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RUSSIAN STATE SOCIAL UNIVERSITY

Branch of the State Educational Institution of Higher Professional Education "Russian State Social University" in Tolyatti, Samara Region

Department of Theory and Practice of Social Work
Specialty: Social work
Correspondence form of education
COURSE WORK
Discipline: Theory of social work
Subject: "Disability as a social problem"

3rd year students of group C /07

Kulkova E.A.

Scientific adviser:

prof., d.s.s. Schukina N.P.

Manager's signature______
Togliatti 2009
CONTENT
Introduction…………………………………………………………………………….3
1. Theoretical and methodological foundations for the study of disability

as a social problem ……………………………………………………..6

1.1. The concept of "social problem"…………………………………………..6

1.2. Modern classifications of social problems…………………….10
2. Features of social problems of persons with disabilities

Health Opportunities……………………………………………………....16

2.1. Causes of disability…………................……………………………….16

2.2. The problem of environmental accessibility

the problem of disabled people…..………………………………………………………..26
Conclusion……………………………………………………………………...33

List of references………………………………………….....36

Application
INTRODUCTION

Relevance of the research topic. There are many social problems in the modern world. Solving a social problem involves establishing the causes that led to its occurrence. No matter how diverse social problems are, they are all due to the lack or lack of means for people to achieve their goals. Therefore, the solution of the problems that people face in their daily life comes down to finding such means.

The history of the development of the social problem of disability indicates that it has gone through a difficult path - from physical destruction, non-recognition of the isolation of "inferior members" to the need to integrate people with various physical defects, pathophysiological syndromes, psychosocial disorders into society, creating a barrier-free environment for them. In other words, disability today is becoming a problem not only of one person or group of people, but of the whole society as a whole.

Knowledge of the causes of social inequality and ways to overcome it is an important condition for social policy, which has turned into an urgent issue at the present stage, which is associated with the prospects for the development of the entire Russian society. Problems such as poverty, orphanhood, disability become the object of research and practice of social work. The organization of modern society is largely contrary to the interests of women and men, adults and children with disabilities. Symbolic barriers built by society are sometimes much more difficult to break than physical obstacles.

The degree of development of the problem. In a number of foreign and domestic teaching aids, children and adults with disabilities are portrayed as objects of care - as a kind of burden that their relatives, society and the state are forced to bear who care for them. At the same time, there is another approach that draws attention to the vital activity of the disabled themselves. It is the formation of a new concept of independent living while emphasizing mutual assistance and support in coping with the challenges of disability.

In modern science, there are a significant number of approaches to the theoretical understanding of the social problems of disability, social rehabilitation and adaptation of persons with disabilities. Techniques have also been developed for solving actual problems that determine the specific essence and mechanisms of this social phenomenon.

Thus, the analysis of the social problems of disability, in particular, was carried out in the problem field of two conceptual sociological approaches: from the point of view of sociocentric theories and on the theoretical and methodological platform of anthropocentrism. Based on the sociocentric theories of personality development by K. Marx, E. Durkheim, G. Spencer, T. Parsons, the social problems of a particular individual were considered through the study of society as a whole. Based on the anthropocentric approach of F. Giddings, J. Piaget, G. Tarde, E. Erikson, J. Habermas, L. S. Vygotsky, I. S. Kohn, G. M. Andreeva, A. V. Mudrik and other scientists reveals the psychological aspects of everyday interpersonal interaction.

At present, interest in the social problems of disability does not fade away and is considered in articles by such authors as: E. Kholostova, E. Yarskaya-Smirnova, A. Panov, T. Zorin, E. Khanzhin, M. Sokolovskaya, E. Mironova, in Samara regions - M. Tselina, A. Khokhlova, L. Vozhdaeva, L. Katina, T. Korshunova, N.P. Schukin and others.

To understand the problematic situation of the analysis of disability as a social phenomenon (disability from a sociological point of view is an "abnormal" norm or a "normal" deviation), the problem of the social norm remains important, studied from different angles by such scientists as E. Durkheim, M. Weber, R. Merton , P. Berger, T. Lukman, P. Bourdieu.

The analysis of the social problems of disability in general and the social rehabilitation of disabled people in particular is carried out in the plane of sociological concepts of a more general level of generalization of the essence of this social phenomenon - the concept of socialization.

aimwork is the analysis of disability as a social problem, its theoretical understanding.

An objectresearch - disability as a social problem.

Itemresearch - the degree of study of the social problems of disability and the possibility of their solution.

To achieve this goal, it is planned to solve the following tasks:

1. clarify the concept of "social problem";

2. to study the modern classification of social problems;

3. define such concepts as: "disabled person", "disability", "habilitation", "social rehabilitation";

4. to study the typical causes of disability;

5.analyzethe problem of accessibility of the environment, as a typical social problem of disability.

The methodological basis of the study, understood by us as a set of methods for collecting and processing information, were methods for analyzing the accumulated theoretical material on this topic, the works of specialists covering the social problems of disability.

The structure of the course work is determined in accordance with the purpose, the main tasks and includes an introduction, two chapters, a conclusion, a list of references and an appendix.
1.
THEORETICAL AND METHODOLOGICAL BASES FOR STUDYING DISABILITY AS A SOCIAL PROBLEM

1.1.
The concept of "social problem"

The experience of everyday life, messages from the mass media and data from sociological studies indicate that modern Russian society is saturated with social problems to a much greater extent than the society of fifteen years ago. Poverty, unemployment, crime, corruption, drug addiction, the spread of HIV infection, the threat of man-made disasters - this is not a complete list of those phenomena that cause anxiety and concern among the population.

The search for answers to the questions about what is the nature of the social problem phenomenon, how social problems arise and what role they play in the processes of social transformation is not easy, but ultimately leads to unexpected and sometimes exciting discoveries that allow us to better understand what is happening. Through the study of social problems, one finally gets one more opportunity to penetrate into the procedural nature of society, the opportunity to see that society is not some kind of rigid system, but a process, a constant stream of social events.

Traditionally, social problems have been understood and understood as some "objective" social conditions - undesirable, dangerous, threatening, contrary to the nature of a "socially healthy", "normally" functioning society. The task of the socionome from the traditional point of view is to identify this harmful condition, analyze it, identify the social forces that contributed to its occurrence, and, possibly, suggest certain measures to correct the situation. Traditional approaches are thus objectivist, treating social problems as social conditions.

Kozlov A.A. notes that the definition of a social problem is fraught with difficulties for a number of reasons. 1. From the point of view of cultural relativism, what is a social problem for one group may not be so for other groups. 2. The nature of social problems has changed over time, along with changes in the legal system and mores of society. 3. There is a political side to this issue, when the definition of some "problem" can lead to the exercise of social control of one group over another. Sociologists reject conventional notions of the objective status of social problems as some kind of organic pathology, engaging in the identification of socially constructed definitions of what constitutes a "problem". For example, symbolic interactionists argue that social problems are not social facts and that some problems only arise as a result of processes of social change that generate conflict between groups. In this case, one group can achieve public recognition of its demand that the behavior of another group should be labeled as a social problem. Mass media, official bodies and "experts" usually exaggerate the seriousness of social problems, inadequately responding to social demands. The concept of moral panic illustrates how the media contribute to the definition of a social problem by causing public anxiety. Many sociologists have criticized the official definitions of social problems (particularly in the field of welfare) for presenting these problems as the result of the personal characteristics of individuals rather than the structural features of a social system over which individuals are allegedly unable to exercise significant influence.

The line of individual or interpersonal behavior is a problem only in within the social context. Therefore, before defining any line of behavior of an individual as a significant deviation from the norm, it is necessary to find out whether it threatens certain institutions or beliefs, whether it leads to an irrational expenditure of resources, and also to what extent this individual interferes in the lives of a large number of people. . Therefore, when any specific social problem attracts general attention and is considered as a reason for a political decision, it is necessary to understand whether the phenomenon itself changes its nature or whether changes occur in society. The above primarily applies to such serious social problems as child or spouse abuse, teenagers running away from home, illegitimate children, teenage pregnancy and childbirth, venereal diseases, drug and substance abuse, homelessness, especially in large cities. . At the same time, social problems should be considered in the light of demographic shifts and structural changes in the family.

The literature that attempts to explain what social problems exist and why they arise and are recognized as such is written from a variety of ideological and professional perspectives.

Theorists consensus believe that "a phenomenon should be considered as a social problem if it is considered as such by the majority of people ..." (A. Etzioni, 1976), and they believe that in such cases, groups with power should be concerned based on certain objective facts.

Representatives structural and functional directions also emphasize social aspects, but at the same time highlight significant discrepancies between social norms and social reality. Norms determine institutional arrangements, and society responds to these inconsistencies, based on its needs for self-defense.

Theorists conflict believe that the source of most social problems is "illegal social control and exploitation." Many of the adherents of this direction see the cause of social problems in capitalism. The Marxist version of this theory names the high degree of marketability of society, its consumer orientations as the reason. There are numerous variations of this approach, some of them close to Freudianism.

Representatives symbolic interaction and experts in the field of ethnomethodology believe that people can have problems and can express them through appropriate behavior, because they are not able to agree on such concepts as the world, right behavior, etc., and also because of a lack of skill communicate and manage communication. The behavior of people is also influenced by the term used to denote actions.

neoconservatives believe that the most effective and powerful motives for behavior are hunger, financial status, inequality, and merit. A strong normative culture and an energetic, resilient elite, endowed with an entrepreneurial spirit and able to inspire people, strengthen society. Problems arise from failures in the system of power at one of three levels - in individual behavior, in the processes or institutions of social control, or in the foundations of the moral order. The deviant behavior of the individual is thus the result of character flaws or unsuccessful socialization.

Thus, each of these areas offers its own solution to social problems. All of these solutions are valid in certain contexts. First of all, in this regard, attention should be paid to the social position of the family in society.
1.2.
Modern classifications of social problems

WITH a social problem is a discrepancy between its goal and result, which is perceived by the subject of activity as significant for him. From the definition of a social problem it follows that it has a subjective-objective nature. Therefore, the study of social problems involves both a description of the objective state of the development of society, which is carried out using statistical methods, and the study of public opinion, which aims to identify people's dissatisfaction with the existing state of affairs.

With regard to social work, it deals with problems that arise at the level of individuals and their groups. In the first case, they talk about individual (or personal) problems, and in the second - about group problems. Since both those and other problems arise in the everyday life of people, they are also called human, and sometimes just everyday.

Without going into details, we list the typical problems of social work: the problems of protecting public health, humanizing social relations, the modern family, protecting motherhood, protecting childhood, orphans, minors, youth, women, able-bodied pensioners, the disabled, sick people sentenced to deprivation freedom, former convicts, vagrants, migrants, refugees, the normalization of interethnic relations, the unemployed, the elderly and lonely people. In addition, they also include the problems of social pathology, which includes the behavior of people that deviate from the norms accepted in society. Types of deviant behavior are delinquency, immoral behavior, alcoholism, drug addiction, prostitution, and suicide.

Thus, the problems that arise in the course of the life of an individual, group, community can be interpreted as difficulties caused by a discrepancy between the desired and the possible.

The federal law “On the Fundamentals of Social Services for the Population in the Russian Federation” names the following types of difficult life situations: disability, inability to self-service due to old age, illness, orphanhood, neglect, low income, unemployment, lack of a fixed place of residence, conflicts and abuse in family, loneliness. Therefore, to consider the classification of social problems, let's turn to the typology of difficult life situations.

Inability to self-care due to advanced age,
disease.
The content of a difficult life situation is contained in its name, but the problem is limited to two groups of causes (old age and illness), such causes as infancy and disability fell out. The inability to self-service fixes attention on the insufficient state of the physical resource, perhaps this is the most extreme quality. Here it must be borne in mind that the inability to self-care due to illness may be temporary, while at the same time it seems possible to differentiate the levels of inability (restriction of movement, restriction of movement, restriction of existence).

Orphanhood.This type of difficult life situations can be considered in the system "child-parents' implementation of their functions". The main functions of parents are maintenance (food, care, clothing, etc.), education (family education, organization of education), psychological support, representation of interests, supervision. The natural-social institution of parenthood actually plays the role of a temporary intermediary between society and the child. The loss of such a social intermediary by a child creates serious difficulties in meeting the entire gamut of human needs and social needs.

Neglectis caused by the parents' failure to fulfill their functions of supervision and upbringing of the child and differs from orphanhood by the nominal presence of parents. A private and most socially dangerous case of neglect is the complete rupture of the child and the family (lack of a permanent place of residence, limited contacts with parents or persons replacing them). The social aspect of the problem of homelessness consists in the absence of normal human conditions of life and upbringing, lack of control over behavior and pastime, leading to social decapitation. Homelessness is caused by the child leaving the family due to parental abuse or conflict.

Neglect creates social problems both in the present (neglected children become participants and victims of illegal actions) and in the future (the formation of an asocial personality type, the rooting of negative life skills).

low income as a social problem is the insufficiency of a material resource as a means of meeting social needs. The life situation of low-income citizens of working age is also characterized by low social status, the formation of an inferiority complex, the growth of social apathy, for children brought up in low-income families, there is a danger of lowering social standards, the development of aggressiveness both in relation to the state, society, and to individual layers, population groups and individuals.

Unemploymentis a problem of able-bodied citizens who do not have a job and earnings (income), ready to start work. The social side of the problem of unemployment is expressed in the interest of any state in the maximum involvement of the population in the production of material and spiritual goods (these people are taxpayers and feed dependent categories - children and the elderly). In addition, the unemployed represent an unstable, potentially criminogenic social group (the unemployed have a higher risk of antisocial behavior). And finally, the unemployed are the segments of the population that need protection and assistance (in the form of additional payments, compensations, etc.). Therefore, it is cheaper for the state to overcome unemployment than to support the unemployed.

Lack of a fixed place of residence - a specific social problem associated not only and not so much with the insufficiency of the economic resource, but with the violation of the human "microworld" - the system of existence, integration into society. Individuals with problems of this kind are called "homeless" (without a fixed place of residence), they are forced to wander, to be vagrants. The very word "tramp" is explained in dictionaries as "an impoverished, homeless person wandering without certain occupations."

Conflicts and abuse in the family. Conflicts in the family are a clash of spouses, children and parents, caused by intractable contradictions associated with Confrontation and acute emotional experiences. The conflict leads to a breakdown in the functioning of the family, a disruption in the process of realizing the needs of its members.

