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The world is changing, people are changing, needs are changing, and our responses in favour of autonomy must evolve. According to INSEE (French National Institute for Statistics and Economic Studies) data, the number of elderly people will reach 2.3 million by 2060. People with disabilities, for their part, are expressing new expectations in which institutions are no longer the primary response. They want to be able to choose to live at home and participate actively in society. More than ever, social inclusion takes on its full meaning! They expect tailor-made services to promote their autonomy, taking into account their history, their wishes and their path, because it is not the walls that protect but the support. This is the challenge that home help services will have to take up, in conjunction with all the players in the health, social and medico-social sectors. The person must truly be at the centre of the action, particularly through his or her personalised project, which will be the basis for coordinating the person's pathway and thus guaranteeing quality support.