Apa: What is the Gir 1, 2, 3 or 4 of the Aggir grid?
Verified 05 October 2021 - Directorate of Legal and Administrative Information (Prime Minister), National Solidarity Fund for Autonomy (CNSA)
The national grid Act: titleContent measures the degree of loss of autonomy of the applicant of theApa: titleContent. It is used to determine whether the applicant is entitled to the AAA and, if so, the level of assistance required. The degrees of loss of autonomy are classified in 6 Gir: titleContent. Each Gir corresponds to a level of support needs to perform the essential acts of daily life.
The grid Act: titleContent is used as part of an application Custom Autonomy Allocation (Apa).
It measures an older person's ability to do the following:
- 10 bodily and mental activities, so called discriminating activities,
- and 7 domestic and social activities, so-called illustrative activities.
Only the 10 discriminating activities are used to determine the Gir: titleContent to which the applicant for the Apa is subject.
The 7 illustrative activities are intended to provide additional information to the assessor in order to better understand the overall situation of the applicant.
The Aggir grid is integrated into an evaluation reference system which makes it possible to collect all the information necessary for drawing up the applicant's assistance plan.
Video: How is autonomy evaluated?
Vidéo - CNSA - Autonomy Evaluation
Video title: How is autonomy evaluated?
Description: In her living room, Jacqueline plays cards with her daughter, Sophie. On his perch, Coco, Jacqueline's parrot.
Voice-over: Sophie applied for an APA for her mother, Jacqueline. The APA is the custom autonomy allowance.
Image Description: 'APA' is displayed in the image. Someone's knocking on the door.
Voice-over: Valentin, a professional of the departmental council, comes to make a visit to assess the needs of the situation and Jacqueline. It will also assess its level of autonomy, called the GIR. It does this by using the evaluation grid common to all departments.
Description: From documents in hand, Valentin asks Jacqueline questions, under the attentive gaze of the parrot. They are successively in 3 different rooms: the bathroom, the kitchen, and the bedroom.
Voice-over: There are 6 GIRs.
Image Description: Range 'GIR 1, 2, 3, 4' appears in the image, followed by an arrow and the 'APA'
Voice-over: If you are in GIR1, GIR2, 3 or 4, you need a lot of help in everyday life. You are therefore entitled to have the APA to cover all or part of the costs.
Description of the image: Previous entries are cleared and replaced by:
‘GIR 5, 6 ‘ followed by an arrow of ‘Pension Fund’
Voice-over: If you are in GIR 5 or GIR 6, you can eventually get help from your pension fund.
Description: Valentin says goodbye to Jacqueline and Sophie, as well as to the parrot who greets her with her wing. Everybody smiles.
Voice-over: Isn't that Coco?
Bodily and mental activities (so-called "discriminating" activities)
- Communicate verbally and/or non-verbally, act and behave in a logical and sensible manner in relation to the norms accepted by the business
- Locating oneself in space and time
- Toilet
- Get dressed, get undressed
- Serving and eating
- Ensure hygiene of urinary and fecal elimination
- Get up, lie down, sit down, go from one of these 3 positions to another
- Moving around in the living space
- Moving outside the living space
- Use a means of remote communication (telephone, alarm, doorbell, etc.) in order to alert in case of need
Domestic and social activities (so-called "illustrative")
- Prepare meals and package them so they can be served
- Manage your business, your budget and your assets, recognize the monetary value of your notes and coins, use your money and know the value of your things, do the paperwork, fill out the forms
- Perform all routine housework
- Voluntarily use public or private transport
- Purchase goods voluntarily
- Follow the doctor's prescription and manage the treatment yourself
- Voluntarily practice, alone or in groups, various leisure activities
Depending on the degree of loss of autonomy, the applicant is classified in a Gir: titleContent.
There are 6 Girs:
- Applicants classified in Gir 1 to 4 may obtain the Apa
- The applicant classified in Gir 5 or 6 cannot obtain the Apa, but may request a household help or help from your pension fund
Gir: titleContent | Dependency Degrees |
|---|---|
Gir 1 | Applicant confined to bed or chair, whose mental functions are severely impaired and who requires an indispensable and continuous presence of intervenors |
Gir 2 | - Applicant confined to bed or chair, whose mental functions are not totally impaired and whose condition requires management for most activities of daily life - Or applicant whose mental functions are impaired, but who is able to move and who requires constant supervision |
Gir 3 | Applicant who has retained mental autonomy, partially locomotor autonomy, but who requires daily and several times a day assistance with bodily care |
Gir 4 | - Applicant who does not assume his transfers alone but who, once he gets up, can move inside his accommodation, and who needs help with the toilet and dressing - Or applicant who does not have locomotor problems but who must be helped for body care and meals |
Gir 5 | Applicant requiring only one-time assistance with bathing, preparing meals and cleaning |
Gir 6 | Applicant still autonomous for essential acts of daily living |
If the health of the older person receiving the Apa requires it, they may request a reassessment of their situation. She has to send a letter to the department.
If the person had been classified as Gir 5 or Gir 6 in a previous application for an Apa and his health condition now requires classification in another Gir, he can file a new one request for allocation.
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National Solidarity Fund for Autonomy (CNSA)
National Solidarity Fund for Autonomy (CNSA)