Child abuse leads to different consequences, but they are united by one thing - damage to the health or danger to the life of the child, not to mention the violation of his rights. Conflicts in the family destroy the sense of security, psychological comfort, cause anxiety, give rise to mental illness, leaving the family, suicidal attempts.

Loneliness
-
this is an experience that evokes a complex and acute feeling that expresses a certain form of self-consciousness, indicating a split in the relationships and connections of the inner world of the individual. The sources of loneliness are not only personality traits, but also the specifics of the life situation. Loneliness comes from lack co social interaction of the individual, interaction that satisfies the basic social needs of the individual.

There are two types of loneliness: emotional loneliness(lack of close intimate attachment, such as love or marriage); social loneliness(lack of meaningful friendships or sense of community). Loneliness can be the cause of many disappointments, but the worst is when it becomes a cause of frustration. Lonely people feel abandoned, torn off, forgotten, deprived, unnecessary. These are excruciating sensations because they occur contrary to normal human expectations.

Disability.Latin word for invalid invalid ) means "unsuitable" and serves to characterize persons who, due to illness, injury, mutilation, are limited in the manifestation of vital activity. Initially, when characterizing disability, the emphasis was on the relationship “personality-ability to work”. Since disability is an obstacle to a full-fledged professional activity and deprives a person of the opportunity to independently provide for his own existence, first of all, attention was paid to the medical aspects of disability and the problems of material assistance to the disabled, appropriate institutions were created to compensate for the lack of material means of subsistence for the disabled. At the beginning XX V. ideas about disability were humanized, this problem began to be considered in the coordinate system “personality-ability for full-fledged life”, ideas were put forward about the need for such assistance, which would give the disabled person the opportunity to independently build his life.

The modern interpretation of disability is associated with a persistent health disorder caused by diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for social protection and assistance. The main sign of disability is the lack of a physical resource, which is externally expressed in the limitation of life activity (complete or partial loss of the ability or ability to carry out self-service, move independently, navigate, communicate, control one's behavior, learn and engage in work)[15, p.21].

Restrictions of a disabled person in employment lead simultaneously to a low property status and excessive temporary potential. The social status of disabled people is quite low and is expressed in social discrimination against this group of the population. The state of other resources depends on the period of life during which the disability occurred. Disability of children as a problem is associated with the danger of insufficient development of abilities, limited development of individual social experience, the formation of such negative traits as infantilism and dependency (characterizing life position, self-attitude).

Thus, out of the total number of social problems in social work, the problems of people with disabilities are among the most acute and studied, because. And disability is a social phenomenon that no society in the world can avoid. There are over 13 million people with disabilities in Russia today, and their number tends to grow further. Some of them are disabled from birth, others became disabled due to illness, injury, but it should be noted that they are all members of society and have the same rights and obligations as other citizens.

2. FEATURES OF SOCIAL PROBLEMS OF PERSONS WITH LIMITED HEALTH OPPORTUNITIES

2.1. Causes of disability
In accordance with the Federal Law of November 24, 1995 No. 181-FZ "On the Social Protection of the Disabled in the Russian Federation" disabled a person is recognized who has a health disorder with a persistent disorder of body functions due to diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for his social protection.

“Restriction of life activity,” the same Law explains, “is a complete or partial loss of the ability or ability of a person to carry out self-service, move independently, navigate, communicate, control their behavior, learn and engage in labor activity.”

This definition is comparable to that given by the World Health Organization. Let's represent it as a sequence of positions:

Structural disorders, ailments or damage, visible or recognizable by medical diagnostic equipment,

May lead to the loss or imperfection of the skills necessary for certain types of activities, which, under appropriate conditions, will contribute to social maladjustment, unsuccessful or slow socialization .

People with disabilities have functional difficulties as a result of illness, deviations or deficiencies in development, health status, appearance, due to the unsuitability of the external environment for their special needs, and also because of the prejudices of society towards themselves.

The International Movement for the Rights of Persons with Disabilities considers the following concept of disability to be the most correct: “ Disability - obstacles or restrictions on the activities of a person with physical, mental, sensory and mental disabilities, caused by the conditions existing in society, under which people are excluded from active life. Thus, disability is one of the forms of social inequality . In Russian, it has become customary to call a person with serious health problems a disabled person. Today, this word is used in determining the degree of complexity of the disease and the social benefits provided in this case to a person. At the same time, along with the concept of "disability", such concepts as disability, atypical health condition, special needs.

Traditionally, disability was considered a medical issue, the decision of which was the prerogative of doctors. The dominant point of view was that people with disabilities were incapable of a full-fledged social life. However, other trends are gradually being established in the theory and practice of social work, which are reflected in models of disability.

medical model defines disability as an ailment, disease, psychological, physical, anatomical defect (permanent or temporary). The disabled person is treated as a patient, a sick person. It is assumed that all his problems can be solved only through medical intervention. The main way to solve disability problems is rehabilitation(programs of rehabilitation centers include, along with medical procedures, sessions and courses of occupational therapy). Habilitation - it is a complex of services aimed at the formation of new and strengthening of existing resources of social, mental and physical development of a person. Rehabilitation- this is the restoration of abilities that were available in the past, lost due to illness, other changes in living conditions.

In Russia today, rehabilitation is called, for example, recovery after an illness, as well as the habilitation of children with disabilities. Moreover, it is assumed not a narrowly medical, but a broader aspect of social and rehabilitation work. Rehabilitation- this is a system of medical, psychological, pedagogical, socio-economic measures aimed at restoring the social status of a disabled person, achieving their material independence, and their social adaptation. According to the Standard Rules for the Equalization of Opportunities for Persons with Disabilities, rehabilitation is a fundamental concept of disability policy, meaning a process designed to help persons with disabilities achieve and maintain optimal physical, intellectual, mental and/or social performance, thereby providing them with the means to change their life and expanding the scope of their independence.

Disability is a personal issue this is the model according to which disability is a great misfortune, a personal tragedy of a person, and all his problems are a consequence of this tragedy. The task of the socionome in this regard is to help the disabled person: a) get used to their condition; b) provide him with care; c) share his experiences with him. This is a very common approach, which inevitably leads to the idea that a person with a disability should adapt to society, and not vice versa. Another feature of this approach is that it offers traditional recipes without taking into account the unique individuality of each person.

Started in the 60s. 20th century the rapid development of the "third" non-governmental sector stimulated the active participation in social policy of atypical people (disabled people), who until now were considered only objects, recipients of assistance. Formed social model, according to which disability is understood as the preservation of a person's ability to function socially, and is defined as a limitation of life (the ability to serve oneself, the degree of mobility). The main problem of disability, according to the analyzed model, lies not in a medical diagnosis and not in the need to adapt to one's illness, but in the fact that existing social conditions limit the activity of certain social groups or categories of the population. In this interpretation, disability is not a personal, but a social problem, and it is not the disabled person who should adapt to society, but vice versa. In this context, disability is seen as discrimination, and the main goal of social work with people with disabilities is to help society adapt to the needs of people with disabilities, as well as help people with disabilities themselves realize and exercise their human rights.

Widely used by various social movements political and legal model disability. According to this model, people with disabilities are a minority whose rights and freedoms are infringed on by discriminatory legislation, inaccessibility of the architectural environment, limited access to participation in all aspects of society, to information and mass communication, sports and leisure. The content of this model determines the following approach to solving disability problems: equal rights of a person with a disability to participate in all aspects of society should be enshrined in legislation, implemented through the standardization of regulations and rules in all spheres of human life and provided with equal opportunities created by the social structure.

Thus, disability is a health disorder with a persistent disorder of body functions, caused by diseases, birth defects, and the consequences of injuries that lead to limitation of activity.

Disability and disability of the population are the most important indicators of public health and have not only medical, but also socio-economic significance. According to WHO, every fifth person in the world (19.3%) becomes disabled due to malnutrition, about 15% became disabled due to bad habits (alcoholism, drug addiction, drug abuse), 15.1% became disabled due to injuries in at home, at work and on the road. On average, people with disabilities make up about 10% of the world's population. In Russia, the average disability rate ranges from 40 to 49 per 10,000 inhabitants.

In Russia, persons with disabilities are also recognized as persons who do not have external differences from ordinary people, but suffer from diseases that do not allow them to work in various fields in the way that healthy people do.

It should be noted that all disabled people for various reasons are divided into several groups:

-according to the age- disabled children, disabled adults;

-P on the origin of the disability - invalids from childhood, war invalids, labor invalids, general illness invalids;

-according to the degree of ability to work - disabled able-bodied and disabled, disabled people I groups (disabled), disabled II groups (temporarily disabled or able-bodied in limited areas), disabled people III groups (able-bodied in sparing working conditions);

- according to the nature of the disease persons with disabilities may belong to mobile, low mobility or immobile groups.

Thus, the main signs of disability are the complete or partial loss of a person’s ability or ability to carry out self-care, move independently, navigate, communicate, control their behavior, learn and engage in work [ 18,s . 44] .

In the Encyclopedia of Social Work, it is also noted that the term "inferiority of development" of a person means a chronic inferiority of a person, which 1) is associated with mental or physical disabilities, or with a combination of both; 2) manifests itself before a person reaches 22 years of age; 3) in all likelihood will continue in the future; 4) leads to significant functional limitations in three or more of the following areas of human activity: a) self-care, b) language of perception and expression, c) learning, d) movement, e) self-control, f) the possibility of independent existence, g ) economic independence; 5) is expressed in the need of a person for consistent interdisciplinary or general assistance, for treatment, care or other forms of service necessary for him throughout his life or for a fairly long time.

The current functional definition of malformation covers the majority of severely handicapped people and, as a result, does not take into account the vast number of people with milder disabilities, most of whom are from poor families. There is a lot of documented evidence that there is an inextricable link between poverty and human disease, but it is often the poorest families who have less access to various social assistance services. Such a social problem as the close relationship between poverty and poor cognitive abilities of a child is far from new. For example, the Association for the Problems of Persons with Defects mental development decided that certain tests (the adaptability test) should be part of the examination for a diagnosis of mental retardation.

The practice of using tests as the sole criterion for making such a diagnosis, which becomes a lifelong stigma, has been subjected to significant criticism. Everything that is directly related to the problems of people with disabilities falls within the scope of the social worker. The skills, experience and knowledge of social workers, for example, in the field of protection, preventive measures, belief in the dignity of each person - all this is very important when considering issues related to the problems of people with disabilities, which have as their root cause poverty. There are eight most common diagnoses in people who are considered handicapped: mental retardation, cerebral palsy, autism, hearing impairment, orthopedic problems, epilepsy, the impossibility of normal learning, or a combination of several diseases.

At present, the allocation of certain material resources and a new look at the problem have given rise to the hope that social, psychological and educational assistance will have a positive impact on increasing the resilience of persons with disabilities.

Thus, the modern principle of the work of professionals in the field related to the problems of inferior development is to support the normal life of individuals. Basic laws, major court cases, and changes in the focus of various programs allow the disabled person to live in less isolated conditions closer to normal. The very definition of underdevelopment corresponds to the traditional notions of social work as an intervention aimed at maintaining a relationship of interaction between the individual and his environment.

It should also be noted that from a medical point of view, physical disability is considered a chronic disease that requires various courses of treatment. Such diseases include the consequences of poliomyelitis, hyperkinesis, epilepsy, etc. The medical definition of inferiority largely dominates both the phenomenon itself and those suffering from him, and over all social work. Thus, it is indicated that disabled people are those who are able to work with less workload than healthy people, or who are unable to work at all. Thus, persons suffering from inferiority are initially seen as less productive and economically disadvantaged. Ultimately, all models - medical, economic and functional limitations - emphasize what a given person lacks.

It should be noted that the system of services for persons suffering from physical disabilities has faced a number of problems today. Medicine is progressing, and as a result, diseases that were once fatal now lead to inferiority. And state rehabilitation structures in the center and states are facing the threat of a reduction in the necessary resources, a lack of experienced leaders, disunity, narrowing their prerogatives, changing views on social justice, in short, a complex of difficulties that affect the social work system as a whole. Physically handicapped people usually live in poverty and are more likely than healthy people to be entitled to various types of social services. And this means that in the process of training social workers need to instill the skills of communicating with inferior clients and educate the right attitude towards these people. A relationship of mutual trust and empathy must be established between the handicapped and social workers instead of the alienation and misunderstanding that often occurs today.

Over the past few years, there has been a trend towards an increase in the number of people with disabilities. According to the results of processing in the monitoring mode of state statistics forms, carried out by the Federal State Institution "Federal Bureau of Medical and Social Expertise" (MD, Prof. L.P. Grishina), the number of people recognized as disabled for the first time among the adult population increased from 1.1 million people in 2003 to 1.8 million people in 2005; in 2006 this figure dropped to 1.5 million people. At the same time, the number of citizens of working age recognized as disabled for the first time practically does not change and amounts to slightly more than 0.5 million people annually. At the same time, the proportion of disabled pensioners increased from 51% in 2001 to 68.5% in 2005; in 2006 it was 63.4%.

Unfortunately, disabled people in Russia are not decreasing, but, on the contrary, are increasing every year. And their financial and social situation worsens year by year. This is evidenced by the following official statistics.

Table 1. Distribution of the number of persons recognized as disabled for the first time

Attention should be paid to the huge increase in the number of disabled people of working age: during the period of B.N. Yeltsin, it exceeded 50%, with the advent of V.V. Putin has decreased slightly, but still is almost the same 50%. Union workers know what lies behind this amazing growth: extremely low compliance with workplace safety rules, worn-out equipment that is dangerous to work on.

Thus, the main factors determining the growth of disability are the degree of economic and social development of the region, which determines the standard of living and income of the population, morbidity, the quality of the activities of medical institutions, the degree of objectivity of the examination in the bureau of medical and social expertise, the state of the environment (ecology) , industrial and domestic injuries, road traffic accidents, man-made and natural disasters, armed conflicts and other reasons. It should be noted that there is a relationship between the growth in the number of persons applying for disability for the first time and the measures taken to socially protect various categories of disabled people and improve their quality of life.

