary), employers hiring people with disabilities, partner institutions (MDPH, Education Nationale, hospitals, ARS), and ESAT commercial clients.

APAJH Gironde is funded through a diversified mix of publicly regulated streams: full Assurance Maladie coverage for nursing care (SSIAD), departmental tariffs for home-help services (€28.05/h for APA/PCH-funded, €31.70/h otherwise), ARS Nouvelle-Aquitaine co-financing of medico-social establishments, MDPH-driven client allocation and orientation, and program-specific co-financing from AGEFIPH, FIPHFP, France Travail (formerly Pôle Emploi), and DREETS. Membership adhesion fees via HelloAsso and ESAT commercial revenue (viticulture products such as Terrien wine, woodworking) round out the funding base. The board and senior leadership are headed by President/Director General Michel Keisler and Publication Director G. Dupon-Lahitte, with pole-level directors including Claire Degenne (Autism/ND/Polyhandicap), Gabrielle Schmitz (CMPP Rive droite), Rafia Bekkali (CMPP Rive gauche), Sandrine Lespagne (SSIAD), and Dominique Provenza (Social Pole).

Name

APAJH Gironde

Legal name

APAJH Gironde (APAJH 33)

Website

https://apajh33.fr

Company type

Private

Founded year

1963

Operating status

Operating

Headcount range

101–250 employees

Short description

APAJH Gironde is a French non-profit association (loi 1901) operating 35 medico-social establishments across Gironde with 765 professionals, providing disability support — diagnostic, educational, employment, housing, and home-care services — to 4,000 beneficiaries.

Ownership category

akta.pro rank

Product category

Disability and Medico-Social Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Individual and Family Services (6241), Other Residential Care Facilities (62399), Other Community Housing Services (624229)

SIC

Services-Social Services (8300), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Personal Care & ADL Assistance (bathing, dressing, toileting, mobility) (HLADAGAA)

akta.pro secondary industry

Specialty CCRCs (e.g., Memory-Care-Focused, Veteran-Focused) (HLADAEAK)

Keywords

• Medico-social services
• Disability support
• Sheltered employment
• Inclusive housing
• Home nursing care

Headquarters

HQ city

Bordeaux

HQ country

France

HQ region

Europe

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others

Revenue model

1. Social Security and Health Insurance Reimbursements: Medical and nursing care services (SSIAD) are fully covered by French health insurance (Assurance Maladie) on medical prescription. This represents a primary public funding stream for care services.
2. Departmental Public Funding (Gironde): Home assistance services (SAAD) are funded through departmental allocations including APA (Allocation Personnalisée d'Autonomie) and PCH (Prestation de Compensation du Handicap), with tariff rates set by the Gironde Department.
3. Membership Contributions: Association members pay adhesion fees processed via HelloAsso platform, supporting the association's general operations and governance.
4. Client / Employer Payments for ESAT Products and Services: ESAT workshops produce goods and services sold to clients (e.g., viticulture products, woodworking, catering). Revenue from commercial activities within sheltered work environment.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels9 records

Core offering

APAJH Gironde is a French non-profit medico-social association operating 35 establishments and services across Gironde. It provides a comprehensive continuum of care for people with disabilities and vulnerable individuals, including medical-psychological diagnostic centers (CMPP), sheltered work establishments (ESAT), home care services (SAAD and SSIAD), a supported employment platform (PEA Handamos!), inclusive housing programs, and medicalized residential care (FAM). Services are organized across seven poles covering diagnosis, childhood, training and employment, social services, accommodation and care, life pathways, and home services.

Product overview

APAJH Gironde operates as a comprehensive disability support organization offering a multi-service portfolio centered on inclusion and autonomy. The core offerings include home care services (SAAD and SSIAD La Clé des âges), providing both household assistance and nursing care at home with 100% health insurance coverage. For professional integration, the organization manages ESAT sheltered workshops (including ESAT Cressonnet producing wine and woodworking), operates the Handamos! Supported Employment Platform, and provides SESSAD Pro services. Diagnostic and early intervention services are delivered through CMPP centers with specialized Neurodevelopmental Poles (PND) for conditions including autism, ADHD, and learning disorders. Residential support includes the Foyer d'Accueil Médicalisé Marc Boeuf and the Mission Habitat Inclusif managing 18 inclusive housing devices. These services are organized across 7 poles: diagnosis and early intervention, childhood, professional training and employment, social services, accommodation and care, life pathways, and home services.

Differentiator

Problem solved

Functional benefit

Brands

• Handamos!: Plateforme Emploi Accompagné (PEA) bringing together 11 operators in the department for supported employment of persons with disabilities.