Much has been done in Russia in recent years to address the problems of disabled people and disability. State policy in this direction is based on a solid legal foundation, primarily on the basic law "On the Social Protection of Disabled Persons in the Russian Federation". The current legislation in relation to this category of citizens is ramified; it contains guarantees for the employment and training of people with disabilities, for them to receive a decent education, health protection, social and legal protection, integration and rehabilitation, participation in political, social and cultural life, and provision of the necessary information.
2.2. The problem of accessibility of the environment as a social problem of the disabled
Issues of social support for disabled people are constantly in the field of view of the legislative and executive authorities both at the federal and regional levels. The decisions adopted in recent years contain a comprehensive set of measures to improve the social status of the disabled. In the practical activities of the state to implement the guarantees provided for at the legislative level, priority is given to increasing the level of income of people with disabilities, improving their quality of life

The conditions for ensuring a decent quality of life for people with disabilities include meeting their needs. These needs relate to various social aspects and personal aspects of life and largely coincide with the needs of every citizen. They are schematically shown in Figure 1.

Rice. 1. The needs of people with disabilities in various areas of life

With the onset of disability, a person has real difficulties, both subjective and objective, in adapting to living conditions. Access to education, employment, leisure, personal services, information and communication channels is largely difficult for people with disabilities, public transport is practically not adapted for use by people with disabilities of the musculoskeletal system, hearing and vision. All this contributes to their isolation and sense of alienation. The disabled person lives in a more closed space, isolated from the rest of society. The limited communication and social activity creates additional psychological, economic and other problems and difficulties for the disabled themselves and their loved ones. There are both social and economic barriers to close relationships and marriage among people with disabilities.

The socio-psychological well-being of the majority of disabled people is characterized by uncertainty about the future, imbalance, and anxiety. Many feel like outcasts of society, flawed people, infringed on their rights.

In Russia, access to social infrastructure facilities is largely difficult for disabled people - health care, education, culture and sports, personal services (hairdressers, laundries, etc.), places of work and recreation, many shops due to architectural and construction barriers, unsuitability public transport for use by persons with disorders of the musculoskeletal system and defects in sensory organs.

Ignoring the needs of people with disabilities in everyday life activities for each person, the inaccessibility of socially significant objects reduce the ability of people with physical defects to fully participate in society.

A special Decree of the President of the Russian Federation No. 1156 of 02.10.92 “On measures to create an accessible living environment for disabled people” and Decree of the Government of the Russian Federation No. 1449 of 07.12.96 “On measures to ensure unhindered access of disabled people to information and social infrastructure”, as well as a number of other by-laws. These documents take into account the needs of people with disabilities when locating the construction of social and cultural facilities, creating conditions for the availability of jobs and ensuring unhindered access for people with disabilities to engineering and transport infrastructure facilities. It is planned to introduce into departmental regulations in the field of construction requirements for the mandatory examination of design estimates for the development of cities and other settlements, the construction and reconstruction of buildings and structures in terms of ensuring their accessibility for the disabled. The bodies of the State Architectural and Construction Supervision are entrusted with monitoring compliance with accessibility requirements during the construction and reconstruction of buildings and structures. It is recommended to involve public organizations of disabled people in this activity.[15, p.21].

In 1993, the Decree of the Government of the Russian Federation "On approval of the list of categories of disabled people who require modification of means of transport, communications and informatics" was issued. This document contained specific regulatory norms for the adaptation of public and individual transport for people with disabilities with lesions of the musculoskeletal system and people with disabilities with visual, hearing and speech impairments.

In Western European and some other countries, requirements have been developed and observed for equipping urban transport with lifting devices for boarding disabled people in wheelchairs, platforms, seats, fixing and fastening devices, special handrails and other equipment that ensures their placement and movement inside the vehicle. Almost all leading foreign airlines provide special places for the disabled in air transport. Convenience, comfort and safety are also guaranteed to the disabled on passenger sea and river vessels. When transporting disabled people by rail, wagons with a wide corridor, a special toilet and space for wheelchairs are used in trains. Attention is also paid to the equipment of railway stations, stations, crossings, etc.

In Russia, the first steps are being taken, both in the field of creating specialized vehicles and in organizing transport services for the disabled, including disabled people with impaired musculoskeletal functions. In 1991, the LIAZ-677 bus was manufactured, adapted for the transportation of disabled people and equipped with a special lifting device. Since 1990, international buses of the Mercedes-Benz-Turk company (Turkey) began to arrive in Russia. The experience of their operation in sightseeing transportation of the disabled confirmed the effectiveness of the equipment installed in them. The first tram cars and trolleybuses appeared, electric trains adapted for the transportation of disabled people with limited motor functions began to be produced. Of course, the mass production of these special vehicles will require a lot of costs and time. On the Oktyabrskaya railway there are two passenger carriages adapted for the transportation of disabled people in wheelchairs. They are equipped with two lifts and have one compartment adapted to accommodate one disabled person with an accompanying person. In addition, the cars have a specially equipped toilet.

To date, only sea and river vessels do not provide facilities for the transportation of disabled people with impaired motor functions.

By Decree of the Government of the Russian Federation No. 832 dated December 29, 2005 (as amended on December 24, 2008 No. 978), the Federal Comprehensive Program "Social Support for the Disabled for 2006-2010" was approved and is functioning. The target program “Formation of the living environment accessible for the disabled”, which is part of it, is directly aimed at solving the above problems [Appendix 1]. It provides for scientific research and development, taking into account the needs of various categories of disabled people, the requirements for accessibility of all types of public transport and urban infrastructure.

A very important document that defines the legal basis for the formation of a barrier-free architectural environment for the disabled is the Town Planning Code of the Russian Federation. It provides for the provision of access for disabled people to all facilities and transport communications, to places of work and recreation, socio-cultural centers, regardless of their place of residence in urban and rural settlements.

Measures have been developed to create a social infrastructure for the disabled that is convenient for living. It is planned to equip residential buildings with means convenient for the movement of disabled people, i.e. special access roads, lifts; creation of rehabilitation complexes with special sports simulators and swimming pools; adaptation of means of individual, urban and intercity passenger public transport, communications and informatics; expanding the production of auxiliary technical means and household equipment. The implementation of the programs provides for the participation of a number of ministries and departments [Appendix 1].

Currently, in many regions of Russia (in the Kaluga, Volgograd, Novosibirsk regions, Moscow, etc.), municipal authorities are actively taking measures to reconstruct the housing and social fund, build special apartments for the disabled in new buildings, and provide special equipment for urban transport. It is important to disseminate best practices and tighten the measures of responsibility for the implementation of the adopted regulatory documents.

A barrier-free living environment means not only architectural and transport accessibility, but also ensuring unhindered access to information for people with disabilities. The main state guarantees for the right to receive the necessary information are reflected in Art. 14 of the Federal Law "On the Social Protection of the Disabled in the Russian Federation" .

The law provides for state support for editorial offices and publishing houses that produce special literature for the disabled. Certain types of financial incentives are provided for editorial offices, programs, studios that produce audio and video products for the disabled.

The release of periodical, scientific, educational and methodical, reference and informational and fiction literature for the disabled, including those published on tape cassettes and Braille, the provision of sign language equipment is planned to be financed from the federal budget.

Sign language is officially recognized as a means of interpersonal communication. On television, films and video films, a system of subtitling or sign language translation should be provided, which is practically not implemented, only some television programs are accompanied by subtitles or simultaneous translation. At the same time, almost all channels in the United States have programs with closed captions; in Denmark, 90% of TV programs have subtitles. Many countries have special programs for the deaf.

Expansion of information resources of libraries accessible to the disabled, provision of tiflo means was carried out within the framework of the federal target program "Culture of Russia".

The Program for the Socio-Economic Development of the Russian Federation, among the priority areas, includes ensuring the accessibility of buildings and structures, means of transport, communications and information, along with other issues of rehabilitation of the disabled.

To date, a fairly complete legal framework has been created that regulates the creation of a barrier-free living environment for the disabled. However, the practical implementation of laws and other regulations is slow. The main constraining factors for the fulfillment of the tasks set are the financing of relevant programs, the provision of designers, builders and other participants in the investment process with regulatory, methodological, recommendatory and design materials.

On the other hand, the mechanisms of control and recovery are not well developed. The executive authorities of the constituent entities of the federation and municipalities must legally ensure the responsibility of designers and builders for the implementation of standards for the adaptation of housing, roads and social, cultural and community facilities to the needs of disabled people. Design decisions for new construction of buildings and structures must necessarily take into account the opinion of public associations of the disabled. The formation of public consciousness is also of great importance, since not only state structures, but also private entrepreneurs, public and political figures should participate in the creation of a barrier-free environment.

Thus, having considered disability as a social problem, it can be noted that the main areas of human life are work and life. A healthy person adapts to the environment. Disabled people need to be helped in adaptation: so that they can freely reach the machine and perform production operations on it; could themselves, without outside help, leave the house, visit shops, pharmacies, cinemas, while overcoming both ups and downs, and transitions, and stairs, and thresholds, and many other obstacles. It is necessary that they feel on an equal footing with healthy people at work, at home, and in public places. This is called social assistance to the disabled - to all those who are physically or mentally handicapped.
CONCLUSION

So, in the work we noted that in the modern world there are many social problems. Solving a social problem involves establishing the causes that led to its occurrence.

Of the total number of social problems of social work, the problem of disability is one of the most acute and studied, because. And disability is a social phenomenon that no society in the world can avoid. At the beginning XX V. this problem began to be considered in the system of coordinates "personality-ability for full-fledged life", ideas were put forward about the need for such assistance, which would give the disabled person the opportunity to build their own life.

The modern interpretation of disability is associated with a persistent health disorder caused by diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for social protection and assistance. The main sign of disability is the lack of a physical resource, which is externally expressed in the limitation of life.

Traditionally, disability was considered a medical issue, the decision of which was the prerogative of doctors. The dominant point of view was that people with disabilities were incapable of a full-fledged social life. Gradually, however, other trends are being established in the theory and practice of social work, which are reflected in models of disability.

The work notes that disability is one of the forms of social inequality; l people with mental or physical disabilities have functional difficulties as a result of illness, deviations or deficiencies in development, health, appearance, due to the unsuitability of the external environment for their special needs, and also because of the prejudices of society towards themselves. Thus, the main signs of disability are the complete or partial loss of a person’s ability or ability to carry out self-care, move independently, navigate, communicate, control their behavior, learn and engage in work activities. Having considered these issues, it can be argued that we have achieved the goal of our study to identify and analyze the social problems of disabled people, which are expressed in the limitation of life.

Thus, the main problem of disability lies not in a medical diagnosis and not in the need to adapt to one's illness, but in the fact that existing social conditions limit the activity of certain social groups or categories of the population. In this interpretation, disability is not a personal, but a social problem, and it is not the disabled person who should adapt to society, but vice versa.

In this context, disability is seen as discrimination, and the main goal of social work with people with disabilities is to help society adapt to the needs of people with disabilities, as well as help people with disabilities themselves realize and exercise their human rights.

With regard to the problem of disabled people in the accessibility of the environment, it should be noted that measures have been developed to create a social infrastructure for disabled people that is convenient for living. It is planned to equip residential buildings with means convenient for the movement of disabled people, i.e. special access roads, lifts; creation of rehabilitation complexes with special sports simulators and swimming pools; adaptation of means of individual, urban and intercity passenger public transport, communications and informatics; expanding the production of auxiliary technical means and household equipment.

It should be noted that much has been done in Russia in recent years to solve the problems of disabled people and disabilities. State policy in this direction is based on a solid legal foundation, primarily on the basic law "On the Social Protection of Disabled Persons in the Russian Federation". The current legislation in relation to this category of citizens is ramified; it contains guarantees for the employment and training of people with disabilities, for them to receive a decent education, health protection, social and legal protection, integration and rehabilitation, participation in political, social and cultural life, and provision of the necessary information. Consequently, by now a fairly complete legal framework has been created that regulates the creation of a barrier-free living environment for the disabled. However, it would be correct to point out that the practical implementation of laws and other regulations is slow.

Summarizing the above, we emphasize thatDisabled people constitute a special category of the population, whose number is constantly increasing. The world community considers the social protection of disabled people as a problem of paramount importance.

Changing the public attitude towards the problem of disability and the disabled, the development of a system of social rehabilitation is one of the main and responsible tasks of modern state policy. Ensuring the social protection of disabled people, the state must create the necessary conditions for them to achieve the same standard of living as their fellow citizens, including in the area of ​​income, education, employment, participation in public life and accessibility of the environment.

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Annex 1
GOVERNMENT OF THE RUSSIAN FEDERATION

RESOLUTION

"ABOUT THE FEDERAL TARGET PROGRAM "SOCIAL SUPPORT FOR THE DISABLED PEOPLE FOR 2006 - 2010"

(as amended by Decrees of the Government of the Russian Federation

dated 28.09.2007 N 626, dated 02.06.2008 N 423,

dated December 24, 2008 N 978)

In order to create conditions for the rehabilitation and integration of disabled people into society, as well as to improve their standard of living, the Government of the Russian Federation decides:

1. Approve the attached federal target program "Social Support for the Disabled for 2006-2010" (hereinafter referred to as the Program).

2. Approve the Ministry of Health and Social Development of the Russian Federation as the state customer-coordinator of the Program, the Ministry of Defense of the Russian Federation, the Ministry of Internal Affairs of the Russian Federation, the Ministry of Health and Social Development of the Russian Federation and the Federal Medical and Biological Agency as state customers of the Program.

(as amended by Decrees of the Government of the Russian Federation dated

06/02/2008 N 423, dated 12/24/2008 N 978)

3. The Ministry of Economic Development of the Russian Federation and the Ministry of Finance of the Russian Federation, when drawing up the draft federal budget for the corresponding year, include the Program in the list of federal targeted programs to be financed from the federal budget.

(as amended by the Decree of the Government of the Russian Federation of

24.12.2008 N 978)

4. To recommend that the executive authorities of the constituent entities of the Russian Federation take into account the provisions of the Program when adopting in 2006-2010 regional targeted programs for the social support of the disabled.
Prime Minister

Russian Federation

Introduction…………………………………………………………………………………3

1 Disability: concept, causes, forms………………………………………..5

1.1 The concept of disability…………………………………………………………..5

1.2 Causes of disability…………………………………………………………….7

1.3 Forms of disability………………………………………………………….....9

2 Problems of the disabled………………………………………………………………..13

2.1 Social and everyday problems…………………………………………………………………………………………13

2.2 Psychological problems…………………………………………………… 14

2.3 Education problems…………………………………………….17

2.4 Employment problems……………………………………………………….22

Conclusion…………………………………………………………………………...28

References…………………………………………………………………..29

Introduction

The powerful process of humanization of social relations outlined throughout the world stimulates the aggravation of universal interest in the problems of the least socially protected strata, among which the disabled occupy one of the first places.

Various reasons lead to the loss of a significant part of humanity of health and ability to work, which severely affects their financial situation and worldview, gives rise to moods of deprivation, inferiority and pessimism not only among themselves, but also among those around them. Therefore, a society that is aware of its humanity and strives to realize it faces the problem of comprehensive assistance to those who are in dire need of it.

In practice, this finds expression in the practice of rehabilitation of disabled people, the ultimate goal of which, according to the definition of the World Health Organization, is their social integration, i.e. active participation in the main areas of activity and life of society, inclusion in social structures intended for healthy people and related to various spheres of human life - educational, professional, etc.

The policy of social support for the disabled should be built on the platform of creating conditions for the equal participation of people with disabilities in the life of society. The organization of accessibility of the environment for people with disabilities implies, following the recognition of the equal rights of people with disabilities to participate in society, the organization of an effective market for services, where people with disabilities are increasingly presented as consumers with specific requirements, demand for certain goods, services and accessible buildings.

The problems of disabled people need to be studied in order to improve the quality of life of people with disabilities, as well as to make them more comfortable in modern society.

The concept of equal citizenship regards people with disabilities not as persons with “residual working capacity”, but as worthy citizens, as consumers of special, specific services and goods. Such a shift in emphasis contributes to the rejection of the attitude towards people with disabilities as "damaged" people and the formation of attitudes towards people with disabilities as people with special, additional needs.

At the same time, a disabled person is not only a passive consumer of goods and services. If society seeks to integrate disabled people, this implies processes of raising their status in socio-economic and market relations.

Modern Russian social policy does not form dependent attitudes, orienting disabled people to an active position in relation to employment, independent life, however, the mechanisms for suppressing discrimination and arbitrariness of employers in relation to disabled people are not yet fully operational. The discriminatory actions of employers are justified by them from the standpoint of the requirements of a market economy, and there are still not enough precedents for restoring justice and imposing punishment for violating constitutional guarantees.

The purpose of this course work- to study the problems of people with disabilities.

Objectives of the course work:

1. Highlight the basic concepts, causes, forms of disability.

2. Show the main problems of the disabled.

1 Disability: concept, causes, forms

1.1 Concept of disability

According to Russian legislation, a disabled person is “a person who has a health disorder with a persistent disorder of body functions due to diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for his social protection.” Disability is defined as “the complete or partial loss of a person’s ability or ability to carry out self-care, move independently, navigate, communicate, control their behavior, learn and engage in work” .

This definition is comparable to that given by the World Health Organization: people with disabilities have functional difficulties as a result of illness, deviations or deficiencies in development, health, appearance, due to the inability of the external environment to their special needs, due to prejudices of society in relation to disabled people. In order to reduce the impact of these restrictions, a system of state guarantees for the social protection of persons with disabilities has been developed.

Social protection of the disabled is a system of state-guaranteed economic, social and legal measures that provide disabled people with conditions for overcoming, replacing (compensating) life restrictions and aimed at creating equal opportunities for them to participate in the life of society with other citizens.

Thanks to the new state social policy, researchers and social workers, educational activities of human rights associations, changes are gradually taking place, including in the language itself. Abroad today, this term is almost out of use, people avoid using such “labels” as deaf, blind, stutterer, replacing them with combinations of “impaired hearing (vision, speech development).

According to the UN, every tenth person on the planet has a disability. According to official statistics, there are now 13 million disabled people in Russia. According to the Agency for Social Information, there are at least 15 million of them. There are a lot of young people and children among the current disabled.

In a narrow sense, from the point of view of statistics, a disabled person is a person who has an unexpired disability certificate issued by the Bureau of Medical and Social Expertise (BMSE) or in medical institutions of law enforcement agencies. The overwhelming majority of such people are registered with social security agencies or medical institutions of law enforcement agencies as recipients of various types of pensions, including pensions not for disability, but for other reasons (most often old age).

In a broad sense, the contingent of persons with disabilities also includes persons who fall under the definition of disability established by law, but due to various circumstances, have not applied to the BMSE. What are these circumstances? They can be divided into 2 classes. The first is related to the development of health care and medicine, in particular, the diagnosis of diseases and its availability (for example, late detection of malignant neoplasms). The second - with the motives of a person in obtaining the status of a disabled person. At present, this motivation is higher than in the past, when restrictions on the work activity of disabled people were very significant, and the status of a disabled person did not allow them to work.

Among the disabled, three groups can be distinguished: a) pensioners receiving an old-age pension; b) persons with disabilities who receive a disability pension; c) working persons of working age who are not recipients of pensions and benefits.

The increase in disability that we are experiencing today can be called an increase in "accumulated" disability. Decreased chances of employment, the unreliability of casual earnings cannot but push citizens who have grounds for obtaining a disability to register their disability. In order to survive in such conditions, they resort to the accumulation of all available sources of income, including the social security system.

Disability, defined in one way or another, is familiar to every society, and each state, according to its level of development, priorities and opportunities, forms a social and economic policy in relation to people with disabilities.

Over the past thirty years, stable trends and mechanisms for the formation of policies regarding persons with disabilities have developed in the world, governments of various countries are developing approaches to solving the problems of this social group, assisting state and public institutions in defining and implementing policies addressed to persons with disabilities.

1.2 Causes of disability

When determining the disability group, the ITU should always determine the cause of the disability. All documents that served as the basis for establishing the cause of disability are recorded in the examination report.

Work injury;

Since childhood;

General disease

2. For military personnel:

military trauma;

The sequence of events leading to social insufficiency and disability is generally as follows: etiology - pathology (disease) - dysfunction - limitation of life - social insufficiency - disability - social protection.

The basis for determining disability is a combination of three factors: impaired body functions, persistent limitation of life, social insufficiency.

Classification of violations of the basic functions of the human body

1. Violation of psychological functions (perception, attention, thinking, speech, emotions, will).

2. Violation of sensory functions (vision, hearing, smell, touch).

3. Violation of the static-dynamic function.

4. Violation of the function of blood circulation, respiration, digestion, excretion, metabolism and energy, internal secretion.

Classification of the main categories of life

1. Ability to self-service - the ability to independently satisfy basic physiological needs, perform daily household activities, and maintain personal hygiene.

2. Ability to move independently - the ability to move in space, overcome an obstacle, maintain body balance.

3. Ability to learn - the ability to perceive and reproduce knowledge (general educational, professional, etc.), mastering skills and abilities (social, cultural and household).

4. Ability to work - the ability to carry out activities in accordance with the requirements for the content, volume and conditions of work.

5. Ability to orientation - the ability to be determined in time and space.

6. Ability to communicate - the ability to establish contacts between people through the perception, processing and transmission of information

7. The ability to control one's behavior - the ability to self-awareness and adequate behavior, taking into account social and legal norms.

Classification of violations of the body's function according to the degree of severity provides for the allocation of mainly three degrees of violations:

1 degree - minor or moderate dysfunction;

Grade 2 - severe functional impairment;

3 degree - significantly pronounced dysfunction.

Types of social insufficiency:

1. Physical dependence - difficulty (or inability) to live independently;

2. Economic dependence - difficulty (or inability) to material independence.

3. Social dependence - difficulty (or inability) to maintain social ties.

1.3 Forms of disability

The criterion for determining the first group of disability is social insufficiency caused by persistent, significantly pronounced disorders of body functions, which are caused by diseases, the consequences of injuries, leading to a pronounced limitation of one of the following categories of life activity or their combination:

Ability to self-service of the third degree - complete dependence on other persons;

Abilities to movement of the third degree - inability to move;

Orientation abilities of the third degree - disorientation;

Ability to communicate third degree - inability to communicate;

Behavioral control abilities of the third degree - the inability to control one's behavior.

The first group of disability is established for persons who need constant outside care. No work is available to these persons. Examples of such states are:

1. Severe hemiplegia due to organic brain damage of various etiologies or pronounced paraplegia

2. With significantly pronounced violations of the functions of blood circulation, respiration (circulatory failure stage III, etc.). In these patients, the following categories of vital activity are impaired: the ability to self-service 3rd degree, the ability to move 3rd degree.

The first group of disability is also established for persons who, despite persistent, pronounced impairments and the need for constant outside care, can perform certain types of labor in specially created conditions (at home).

The criterion for establishing the second group of disability is social insufficiency caused by a persistent pronounced disorder of body functions, which are caused by diseases, the consequences of injuries or defects, leading to a pronounced limitation of one of the following categories of life activity or their combination:

Ability to self-care of the second degree - with the use of assistive devices and with the help of other persons;

Mobility of the second degree - with the use of assistive devices and with the help of other persons;

Ability to work second, third degree - inability to work or work in specially created conditions;

Learning abilities of the third, second degree - inability to learn or study in specially created conditions;

Ability to orientation of the second degree - with the help of other persons;

Ability to communicate the second degree - with the help of other persons;

Ability to control one's behavior of the second degree - the ability to partially or completely control one's behavior with the help of other persons.

Restriction of the ability to learn the second and third degree may be the basis for establishing the second group of disability when combined with the restriction of one or more other categories of life (with the exception of students).

The second group of disability is established for persons who are contraindicated in all types of work, as well as for persons who have access to work in specially created conditions (work at home, specially equipped workplaces).

The criterion for determining the third group of disability is social insufficiency caused by a persistent, slightly or moderately pronounced disorder of body functions, which are caused by diseases, the consequences of injuries, often leading to a moderately severe limitation of one of the following categories of life activity or their combination:

Ability to self-service of the first degree - with the use of aids;

Abilities for movement of the first degree - a longer expenditure of time when moving;

First Degree Teaching Ability - learning with assistive devices;

Ability to work of the first degree - a decrease in the volume of work or loss of a profession;

Ability to orientation of the first degree - with the use of auxiliary means;

The ability to communicate the first degree - a decrease in the volume of assimilation, a decrease in the speed of communication.

The limitation of the ability to communicate of the first degree and the ability to learn the first degree may be the basis for the establishment of the third group of disability, mainly when they are combined with the restriction of one or more other categories of life activity.

A disabled person is a person who has a health disorder with a persistent disorder of body functions due to diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for social protection.

There are several causes of disability:

1. For the civilian population:

Work injury;

Occupational Illness;

Since childhood;

Injury (disease) associated with the accident at the Chernobyl nuclear power plant;

General disease

2. For military personnel:

military trauma;

Disease acquired during military service;

A disease acquired in the performance of (official) duties, military service in connection with the accident at the Chernobyl nuclear power plant.

According to the criteria for determining the disability group, depending on the degree of impairment of body functions, life restrictions, three disability groups are differentiated - I, II, III.

Disability is familiar to every society and every state forms a social and economic policy towards disabled people.

2 Disability issues

2.1 Social problems

The problem of social adaptation of disabled people to the conditions of life in society is one of the most important facets of the general integration problem. Recently, this issue has gained additional importance and urgency due to large changes in approaches to people who are disabled. Despite this, the process of adaptation of this category of citizens to the basics of society is in the process of being studied, namely, it decisively determines the effectiveness of the corrective measures taken by specialists working with people with disabilities.

Among the social - everyday problems are:

1. Limitation of self-service functions:

Ability to dress independently

Eating;

Observe personal hygiene;

Move independently;

Sit down or stand up on your own.

2. Limitation of the implementation of the social role that was before the onset of disability:

Restriction of the social role in the family;

Limitation of social contacts;

Restriction or inability to work.

The needs of disabled people can be conditionally divided into two groups: - general, i.e. similar to the needs of other citizens and - special, i.e. needs caused by a particular disease.

The most typical of the “special” needs of persons with disabilities are the following:

In the restoration (compensation) of impaired abilities for various activities;

On the move;

In communication;

Free access to social, cultural and other objects;

The opportunity to gain knowledge;

in employment;

In comfortable living conditions;

In socio-psychological adaptation;

Satisfaction of the listed needs is an indispensable condition for the success of all integration measures in relation to the disabled. In socio-psychological terms, disability poses many problems for a person, so it is necessary to highlight the socio-psychological aspects of persons with disabilities.

Disability is a specific feature of the development and state of the individual, often accompanied by limitations in life in its most diverse areas.

As a result, disabled people become a special socio-demographic group. They have a low level of income and a low opportunity to receive an education (according to statistics, among young people with disabilities there are many people with incomplete secondary education and few with secondary general and higher education). Difficulties are growing for these people to participate in production activities, a small number of disabled people are employed. Few have their own families. Most have a lack of interest in life and desire to engage in social activities.

2.2 Psychological problems

The relationship between the disabled and the healthy implies responsibility for these relationships on both sides. Therefore, it should be noted that the disabled in these relationships do not occupy an entirely acceptable position. Many of them lack social skills, the ability to express themselves in communication with colleagues, acquaintances, administration, employers.

Disabled people are far from always able to catch the nuances of human relations; they perceive other people in a somewhat general way, evaluating them on the basis of only some moral qualities - kindness, responsiveness, etc. Relationships between people with disabilities are not quite harmonious either. Belonging to a group of people with disabilities does not mean at all that other members of this group will be attuned to him accordingly. The experience of the work of public organizations of the disabled shows that disabled people prefer to unite with people who have identical diseases and have a negative attitude towards others.

One of the main indicators of the socio-psychological adaptation of persons with disabilities is their attitude towards their own lives. Almost half of the disabled (according to the results of special sociological studies) assess the quality of their lives as unsatisfactory (mostly disabled people of the 1st group). About a third of disabled people (mainly of the 2nd and 3rd groups) characterize their life as quite acceptable.

Moreover, the concept of “satisfaction-dissatisfaction with life” often comes down to a poor or stable financial situation of a disabled person. The lower the income of a disabled person, the more pessimistic his views on his existence. One of the factors of attitude to life is self-assessment of the state of health by a disabled person. According to research results, among those who define the quality of their existence as low, only 3.8% rated their well-being as good.