Products and services

• Service d'Aide à Domicile (SAAD) Home help and support service providing assistance with daily activities including getting up/going to bed, meal preparation, housekeeping, shopping, and administrative tasks for people with disabilities or loss of autonomy.
• Service de Soins Infirmiers à Domicile (SSIAD) La Clé des âges Nursing care at home providing hygiene care, health education, care coordination, and prevention services for people aged 60 and over, fully covered by French health insurance (Assurance Maladie) on medical prescription.
• ESAT Cressonnet (Sheltered Work Establishment) Sheltered work establishment offering protected work activities including woodworking and viticulture, producing the 'Terrien' wine. Provides vocational training and employment for people with disabilities in Gironde.
• Centres Médico-Psycho-Pédagogiques (CMPP) Medical-psychological-educational centers providing specialized diagnostics for neurodevelopmental disorders (TND), psycho-affective difficulties, and personalized interventions for children and adolescents. Operates as 2 platforms with 5 locations across Gironde serving nearly 1000 children.
• Plateforme Emploi Accompagné Handamos! Supported Employment Platform administered by APAJH Gironde since 2018, bringing together 11 department operators to promote access to professional training and employment for adolescents and young adults with disabilities.
• Mission Habitat Inclusif Inclusive Housing Mission promoting access to autonomous housing for people with disabilities, providing advice, orientation, and engineering for 18 inclusive housing devices across Gironde.
• Foyer d'Accueil Médicalisé Marc Boeuf Medicalized Reception Facility opened in June 2025, accommodating 12 residents with neurodegenerative diseases, providing residential care and support.
• SESSAD Pro Specialized Early Childhood Support Service providing support for adolescents and young adults to access professional training and employment.
• Chargés d'Insertion Professionnelle (CIP) Professional Integration Officers who support employers in the hiring process, task execution, workplace accommodations, and employment retention for people with disabilities.
• Résidence l'Essai - Inclusive Habitat Inclusive housing facility in Saint-Médard-en-Jalles, offering 4 autonomous apartments for people with intellectual disabilities, with shared living support developed in partnership with social landlord Clairsienne.
• Colocation de Pessac - Inclusive Habitat Inclusive housing colocation in Pessac for 4 young adults with severe motor disabilities, marking a major step toward independent living as an alternative to institutional care. Developed in partnership with social landlord Domofrance.

Quantifiable outcome

• 91% of young people under 16 accompanied are schooled in mainstream settings
• +2 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eight partnerships are on record, tiered core and minor.

• MDPH GirondecoreOthersMDPH (Maison Départementale des Personnes Handicapées) is the departmental hub for disability rights, handling orientation requests, RQTH recognition, and directing individuals to appropriate services including APAJH Gironde establishments.
• Éducation NationalecoreStrategic or Co-development PartnerConvention-cadre between CMPP and Education Nationale ensures systematic link with children's schools as a condition of admission. APAJH Gironde provides technical support to school teams, trains teachers, and deploys EMAS and SESSAD in school environments.
• DomofrancecoreStrategic or Co-development PartnerDomofrance is the social landlord that built the inclusive housing colocation in Pessac on APAJH Gironde land (bail à construction), and is co-developing the Palmer habitat inclusif project. Key housing development partner.
• ClairsienneminorStrategic or Co-development PartnerClairsienne is the social landlord partner for the Résidence l'Essai habitat inclusif in Saint-Médard-en-Jalles, providing 4 autonomous apartments for people with intellectual disabilities.
• Communes de GirondeminorOthersMunicipalities across Gironde support habitat inclusif projects and local inclusion initiatives. The Mairie de Pessac is specifically acknowledged for supporting the Pessac colocation project.
• Association ARIcoreStrategic or Co-development PartnerAssociation ARI co-pilots the Plateforme Emploi Accompagné (PEA) Handamos! with APAJH Gironde as cheffe de file. This platform brings together 11 operators working on supported employment in Gironde.
• Cap emploicoreStrategic or Co-development PartnerCap emploi is the specialized employment agency for people with disabilities in France. APAJH Gironde directs employers and job seekers to Cap emploi for additional supported employment services.
• Haute Autorité de Santé (HAS)coreOthersHAS issues clinical practice recommendations that guide APAJH Gironde's interventions in neurodevelopmental disorders, early childhood care, and disability support. The association applies HAS recommendations in all its services.

Scale indicators16 records

Recent moves11 records

Expansion highlights6 records

Direct peers

• Fondation John Bost: Private French non-profit operating a broad network of medico-social establishments (MAS, FAM, ESAT, IME) for children, adults, and seniors with disabilities and mental health needs — directly comparable multi-service disability support model.
• ADAPEI Gironde: Direct geographic peer operating as another French association loi 1901 providing medico-social services to people with disabilities across Gironde, with similar establishments (IME, MAS, ESAT, SAVS, SAMSAH) and equivalent departmental funding model.
• APF France Handicap: National French association providing services and advocacy for people with disabilities, including residential facilities, employment support, and inclusion programs — overlapping mission, service mix, and public funding model with APAJH Gironde.
• ALYS Group: Private French operator specialized in disability and social medico-social services (IME, IEM, ESAT, MAS, SAVS), with comparable service mix and ARS/Département funding model to APAJH Gironde's establishments.

Broad incumbents

• Groupe SOS: Large French non-profit operator of healthcare, social, and inclusion services across France, including disability establishments and employment support — broader in scope and geography than APAJH Gironde but with overlapping service lines.
• Croix-Rouge française: Major French humanitarian and medico-social operator with significant presence in disability, home care (SSIAD/SAD), and social inclusion, serving as a broad incumbent in the same public-funded service space.
• Orpea / Emeis: Large French operator of residential and home care facilities for elderly and vulnerable populations (EHPAD, SSIAD, cliniques). Overlaps with APAJH Gironde's elder care and FAM lines but operates commercially at significantly larger scale.
• UNAPEI: National federation of French associations supporting people with intellectual disabilities and their families; APAJH Gironde belongs to the parallel APAJH federation. UNAPEI is the broader industry umbrella coordinating with public authorities on funding and policy.

Others

• APAJH (national federation): National federation to which APAJH Gironde belongs. Not a direct operating peer but an ecosystem/parent-adjacent participant: APAJH Gironde participated in the 49th APAJH Congress and shares branding, conventions, and advocacy with the federation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@APAJHGironde
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/apajh-gironde
• Instagraminstagram.com/apajh_gironde

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries8 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about APAJH Gironde