An important element of the psychological well-being of persons with disabilities is their self-perception. Only every tenth disabled person considers himself happy. A third of disabled people consider themselves passive. Every sixth admits to being uncommunicative. A quarter of disabled people consider themselves sad. Data on the psychological characteristics of disabled people differ significantly in groups with different incomes. The number of “happy”, “kind”, “active”, “sociable” is greater among those whose budget is stable, and the number of “unhappy”, “evil”, “passive”, “unsociable” is greater among those who are constantly in need. Psychological self-assessments are similar in groups of disabled people of different severity. The most favorable self-assessment in disabled people of the 1st group. Among them there are more “kind”, “sociable”, “funny”. The situation is worse for disabled people of the 2nd group. It is noteworthy that among the disabled of the 3rd group there are fewer “unfortunate” and “sad”, but much more “evil”, which characterizes the trouble in the socio-psychological plan. This is confirmed by a number of deeper individual psychological experiments that reveal psychological maladjustment, a sense of inferiority, and great difficulties in interpersonal contacts among disabled people of the 3rd group. There was also a difference in self-esteem between men and women: 7.4% of men and 14.3% of women consider themselves “lucky”, 38.4% and 62.8%, respectively, “kind”, 18.8% and “fun” 21.2%, which indicates the high adaptive capacity of women.

A difference was noticed in the self-assessment of working and unemployed disabled people: for the latter, it is much lower. This is partly due to the financial situation of the workers, their greater social adaptation, compared with the unemployed. The latter are withdrawn from this sphere of social relations, which is one of the reasons for the extremely unfavorable personal self-esteem.

Lonely disabled people are the least adapted. Despite the fact that their financial situation does not differ fundamentally for the worse, they represent a risk group in terms of social adaptation. Thus, they more often than others negatively assess their financial situation (31.4% and the average for disabled people is 26.4%). They consider themselves more “unhappy” (62.5%, and on average among disabled people 44.1%), “passive” (respectively 57.2% and 28.5%), “sad” (40.9% and 29. %), among these people there are few people who are satisfied with life. The features of socio-psychological maladjustment of lonely disabled people take place despite the fact that they have a certain priority in social protection measures. But, apparently, first of all, psychological and pedagogical assistance to these people is needed. The deterioration in the moral and psychological state of persons with disabilities is also explained by the difficult economic and political conditions in the country. Like all people, people with disabilities experience fear of the future, anxiety and uncertainty about the future, a feeling of tension and discomfort. General concern takes on forms characteristic of today's political, economic and socio-psychological conditions. Along with material distress, this leads to the fact that the slightest difficulty causes panic and severe stress in disabled people.

So, it can be stated that at present the process of social and psychological adaptation of disabled people is difficult, because:

Life satisfaction among disabled people is low (moreover, according to the results of observations of Moscow and Yaroslavl specialists, this indicator has a negative trend);

Self-esteem also has a negative trend;

Significant problems arise before the disabled in the field of relationships with others;

The emotional state of disabled people is characterized by anxiety and uncertainty about the future, pessimism.

The most disadvantaged in the socio-psychological sense is the group where there is a combination of various unfavorable indicators (low self-esteem, alertness to others, dissatisfaction with life, etc.). This group includes people with poor financial situation and living conditions, lonely disabled people, disabled people of the 3rd group, especially the unemployed, disabled since childhood (for example, patients with cerebral palsy).

2.3 Education problems

In the modern world, education acts as one of the main factors in maintaining and changing the social structure of society, as well as the social and professional mobility of the individual. Education as a factor of mobility greatly increases the possibility of climbing the social ladder, and in a number of cases is its condition. This applies to both ordinary people and people with disabilities, disabilities.

In accordance with the Federal Law "On Education", disabled people of the 1st and 2nd groups, as well as disabled children, have the right to non-competitive admission to state higher educational institutions, upon passing entrance exams for positive marks. But, having entered the university, the majority of young people with disabilities do not have the opportunity to exercise their legal right to receive education and subsequent employment. First of all, due to the lack of assistive technologies and conditions for teaching disabled people. Unlike the experience of leading foreign countries, in our country there are no services to assist students with disabilities in the learning process, as well as special programs for their further employment.

The system of additional education (hereinafter - DL) is assigned a special role due to its ability to respond to changing professional needs of people, the market demand for specialists at various levels, and to adapt educational resources to the actual needs of potential consumers. In a broad sense, distance education is a process of implementing additional training programs, educational services and information and educational activities outside the main programs in the interests of the individual, society, and the state.

DL can be considered assuming that many social groups participate in it, for example, schoolchildren, the elderly, the unemployed, and many others. Let's consider DO, which is focused on a specific social group - the disabled.

Currently, according to the World Health Organization, there are more than 500 million people with disabilities in the world. There are more than 13 million of them in Russia, which indicates the magnitude of the problem under consideration. Of these, more than 5 million are aged 20 to 50, 80% of whom would like to work, but due to the inaccessibility of the educational services market, they cannot do it. As a result, only 5% of people with disabilities of working age in our country have a job.

An analysis of the DL system allows us to distinguish two areas in its structure: the first is leisure (music education, art, sports, etc.), the second is professional education aimed at obtaining a new specialty for a person, improving professional qualifications, and retraining a specialist. The first can also be considered as education "for oneself", the development of one's creative potential, because the implementation of its programs is mainly associated with the development of a person's creative abilities, the disclosure of personal resources, natural inclinations. The consumption of DL programs of the second type - professional, is primarily associated with self-improvement of the individual in a professional sense, the need to achieve career goals, or a change in one's position in the labor market. If the services of a creative type of distance learning are relevant mainly for children and adolescents, then the content aspects of a professional type of distance learning are focused primarily on young people and people of mature age. At the same time, leisure education is most often free and financed from the state budget, the second is more often at the expense of consumers of these services.

The structure of additional professional education (hereinafter AVE) is distinguished by a variety of organizational forms: from academies, institutes and advanced training centers to institutions, institutions, enterprises of various types of ownership. There are forms of obtaining additional education: full-time, part-time, mixed (part-time). By the type of student participation in the APE program, three main ones are considered: internship, advanced training, professional retraining.

For people with disabilities, getting an education and acquiring a profession is an effective means of socialization, sociocultural and economic mobility. Thus, according to the Department of Special Education of the Ministry of Education and Science of the Russian Federation, disabled people who have mastered the programs of higher and secondary vocational education have employment in excess of 60% (as of 01.01.2009). However, modern education, designed to promote equalization of status positions, often reproduces the inequality that exists in society, establishes rather rigid barriers for representatives of social groups who do not have resources: finances, connections in administrative structures, social status. Although the idea of ​​public education for all social groups of society has been discussed for a long time, and is being implemented in a number of regions of Russia, it rarely turns out to be effectively embodied in everyday Russian practice.

Persons with disabilities are, in percentage terms, more likely than other social groups to be (either explicitly or latently) consumers of AVE services. Even if a specific program is chosen that allows the development of creative resources, for example, a leisure education program, nevertheless, new skills and abilities, according to the disabled, will bring, albeit small, but income, will allow them to change their social status. Thus, the mastery of a wheelchair user to play the accordion not only increases his status in the eyes of others, but also allows him to perform in creative teams or individually, which is sometimes financially rewarded. However, most often the main thing here is the emergence of moral incentives for development, additional opportunities to communicate with other people, a sense of usefulness for others.

Obtaining an additional educational service in the process of vocational education determines the acquisition of a new profession by a person, contributes to his employment and the beginning of independent life. With regard to disabled people, first of all, it should be said that their training in DL programs potentially contributes to horizontal and vertical socio-cultural mobility, the creation of new conditions for the life of people with disabilities.

In this regard, it is relevant to study the relationship of disabled people as consumers of additional educational services to the content and provision of these services. We are talking about the perception by disabled people of the problems of additional education. Additional education for a person of working age implies, as a rule, an improvement in his position in the labor market, opportunities in finding a job with a decent wage. The barriers that exist in our society correct the main goal of disabled people, justifying training programs in their eyes with opportunities for general development, not necessarily in the professional field.

Relatives and friends provide the main support for people with disabilities in accessing additional vocational training. This once again indicates that the main mechanism for supporting people with disabilities in the field of additional education is the person's immediate environment, and not the social protection system.

Further sources of support are employment services and public organizations of the disabled. Ultimately, no more than 20% of all disabled people rely on the support of the state social protection service and the help of public organizations. The latter circumstance shows the inconsistency of the results of state and public programs for the integration of disabled people in the field of vocational education. Disabled people count on the support of their efforts from people close to them, but they doubt the effectiveness of state and public organizations, whose tasks include supporting the professional development of disabled people. More than a third of disabled people directly say that the prospect of receiving additional education is desirable for them, but in modern Russia there are no mechanisms for solving this problem.

In general, the practical implementation of the principle of accessibility and adaptability of all forms and levels of education for adults with disabilities affected additional education to the least extent.

In terms of methodology, specialized solutions are needed, for example, based on new information technologies, distance learning, specially designed for specific target groups, training courses. The study of this aspect shows a weak representation of non-state educational institutions in plans for obtaining additional education. This fact testifies to the insufficient activity of public organizations, commercial enterprises in the provision of educational services, their unwillingness to work in this market segment.

2.4 Employment issues

The economic, social and political transformations taking place in Russia should ultimately be aimed at ensuring a balance of rights, duties and interests of citizens, which is one of the guarantors of the stability of society and the reduction of social tension.

To a certain extent, this balance will be maintained when conditions are created when a person can control his own destiny, have material independence and realize the ability to self-sufficiency, without infringing on the interests of fellow citizens. One of the main conditions is ensuring the human right to work.

Labor activity determines the relationship of members of society. A disabled person has a limited opportunity to work in comparison with a healthy person. At the same time, in a market economy, he must be competitive in comparison with other members of society and act on an equal footing in the labor market.

Obviously, the problem of vocational rehabilitation (and, as a result, the employment of disabled people in the new market conditions for our country) is becoming very relevant.

The existing system of employment in a market economy has not yet been debugged and needs to be improved. The existing system of assistance to the disabled in Russia has never been focused on their integration into society.

For many years, the main principles of state policy towards persons with disabilities were compensation and isolation. Their rehabilitation should become a priority direction of reforming the state policy. To implement the reform, new specialists with a fundamentally new view of the disabled are needed. Such specialists must certainly have the ability to sympathize and be super-high-class professionals, as well as have a decent material and technical base for carrying out their activities.

The work of disabled people has an important socio-psychological, moral and ethical significance, contributing to the assertion of the personality, the elimination of psychological barriers, improving the financial situation of disabled people and their families, and makes a certain contribution to the country's economy.

The labor market for disabled people, as a specific segment of the general labor market, is characterized by great deformity: against the backdrop of a high demand for jobs by disabled people, there is practically no supply of them. For its development, an adjustment from the outside is required.

An analysis of state measures in the field of employment of disabled people (quotas for jobs, penalties) revealed their inefficiency. Under these conditions, it is extremely important to fully explore the state and possibility of a particular region in solving this problem.

An effective way of such analysis is regular research. One of them (as an integral part of the social monitoring of the employment of disabled people) was carried out in January 2009 in Moscow by the Moscow employment service. Its purpose was to determine the state of employment for the disabled and the main problems in their employment for the adoption and adjustment of management decisions. 500 people with disabilities of working age were interviewed, regardless of their employment (2.3% of the general population). Among them, 49.0% of men and 51.0% of women; (45-59 (54) years).

The results of the survey refute the generally accepted idea of ​​the dependent life attitudes of disabled people. Unwillingness to work as the reason for unemployment was named only by 1.8%, the proportion of economically inactive disabled people slightly increases with age (from 0.9% to 2.2%). 44.0% of the respondents are currently working, and every third - permanently, often not in their specialty. It is indicative that 62.3% of men are workers among them, while there are fewer women workers - 43.0%. Only 4.6% of the disabled are engineers, 3.7% are managers and 0.5% are employers.

Home-based jobs have 7.8% of the number of working disabled people, mostly disabled people of group I. The survey revealed 51.0% of unemployed disabled people applying for jobs, and 3.2% of fictitiously employed. The desire to have feasible paid jobs is expressed primarily by young people with I and II groups of disabilities who have completed school or

specialized boarding school and received vocational training. Among disabled job seekers, half have job references and are ready to start working. This indicator, according to respondents, could be higher in the absence of infringement of the rights of persons with disabilities to receive labor recommendations without an unjustified reduction in the disability group or an illegal requirement for a petition from a future employer.

What does work mean for disabled people? What motivates them to look for suitable jobs? The answers to these questions revealed the following spectrum of motivation: work is an important source of material existence - 77.9%; one of the opportunities for communication - 42.5%; I want to help my family financially - 42.1%; realize their abilities - 33.4%; it is a powerful tool to “forget” about health problems - 27.5%; bring benefits to society - 21.1%; a way of self-affirmation - 19.2%; to change society's perception of people with disabilities - 12.8%; other - 4.0%. As another, the respondents suggested: "to occupy your day" - 1.8%; "interest" - 0.6%; "pleasure", "satisfaction" - 0.4% each; “organize your day: the more you work, the more you manage to do”, “tired of sitting at home”, “increasing the life reserve”, “feeling like a person”, “learning new things”, “material assistance to other sick people” - 0.2% each .

By grouping the answers, we got a deeper analysis of the motivation of the respondents. Disabled people consider the improvement of material well-being for themselves, their families and assistance to other sick people to be the most important goal of their work - 42.8% (Group 1). The creative side of involvement was indicated by 31.2% of the respondents (Group 2). Work as a means of social rehabilitation is necessary for 26.0% of respondents (Group 3).

It turned out that the material incentive prevails over other goals for all disabled people, regardless of gender, age, disability group, presence / absence of a specialty. It is indicative that social rehabilitation is of great importance for women (overweight over men by 2.7%). Creative motives are more inherent in young people, but they significantly decrease with age (by 7.5%). The survey also showed that the creative potential is more pronounced among disabled people of group II (32.0% of the total number of disabled people of the corresponding group) and people with vocational education (32.4% of the total number of disabled people with a specialty).

The prevailing type of work motivation of disabled people thus determines their desire for economic independence from the environment.

Respondents were also asked the question "What do you think, if disabled people did not need materially, and society's attention to their problems remained the same, would they want to work?" 74.6% answered in the affirmative, which indicates a stable need for labor.

Today, 93 thousand disabled people live in Primorye, half of which are people of working age. Of these, only 12 thousand people work. Every year, about 500 disabled people apply to the employment services of the region for employment and vocational training, and almost all of them need vocational training.

With the introduction of amendments to Federal Law No. 185 “On the Social Protection of the Disabled in the Russian Federation” from January 1, 2005, the main scope of responsibilities for the creation of “special jobs for the disabled”, including their financing, is shifted from state structures to the employers themselves. But, at the moment, there is completely no interest of business structures in the work of disabled people, since, for objective reasons, it is often less effective than the work of employees without disabilities, and in order to use it, it is necessary to invest in special equipment for the worker. places. Naturally, all this makes the employment of people with disabilities practically unrealistic and requires the creation of conditions for increasing the competitiveness of people with disabilities in the labor market. Therefore, it is necessary to take a set of measures aimed at solving the problems of professional competitiveness of people with limited physical and mental capabilities. Among other things, you can offer:

Change the basis for the formation of "special jobs for the disabled". The principle of creating special jobs should be as follows - not a disabled person for a workplace, but a workplace for a disabled person. Only with this approach it is possible to effectively solve the problems of employment of people with limited physical and mental capabilities.

Organize training for specialists in arranging special workplaces for the disabled. At the moment, due to their absence, both in state and commercial structures there is no understanding of “what is a special workplace and how to create it?”

Establish benefits, up to the complete abolition of fees for the maintenance of a special workplace for a disabled person (rent, electricity and heat energy, communications, etc.).

Having studied the main problems of people with disabilities, it should be noted that in order to improve the level and quality of life of people with disabilities, it is necessary:

1. Improve the process of social and everyday adaptation to the conditions of life in society and at home;

2. Increase the psychological well-being and self-perception of the disabled;

3. Make education for persons with disabilities more accessible to increase the possibility of climbing the social ladder;

4. Adopt a set of measures aimed at solving the problems of professional competitiveness of disabled people.

Conclusion

The policy of social support for the disabled should be built on the platform of creating conditions for the equal participation of people with disabilities in the life of society.

Therefore, it is necessary to improve the process of social and everyday adaptation to the conditions of life in society and at home.

One of the main indicators of the social and psychological adaptation of persons with disabilities is their attitude to their own lives, so you need to help them improve their self-perception and financial situation. To do this, the process of obtaining education should be made more accessible in order to increase the possibility of climbing the social ladder.

The problems of employment of disabled people must be solved, since they cannot live on their pensions. Therefore, it is necessary to solve the problem of professional competitiveness of disabled people in the labor market. In addition, the demographic situation in Russia is such that in the coming years society will face an acute shortage of workers.

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The main problems of children with special needs. Disability as a social problem

Dyakova Ludmila Vladimirovna

MBOU secondary school №39 Voronezh

Social teacher

Disability of children as an actual socio-pedagogical problem

In modern society, the problem of disability of the population is very acute. After all, disability affects the economic, political, social development of society. The state is properly interested in the fact that the disability of the population is at a lower level. It is not sad, but the number of people with disabilities in Russia is growing. This is facilitated by various reasons that aggravate the life of both an individual person and society as a whole.

Recently, there has been a significant increase in the number of children with disabilities in our country.

In the Russian Federation, the level of disability since childhood has increased by more than 3.6 times over the past 20 years and is projected to increase in the future. Currently, 8 million disabled people live in Russia, of which 1 million are children with disabilities.

As shown in the introduction, the basic concepts used to characterize disability do not have a clear definition. In this regard, it is necessary to turn to existing approaches, to consider the main definitions.

N.A. Golikov defines disability as a “functional organ”, which is a neoplasm that “arising in the process of ontogenetic development, totally preventing effective social functioning against the background of sharply reduced self-esteem, negative self-perception; needs of restriction in communication, isolation, distancing from others; fixation (stuck) on their own problems; trained socio-psychological helplessness; dependent-consumer position; demonstrative attraction of attention; manifestations of aggression.

M.Yu. Chernyshov gives the following definition of this concept.Disability is the process of increasing the number of disabled people in a region/country by acquiring an official (documentary) status of a disabled person by persons who did not previously have such status.

A.P. Knyazev, E.N. Korneev distinguish psychological disability, which is a kind of personal identity, both of which are formed as a result of social interaction.

Thus, in our study, the above definition of disability, proposed by N. A. Golikov, will be taken as a basis.

Let's define the concept of disability.Disabled person - a person who is limited in his abilities due to illness.

The federal law on the social protection of persons with disabilities in the Russian Federation provides the following definition:

Disabled person - a person who has a health disorder with a persistent disorder of body functions due to diseases, the consequences of injuries or defects, leading to a limitation of life and causing the need for his social protection.

In the explanatory dictionary of T.F. Efremovadisabled person defined as a personpartially or completely lost the ability to work due to injury, illness.

According to the explanatory dictionary of S.I. Ozhegovdisabled person - "a person who is completely or partially disabled due to some anomaly, injury, injury, disease."

Thus, in all the above definitions, one common sign of disability stands out: disability due to any disease.

In our study, we will use the following definition:disabled person - a person who has a partial or complete disability due to an anomaly, illness, injury.

In modern society, the problem of childhood disability is very acute.

In 1979, the status of a "disabled child" was introduced, at first a child under 16 was considered a disabled child, and only in 2000 the age was extended to 18 years.

L.Ya. Oliferenko, T.I. Shulga, I.F. Dementieva give the following definition to this group of children.

Disabled children - these are children who have such significant illnesses or deviations in physical, mental, intellectual development that they become subjects of special legislation adopted at the federal level.

The recognition of a person as a disabled person is carried out by the federal institution of medical and social expertise. The procedure and conditions for recognizing a person as disabled are established by the Government of the Russian Federation.

Federal Law No. 181-FZ of November 24, 1995 "On the Social Protection of Disabled Persons in the Russian Federation" (as amended on July 17, 1999) states that the category "disabled child" can be established for a person under 18 years of age for a period of 6 months to 2 years, from 2 years to 5 years and up to the age of 18 in case of irreversible changes.

The terms of re-examination in children, as in adults, are establisheddepending on the severity of disability and are 1 or 2 years.

Re-examination of disability takes place 2 months before the expiration of the deadline.

Many scientists have investigated the causes of childhood disability. Consider different opinions on this issue.

N.G. Veselova gives the following classification of factors that negatively affect the health of the child:

1) socio-hygienic (poor material and living conditions, harmful working conditions of parents and their low financial situation);

2) medical and demographic (a large family, the absence of one of the parents in the family, the presence of a child with congenital anomalies, stillbirths in the family, the death of a child under the age of 1 year);

3) socio-psychological (bad habits or mental illness of parents, unfavorable psychological climate in the family, low general and sanitary culture).

S.A. Ovcharenko identifies 3 blocks of factors that negatively affect the health of the child:

1) medical and biological (poor quality of medical care, insufficient medical activity of parents);

2) socio-psychological (low level of education of parents, poor living conditions, lack of conditions for normal life);

3) economic and legal (low material wealth, ignorance and non-use of their rights to benefits).

The author cites the most important, from his point of view, risk factors for congenital diseases - this is the pathology of pregnancy, intra- and postnatal injuries of the nervous system. In addition, there are other factors that contribute to the emergence of disability: late diagnosis, delayed treatment and lack of dispensary activities.

In the state report on the situation of persons with disabilities in the Russian Federation in 2012identified 3 factors that lead to disability:

congenital anomalies,

Mental and behavioral disorders,

Diseases of the nervous system.

Thus, the consequence of all the factors identified above that cause childhood disability is an increase in the number and various manifestations of disability.

From the foregoing, we can conclude that in modern society it is very difficult to determine the specific causes of childhood disability, but still the most common causes of this phenomenon are congenital anomalies.

The number of children with disabilities is on the rise. The frequency of childhood disability in Russia over the past twenty years in our country has increased 12 times, and according to forecasts, in the next ten years their number will reach 1.2 - 1.5 million.

As of January 1, 2013, in the Russian Federation, according to the Pension Fund of the Russian Federation, there are 571.5 thousand children with disabilities, which in dynamics characterizes an increase in the number of disabled children over a three-year period (in 2011 - 568.0 thousand children per year). 2010 - 549.8 thousand children).

A disabled child enters life with initially limited opportunities for life. Having significant limitations in their abilities, such a child often loses the ability to self-service, self-control, self-development. All this is aggravated by the fact that such a child spends a long time in special rehabilitation institutions, where he spends a long time with children with the same developmental pathology. As a result of all this, there is a delay in the development of social and communication skills, an inadequate idea of ​​the world around is formed.

P.D. Pavlenok highlights the most acute problem of disabled children is the relationship with other family members. This problem is complex and multifaceted. On the one hand, the family of a disabled child is a complex of interrelated problems of survival, social protection, and education; on the other hand, the problem of a disabled child as a person is that he is deprived of a normal childhood, worries and interests typical of his healthy peers. Every family with a disabled child has its own characteristics, its own psychological climate, which in one way or another affects the child - either promotes rehabilitation or hinders it. Almost all families with disabled children need various types of assistance, primarily psychological. Usually, with the birth of a disabled child, a number of complex psychological problems arise in the family, which lead not only to the psychological maladjustment of the parents, but also to the breakup of the family.

According to E.N. Single disability leads to social maladaptation of the child, which is the reason for the violation of his development and growth. The child loses control over his behavior, the ability to self-service, movement, orientation, learning, communication.

In her opinion, the problem of childhood disability should be overcome not only by medical methods, but also by social, economic, psychological and others.

L.E. Ushakova highlights the two most acute problems of children with disabilities:

The attitude of others;

education of such children.

Despite the fact that at present the state pays special attention to children with disabilities, the level of assistance in servicing children in this category does not solve such issues as social rehabilitation and adaptation in the future, the scientist points out.

Analyzing the above problems of disabled children and their families, it can be noted that in modern society, families with a disabled child are unable to cope with their problem on their own. Therefore, such families need social and pedagogical support.

Social and pedagogical assistance is aimed primarily at the treatment, education, adaptation to the world around children with disabilities. This assistance is provided by various specialists who help a disabled child become a full member of modern society.

Thus, in the course of the study, we determined the following:

Disability is a “functional organ”, which is a neoplasm that “arising in the process of ontogenetic development, totally preventing effective social functioning against the background of a sharply reduced self-esteem, negative self-perception; needs of restriction in communication, isolation, distancing from others; fixation (stuck) on their own problems; trained socio-psychological helplessness; dependent-consumer position; demonstrative attraction of attention; manifestations of aggression.

Currently, the disability of the population is one of the acute problems not only of the family, the state, but also of society as a whole.

Disabled person - a person who has a partial or complete disability due to an anomaly, illness, injury.

Currently, the number of children with disabilities has increased significantly, the reasons for this arecongenital anomalies, mental and behavioral disorders, diseases of the nervous system.

The study determined that the status of a disabled child was introduced in 1979. A disabled child isa child who has such significant illnesses or deviations in physical, mental, intellectual development that they become subjects of special legislation adopted at the federal level.

We determined that a child's disability leads to limitations in his life, which affect the overall intellectual and social development. Such children perceive the world around them differently, experiencing severe problems in communicating with others, in getting an education. That is why children with disabilities need social and pedagogical assistance.

This assistance is needed not only for children with disabilities, but also for families with such children. First of all, these families need the help of a psychologist, since according to numerous studies, when a child with a disability is born, many parents refuse him.

A family with a disabled child cannot cope with its problem on its own.

The work of a social pedagogue is carried out both with the disabled child himself and with his immediate environment. The social pedagogue works not only with the family, providing all kinds of social and pedagogical assistance, but also with the school where the disabled child is studying, as well as with the entire micro-society in which this child carries out his life activity.

Bibliography.

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  1. State report on the situation of children and families with children in the Russian Federation for 2012 [Electronic resource]. - Access mode: http://www.rosmintrud.ru/docs/mintrud/protection/69/DOKLAD_DLYa_PRAVITELYSTVA.doc

  2. Zaitsev D.V. Social integration of disabled children in modern Russia [Text] / D.V. Zaitsev. - Saratov.: Publishing house Scientific book, 2003.

    Disability and mortality are dominants that reduce the life potential and safety of society [Text] / A. G. Lukashov et al.; ed. A.L. Sannikov. - Arkhangelsk: Solti, 2007. - S. 8-67.

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    Knyazeva A.P. Psychological disability, or personal identity of a disabled person [Text] / A.P. Knyazeva, E.N. Korneeva // Yaroslavl Pedagogical Bulletin. - 2005. - .- P. 93-99.

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Introduction

3

Chapter 1 Disability as a social problem of modern society



1.2 Characteristics of the main areas of social assistance and protection of disabled people in Russia and abroad in modern times

Chapter 2 Cultural and Leisure Activities as a Basis for the Socio-Cultural Rehabilitation of the Disabled

2.1 The concept and general characteristics of cultural and leisure activities

2.2 The main directions of socio-cultural rehabilitation of disabled people

45

2.3 Model of socio-cultural rehabilitation of disabled people

52

Chapter 3 Modern technologies of cultural and leisure activities with disabled people

3.1 Features of the implementation of cultural and leisure activities with people with disabilities

3.2 Technological foundations of cultural and leisure activities with disabled people

Conclusion

70

Literature

72

INTRODUCTION
The last decade of the 20th century was marked by the emergence and establishment of a new specialty in the professional sphere - "Social work". As a specialized type of professional activity, it was first legalized in Russia in 1991. Since that time, there has been an active interest of researchers in the problems of social work, social services for the population, the personality of a specialist - a professional in the social sphere. An important component of the professional activity of a social worker is the activity with the disabled - people with disabilities.

In modern conditions of Russia, when the political, economic, social life of the country has undergone and continues to undergo a radical transformation, the solution of the problems of disability and the disabled is becoming one of the priorities of the state's social policy. The low level and quality of life of most people with disabilities are accompanied by serious personal problems due to the maladjustment of these people in a rapidly changing socio-cultural environment.

A full-fledged life of the vast majority of disabled people is impossible without providing them with various types of assistance and services that meet their social needs, including in the field of rehabilitation and social services, aids and devices, material and other support. Adequate and timely satisfaction of the individual needs of persons with disabilities is designed to compensate for their disability. It involves the creation of equal opportunities with other categories of the population in the social, professional, socio-political, cultural and other spheres. According to various researchers, most of these citizens belong to the poorest segments of the population. For a number of years, especially in recent years, the indicator of their labor and other social activity has remained low.

A positive direction in the development of these phenomena is possible only if targeted assistance is provided to the disabled, oriented, in particular, to self-determination and self-realization of their personality. The scale of the problems of disabled people and the need to address them as a priority are due to a steady trend towards an increase in the proportion of disabled people in the structure of the population of the Russian Federation.

According to UN experts, people with disabilities make up an average of 10% of the population. The relevance of the topic of this work is explained by the fact that in Russia there is an increase in both absolute and relative indicators of disability, which occurs against the background of a decrease in the population of the country and its individual regions, an increase in morbidity and mortality. As of early 2001, the total number of persons with disabilities in the country reached 10.7 million. Every year, more than one million citizens are recognized as disabled for the first time, of which almost half are people of working age. The number of children with disabilities is steadily increasing. For this large group of people, more or less limited in their connections and interactions with society, facing significant barriers to inclusion in the social and cultural space, periods of social transformations, similar to the current stage of development of Russian society, become especially difficult and painful.

Considering the structural specifics of disability in modern society, first of all, a significant number of people with disabilities with limited capabilities only in some particular respect, the importance of the sphere of culture, various types of cultural activities is obvious as, on the one hand, a possible, and on the other hand, a necessary area of ​​socialization. , self-assertion and self-realization of people with partially limited abilities.

Domestic and foreign experience in solving the problems of social adaptation and socio-cultural rehabilitation of disabled people by means of culture and art testifies to the high efficiency of the relevant programs and technologies, their possibilities for ensuring the integration of disabled people into social and cultural life.

In 1995, the Ministry of Social Protection of the Population of the Russian Federation and the Ministry of Culture of the Russian Federation recognized the need to jointly create a comprehensive system for the rehabilitation of people with disabilities using the means of culture and art, to ensure the development of appropriate socio-cultural technologies, approved the concept of a socio-cultural policy for people with disabilities in the Russian Federation, prepared by the Russian Institute of Cultural Studies .

Building a specialized socio-cultural policy in relation to people with disabilities, taking into account the quantitative and qualitative characteristics of this population group, the specifics of the current social situation, based on such basic principles as scientific validity, a systematic approach to identifying and posing problems, taking into account the nature and degree of differentiation of various groups of people with disabilities, regionalization , hierarchy and coordination of the subjects of organizational activity, reliance on legal grounds, manufacturability of approaches and solutions, is a necessary condition for the organization of cultural and leisure activities of disabled people. At the same time, the most important vectors for constructing a socio-cultural policy in relation to people with disabilities should be focusing on the abilities of people with disabilities, and not on their disability; to uphold the civil rights and dignity of the disabled, and not to treat them as an object of charity.

An analysis of the current situation gives reason to conclude that there is insufficient, and in some respects, frankly weak development of the sphere of social and cultural activities of people with disabilities, which is seen rather as some secondary "application" to such areas as medical care and vocational training for people with disabilities. , their material support.

Therefore, attention should be focused on the special, otherwise uncompensated role of activities related to the inclusion of disabled people in various forms of cultural leisure. This is a special development space that potentially contains a very wide range of choices of forms of self-fulfillment, carries the function of psychological compensation and restoration of broken social and socio-psychological networks of interaction between disabled people.

Theoretical and methodological aspects of social work as a scientific theory, academic discipline and professional activity are reflected in the studies of S.A. Belicheva, V.G. Bocharova, B.Z. Vulfova, M.A. Galaguzova, S.I. Grigorieva, I.V. Gurianova, L.G. Guslyakova, N.F. Dementieva, T.E. Demidova, Yu.A. Kudryavtseva, A.I. Lyashenko, S.G. Maksimova, V.P. Melnikova, P.D. Pavlenka, A.M. Panova, L.V. Topchego, M.V. Firsova, E.I. Kholostova, V.D. Shapiro, T.D. Shevelenkova, N.B. Shmeleva, N.P. Schukina, V.N. Yarskaya-Smirnova and others.

Disability problems and ways to overcome them are considered by scientists and specialists in the following areas: psychological (T.A. Dobrovolskaya, A.A. Dyskin, S. Zastrou, F.A. Kolesnik, E.I. Maksimchikova, N.B. Shabalina and others); pedagogical (N.A. Gorbunova, M.V. Korobov, L.G. Laptev, E.I. Okhrimenko, E.I. Kholostova, etc.); sociological (D.D. Voitekhov, M.M. Kosichkin, P.D. Pavlenok, N.V. Shapkina and others); medical (V.A. Gorbunova, N.F. Dementieva, V.A. Zetikova, K.A. Kamenkov, L.M. Klyachkin, T.N. Kukushkina, E.A. Sigida, E.I. Tanyukhina and others); legal (O.V. Maksimov; O.V. Mikhailova and others); vocational labor (E.L. Bychkova, L.K. Ermilova, D.I. Katichev, A.M. Lukyanenko, E.V. Muravieva, A.I. Osadchikh, R.F. Popkov, V.V. Sokirko, I.K. Syrnikov and others).

V.A. Volovik, A.F. Volovik, E.A. Zaluchenova, Yu.D. Krasilnikov, V.I. Lomakin, L.B. Medvedev, Yu.S. Mozdokova, T.F. Murzina, E.A. Orlova, L.S. Perepelkin, L.I. Plaksina, G.G. Siyutkina, A.A. Sundieva, V.Yu. Terkin, G.G. Furmanova, L.P. Khrapylina, A.E. Shaposhnikov, B.C. Shipulina and others.

The problem of professional training of social work specialists for cultural and leisure activities with disabled people was developed by us, taking into account the leading research in the field of pedagogy and psychology by S.I. Arkhangelsky, Yu.K. Babansky, A.A. Dergach, B.Z. Vulfova, N.V. Kuzmina, Yu.N. Kulyutkina, I.Ya. Lerner, A.K. Markova, V.A. Slastenina, E.N. Shiyanova and others.

The cited works contain a lot of valuable and useful information. However, scientific knowledge in them needs to be systematized, structured, adapted processing, supplemented by those methods, means and techniques with which they can comprehensively solve the problems of including people with disabilities in various forms of cultural leisure.

An analysis of the literature, the state of the problem of organizing cultural and leisure activities with disabled people in the theory and practice of social work, the study of the experience of social services in this direction allow us to state the successful solution of many of the tasks set. At the same time, contradictions remain unresolved between the increased relevance of the development and implementation of promising technology for cultural and leisure activities with disabled people and the insufficient development of the theoretical and methodological basis for this, as well as between the existing practical experience in organizing cultural leisure for people with disabilities and its insufficient integrity and consistency as a direction of professional social work with disabled people.

CHAPTER 1 Disability as a social problem of modern society
1.1 Historical analysis of the problem of disability in pre-revolutionary Russia and the USSR

At all times of the existence of human civilization, there has been a problem of helping people with disabilities. The changes taking place in the development of society, in socio-economic relations, changed the direction and approaches to helping needy disabled people.

Some researchers give priority in the field of social protection of the disabled to foreign countries. Meanwhile, Russia has always been characterized by social support for citizens in this category who need it.

Even in the ancient Slavic community or vervi during the period of paganism, a tradition of caring for the weak and infirm was laid. Relatives should have taken care of such people. If those in need had no relatives, then the social care of the disabled was entrusted to the peasant community. Such a form of social assistance to infirm people as alternate feeding in the homes of rural owners from one day to a week has become widespread. Prisoners moved from yard to another yard until they went around the whole village in this way and received help from every householder. Along with alternate feeding, peasant communities practiced such a method of charity, as the reception by householders of those in need for a long time with the provision of food to them. In this case, by decision of the rural "world", the detainee was given to the householder for full maintenance. This form of charity was used on the terms of either a certain payment to a community member for the maintenance of a disabled person, which the householder received from a peasant society, or the release of a peasant household from paying worldly or even all natural duties. In other cases, for taking a weak person into his house for full maintenance, the owner of the peasant household was given an additional plot of worldly land or land allotment of the poor. Among the forms of peasant public charity, the issuance of bread allowances to the needy from communal spare shops was quite often used. Such allowances in bread were allocated according to the "sentences" of rural gatherings. They were issued monthly or at any other time and were established in various amounts.

With the advent of the ancient Russian state, the main trends in helping the disabled were associated with princely protection and guardianship. The Grand Duke of Kiev Vladimir the Baptist, by the charter of 996, charged the clergy with the obligation to engage in public charity, defining a tithe for the maintenance of monasteries, almshouses and hospitals.

For many centuries, the church and monasteries remained the focus of social assistance to the old, wretched, crippled and sick. The monasteries contained almshouses, hospitals, orphanages. Church parishes provided social assistance to many crippled people. By the 18th century, for example, there were about 20 parochial almshouses in Moscow. In all 90 Moscow almshouses owned by the church, the city and private benefactors, in 1719 about 4 thousand needy were kept. In general, by the 90s of the 19th century, the Orthodox Church contained 660 almshouses and almost 500 hospitals. As of December 1, 1907, out of 907 male and female monasteries operating in Russia at that time, more than 200 monasteries were constantly working on the social charity of the disabled.

Known are the decrees of Ivan the Terrible and Peter I on helping the “orphans and the poor,” who used shelter and food in monasteries and almshouses. So, under Peter I, a fairly extensive system of social protection of the disabled was formed. In 1700, caring about the “addition” of those who were truly in need, the emperor wrote about the construction of almshouses in all provinces for the crippled, “who cannot work.” In 1701, Peter I issued decrees providing for the appointment of some of the poor and sick "feed money" and the placement of the rest in the "households of the Holy Patriarch of the almshouse." In 1712, he demanded the establishment of hospitals everywhere in the provinces "for the crippled, who are unable to earn a living by labor, and for the hospitals to be for the care of the orphans, the poor, the sick and the crippled, and for the most elderly people of both sexes" .

The legislative acts of Peter I concerning the social protection of the disabled were primarily aimed at the charity of military personnel. Thus, the instructions and charters of the army and navy of that time contained the obligation of the state to provide assistance to the wounded at the expense of the state budget. In 1710, Peter I gave the order to “treat the wounded from the treasury” and give them “full pay”. The opening of the first invalid home in Russia for crippled soldiers is associated with the name of Peter I. Moreover, regarding the seriously wounded officers and soldiers in 1720, it was established that the completely helpless of them were treated and "fed in the hospital until death."

Catherine II, on the basis of the “Institution on the provinces” adopted in 1775, in 33 provinces of Russia, orders of public charity were created, which, along with other cares, were entrusted with the creation and maintenance of almshouses in each 26th diocese “for male and female, poor and crippled who have no food."

As a result, by 1862 a certain system of social assistance institutions was taking shape, which included medical institutions (hospitals, asylums for the insane), educational institutions (educational homes, orphanages, schools for children of clerical workers), institutes for boarders, local charities communities and institutions of charity. The latter included almshouses, nursing homes, homes for the terminally ill.

Attempts to carry out certain social and protective measures in relation to the disabled took place during the reign of Alexander I. Among the numerous areas of social assistance of the "Imperial Humanitarian Society", created in May 1802, the leading place was occupied by charity distorted by nature (cripples, deaf-mutes, blind, etc.). e.) with the provision of free or cheaper apartments and food to those in need, the restoration of health to those who are ill. So in 1908, under the auspices of the Society, 76 almshouses functioned, in which the poor of both sexes numbered 2147 people.

Disabled soldiers were taken care of by the public organization Committee for Assistance to Wounded Soldiers, founded by Alexander I in 1814 and later called the Alexander Committee. The “Committee” appointed pensions and maintained military almshouses, the most famous of which are the Chesme almshouse in St. Petersburg and the Izmailovsky almshouse in Moscow. The almshouses were designed to accommodate 1,000 retired military personnel.

A great contribution to the cause of social assistance to the disabled was made by the city self-government bodies of pre-revolutionary Russia - city dumas and city district guardianships, created in accordance with the "City Regulations for All Cities of Russia" in 1870 by the government of Alexander II. The activities of district guardians were initially aimed at open charity, at direct assistance to those in need (the issuance of cash benefits and in kind). However, with the development of a network of almshouses and other charitable institutions of a closed type, guardians tried to arrange lonely petitioners - mostly helpless and sick people - in almshouses, invalid homes, etc.

Private philanthropists and patrons also contributed to the social protection of people with disabilities. So, P.P. Pomian-Pesarovius In 1813, for the first time, he published a weekly newspaper of historical and political content, "Russian Invalid" in Russian and German, the income from the distribution of which was supposed to help the most needy invalids of the war of 1812. By 1814, the capital from the newspaper reached 300 thousand rubles. rubles, and by 1815 - 400 thousand rubles. Of these funds, 1,200 disabled people received a permanent allowance. By 1822, the capital, increased by expanding the publication of the newspaper, which became a daily newspaper, reached 1 million 32 thousand rubles. .

After the turning political events of October 1917, which led to the establishment of Soviet power, the new government, represented by the Council of People's Commissars (SNK), immediately began to implement the program of the Bolshevik Party in relation to the needy categories of the population, and primarily citizens with disabilities.

Already on November 13, 1917, on the sixth day of its existence, the Council of People's Commissars included among the first events and decrees of the Soviet government the official government announcement "On Social Insurance". This document stated: “The workers’ and peasants’ government ... notifies the working class of Russia, as well as the urban poor, that it will immediately begin issuing decrees on social insurance policy based on workers’ insurance slogans: 1) extending insurance to all workers without exception, as well as the urban and rural poor; 2) extension of insurance for all types of disability, namely in case of illness, injury, disability, old age, motherhood, widowhood and orphanhood, as well as unemployment; 3) the imposition of all insurance costs entirely on employers; 4) reimbursement of at least full earnings in case of disability and unemployment; 5) full self-government of the insured in all insurance organizations. According to the Government report on social insurance, which laid the foundation for the formation of a system of social assistance to the disabled in Russia, the pension of the disabled increased from January 1, 1917. 100% at the expense of the pension fund.

In 1919, the legislation on the social protection of disabled people was supplemented by the Regulation "On the social security of disabled Red Army soldiers and their families." As a result of government measures to organize the state social security system during 1918-1920. the number of pensioners and families of Red Army soldiers who used benefits increased significantly. If in 1918 105 thousand people received state pensions, in 1919 - 232 thousand, then in 1920 the number of pensioners in the RSFSR was 1 million people, including 75% were former military personnel. Compared with 1918, the number of families of Red Army soldiers who used state benefits increased in 1920 from 1 million 430 thousand to 8 million 657 thousand. At the same time, there were 1800 institutions for the disabled, which contained 166 thousand people.

During the years of the recovery period, in line with the new social protection policy, the Soviet government adopted a number of regulations. According to the decree of the Council of People's Commissars "On the social security of the disabled" (December 8, 1921), all workers and employees, as well as military personnel in the event of disability due to occupational disease, work injury, general illness or old age, received the right to a disability pension.

On the basis of the decree of the Council of People's Commissars of May 14, 1921, peasant committees of mutual assistance were created, which provided social assistance to those in need in the form of benefits, loans, plowing fields and harvesting, financial support for schools, hospitals, orphanages, providing them with fuel, etc. Already in the first During the months of their activity, the Mutual Aid Committees provided significant support to disabled people in need. In 1924, the monetary fund of the peasant committees amounted to 3.2 million rubles, in September 1924 - about 5 million rubles.

Based on the experience of the activities of the Peasant Committees of Public Mutual Assistance, a system of peasant mutual aid societies later arose. In September 1925, the All-Russian Central Executive Committee and the Council of People's Commissars of the RSFSR approved the "Regulations on Peasant Mutual Assistance Societies." The regulations obligated these societies to carry out social security for the disabled and all the poorest sections of the village, to “assist” state bodies in equipping, maintaining and supplying disabled institutions, hospitals, and free canteens located on their territory. To solve these problems, funds were partially allocated from state social security agencies. In the second half of the 1920s, about 60 thousand peasant mutual aid societies operated in the RSFSR, their funds exceeded 50 million rubles.

Gradually, the peasant mutual aid societies are being replaced by mutual aid funds of collective farmers. Their existence was legislated by a decree of the All-Russian Central Executive Committee and the Council of People's Commissars on March 13, 1931. It approved the "Regulations on the Funds of Public Mutual Assistance of Collective Farmers". This regulatory document gave the cash desks the right to provide financial and in-kind assistance in case of illness and injury. According to the regulation on the funds of public mutual assistance of collective farmers, they were supposed to be engaged in the employment of disabled people. In 1932, these funds employed only in the RSFSR in various jobs on collective farms, as well as in the workshops organized by them 40 thousand disabled people. Along with this, public mutual aid funds opened homes for the disabled, medical aid centers, etc.

The provision of pensions for disabled workers was streamlined in the Regulations of the All-Russian Central Executive Committee and the Council of People's Commissars (March 1928). The size of pensions was established depending on the group and cause of disability, work experience and wages. Since 1961, the competence of the Ministry of Social Security of the RSFSR began to include the payment of pensions, the provision of medical and labor examinations, the employment and vocational training of disabled people, their material and household services, etc.

To implement the procedure for establishing disability, a special organizational and structural institute was created - a medical and labor examination, initially as a component of insurance medicine. The formation of insurance medicine was based on the decree of the Council of People's Commissars of November 16, 1917 on the transfer of factories and factories to the sickness funds of medical institutions. The emergence of insurance medicine, in turn, determined the need for a medical examination of working capacity in the social insurance system. Medical control commissions (VKK) were created at the sickness funds. In the first period of its existence, the VKK had the function of checking the correctness of the diagnoses of the attending physicians, determining temporary incapacity for work, and examining permanent disability.

The decision of the Council of People's Commissars of December 8, 1921 introduced the so-called "rational" six-group system for establishing disability: Group I - a disabled person is not only not capable of any professional work, but also needs outside help; Group II - a disabled person is not capable of any professional work, but can do without outside help; Group III - a disabled person is not capable of any regular professional work, but can to some extent earn his livelihood by casual and light work; Group IV - a disabled person is not able to continue his previous professional activity, but can switch to a new profession of lower qualification; Group V - a disabled person is forced to abandon his former profession, but can find a new profession of the same qualification; Group VI - the continuation of the previous professional work is possible, but only with reduced productivity. This classification of disability was called “rational” because, instead of the percentage method, it introduced the definition of working capacity, based on the ability for a disabled person, depending on the state of health, to perform any professional work or work in his former profession. This is how the principle of determining the severity of dysfunction in a patient and comparing them with the requirements of professional labor imposed on the body of a worker began to take hold. The rational core of the six-group system was, first of all, that, recognizing disability even among people with a slight decrease in working capacity (groups VI, V and partly IV), it gave them, in the then existing unemployment, the opportunity to get a job and use certain benefits provided by the state to disabled people. Only the disabled of the first three groups had the right to pension provision. However, the six-group classification could not fully meet the requirements for the examination of working capacity in the conditions of the industrialization of the economy, the elimination of unemployment and the high demand for labor. One of the fundamental defects of medical expertise was the lack of a scientific and methodological base.

The most important factor that determined the entire further development of medical and labor expertise and social policy in relation to the disabled was the replacement in 1923. six-group to three-group disability classification. According to it, the disabled were divided into three groups: I - persons who have completely lost their ability to work and need outside care; II - who have completely lost the ability to professional work, both in their own and in any other profession; III - incapable of systematic work in their profession in the usual conditions for this profession, but retaining residual working capacity sufficient to apply it: a) not at regular work, b) with a reduced working day, c) in another profession with a significant decrease in qualifications .

The replacement of the six-group classification by the three-group one was carried out not mechanically - by eliminating groups 4, 5 and 6, to which pensions were not assigned, but by significantly revising the wording of disability groups, first of all, group 3, which actually included the criteria of the liquidated group 4 - the ability to work "in another profession with a significant reduction in qualifications. Thus, persons who actually retained their ability to work ceased to be recognized as disabled, and on the other hand, persons with limited ability to work began to belong to the 3rd group, in which the disabled received a pension

This three-group classification of disability, which already in the thirties played a significant role in streamlining the medical and labor examination, exists with some changes to the present.

In the early 60s. A number of documents were adopted (the Law on State Pensions of July 14, 1956, the Law on Pensions and Allowances for Collective Farm Members of July 15, 1964), which significantly influenced the improvement of pensions for disabled people. Free medical care, free education and other benefits provided at the expense of public consumption funds to the entire population of the Soviet Union were equally the property of the disabled. These goals were also served by the state system of employment of disabled people, allowing them to work at their request in conditions that are not contraindicated for them for health reasons. During this period, for the first time, a unified legislation was created on state pensions paid both at the expense of social insurance funds and at the expense of state appropriations, under the system of social security bodies. This unified legislation covers all types of pensions, including disability pensions, assigned to workers, employees, persons equated to them, students, military personnel of privates, sergeants and senior officers in military service, members of creative unions, some other citizens, as well as family members of all these categories of workers.

In 1965, there was an equalization of legislation in relation to collective farmers and the establishment for them of the same legal norms that had previously been extended to workers and employees. By 1967, a unified procedure for disability pensions was established for all socio-professional categories of citizens and a unified procedure for medical and labor examination, which was in force until 1990.

Since the mid-70s, we can talk about the emergence and development of a new state form of social services, namely, social and consumer services for the disabled at home. Enrollment in home care required a number of documents, including a certificate from a medical institution confirming the absence of chronic mental illness at the stage of a pronounced defect or profound mental retardation; tuberculosis in an open form; chronic alcoholism; venereal and infectious diseases, bacteriocarrier. The boarding house, which was entrusted with servicing citizens at home, was supposed to provide the following types of services: 1) delivery of products according to a pre-designed set once or twice a week (if possible, delivery of a hot lunch and semi-finished products for breakfast could be organized once a day and dinner) 2) washing and changing bed linen at least once every 10 days, for which the boarding school allocated three sets of linen for each person served; 3) cleaning of residential premises and common areas; 4) delivery of medicines, payment of utility bills, delivery of things to the laundry and dry cleaning, shoes - for repair.

In parallel, there are services to provide social assistance to disabled citizens with special structural units. Such structural subdivisions were the departments of social assistance at home for single disabled citizens, which were organized under the district departments of social security. Their activities were regulated by the "Temporary regulation on the department of social assistance at home for single disabled citizens." The provision stipulated that, in addition to the types of social and domestic assistance that had already become traditional, social workers were supposed to provide assistance in maintaining personal hygiene, if necessary, fulfill requests related to postal items, assist in obtaining the necessary medical care, and take measures to bury dead single clients. The services were provided free of charge. A social worker, who is part of the staff of the social assistance department, was supposed to serve at home 8-10 single disabled people of 1-2 groups.

Departments were created in the presence of at least 50 disabled people in need of home care. In 1987, a new normative act introduced some changes in the activities of social assistance departments. Basically, the changes concerned the organization of departments of social assistance at home. The contingent of persons subject to home care was more clearly defined, and it was also provided that persons receiving a maximum pension pay a fee of 5 per cent of the pension. Enrollment in home care was carried out on the basis of a personal application and the conclusion of a medical institution about the need for such care.

In 1990, the Supreme Soviet of the USSR adopted the concept of the State Policy for the Disabled and the Law "On the Basic Principles of Social Protection of the Disabled in the USSR." The law established that the state creates the necessary conditions for individual development, the realization of creative and productive opportunities and abilities of this category of the population. Local government authorities were obliged to provide disabled people with the necessary conditions for free access and use of cultural and entertainment institutions and sports facilities. Despite their declarative nature, these documents contained very progressive ideas, the main of which was the transfer of the center of gravity from passive forms of support to the rehabilitation and integration of disabled people into society. If implemented, these approaches could significantly change the situation of persons with disabilities. However, they were not ratified in the RSFSR, and further events in 1991 dramatically changed the socio-economic and political situation in Russia.

1.2. Characteristics of the main areas of social assistance and protection of disabled people in Russia and abroad in modern times


On December 26, 1991, in connection with the aggravation of the socio-economic situation in the country and the deterioration of the financial situation of poor citizens, the Decree of the President of the Russian Federation "On additional measures for social support of the population in 1992" was issued, according to which republican and territorial social support funds were formed the population, the procedure for the targeted direction of humanitarian assistance and the creation of territorial services for urgent social assistance were determined. In accordance with this Decree, by order of the Minister of Social Protection of the Population of the Russian Federation dated February 4, 1992, the “Regulations on the Territorial Emergency Social Assistance Service” were approved. This document determined the content of the work of this service, which was intended to provide urgent measures aimed at temporarily supporting the life of citizens in dire need of social support by providing them with various types of assistance, including food, medicines, clothing, temporary housing and other types of assistance. The persons who could use the emergency social assistance service included: single citizens who have lost their livelihood, single disabled people and the elderly, minor children left without the supervision and care of their parents or persons replacing them, large and single-parent families, etc.

The Decree of the President "On measures to create an accessible living environment for the disabled" dated October 2, 1992 initiated the transformation of the environment, taking into account the needs of the disabled. In Russia, standard rules have been developed that take into account the needs of people with disabilities in the construction of housing and the construction of social infrastructure. However, the most important obstacle to the implementation of this direction is the lack of a mechanism obliging to take appropriate measures.

In 1993, an attempt was made to adopt a Russian law on the social protection of disabled people, but again, due to well-known political events, this draft law was considered only in the second reading by the Supreme Soviet of the RSFSR and was not finally adopted.

The Constitution of the Russian Federation (1993), which proclaimed Russia a social state, provides for the creation of conditions that ensure a decent life and free development of each person, guarantees disabled people equal rights and freedoms with other citizens. At the present stage, this has become one of the most important tasks of the state and its health authorities, social protection of the population, education, employment, culture, physical culture and sports.

By the Decree of the Government of the Russian Federation of January 16, 1995 “On the Federal Comprehensive Program “Social Support for the Disabled”, this program was approved. However, this program was not implemented on time, as a result of which, on August 13, 1997, the Government of the Russian Federation adopted the Decree “On the extension of the deadlines for the implementation of federal targeted programs included in the federal comprehensive program “Social Support for the Disabled”.

On August 4, 1995, the Federal Law “On Social Services for Elderly Citizens and the Disabled” was issued, and on December 10, 1995, the Federal Law “On the Basics of Social Services for the Population of the Russian Federation” was issued. They became the basis of the legislative framework in the field of social protection of the population. The Decree of the Government of the Russian Federation of November 25, 1995 approved the list of social services guaranteed by the state, which were provided to elderly citizens and the disabled by state and municipal social service institutions. Among them are such types of assistance as material and household, sanitary and hygienic and socio-medical, advisory, etc. Thus, the state has defined the subjects of mandatory assistance, the types of services that it guarantees to this category of those in need.

Cardinal changes in the state policy towards the disabled were supposed in connection with the adoption in 1995 of the Federal Law "On the Social Protection of the Disabled in the Russian Federation". This Law determines the state policy in the field of social protection of disabled people in Russia, the purpose of which is to provide disabled people with equal opportunities with other citizens in exercising civil, economic, political and other rights and freedoms provided for by the Constitution of the Russian Federation, as well as in accordance with generally recognized principles and norms international law and international treaties of the Russian Federation. In accordance with this law, the state authorities of the constituent entities of the Russian Federation over the past years have adopted legislative normative legal acts and comprehensive targeted programs that ensure the implementation of state policy in relation to disabled people, taking into account their level of socio-economic development.

This Law of 1995 incorporated all the progressive norms of the social laws of foreign countries and international documents. Thus, the formal legislation in Russia was as close as possible to international standards and acquired a progressive methodological basis.

However, it should be noted that the provisions of the law do not carry norms of direct action, they lack a mechanism for implementing the declared obligations of the state to persons with disabilities, including the lack of clarity in matters of their financial support. These circumstances significantly hampered the implementation of the Law and required a number of Decrees of the President of the Russian Federation, new by-laws and regulatory materials: Decree of the President of the Russian Federation of June 1, 1996 "On measures to ensure state support for disabled people", Decree of the Government of the Russian Federation of August 13, 1996 " On the Procedure for Recognizing Citizens as Disabled”, a new Regulation on Recognizing a Person as Disabled and an Approximate Regulation on Institutions of State Medical and Social Expertise. In contrast to the Instructions for determining disability groups of 1956 that were in force until that time, the new Regulation determined that a person is recognized as a disabled person during a medical and social examination based on a comprehensive assessment of his health status and the degree of disability. Previously, the basis for establishing a disability group was a persistent disability, which led to the need to stop professional work for a long time or significant changes in working conditions. The new provision provides for an assessment not only of the state of working capacity, but also of all other spheres of life. Thus, according to the Regulations, the grounds for recognizing a citizen as disabled have been expanded. These include: 1) a health disorder with a persistent disorder of body functions due to diseases, the consequences of injuries or defects; 2) limitation of life activity (complete or partial loss of the ability of a person to carry out self-service, move independently, navigate, communicate, control their behavior, study or engage in work activities); 3) the need to implement measures of social protection of a citizen. At the same time, however, the presence of one of these signs is not sufficient to recognize a person as disabled.

Depending on the degree of impairment of body functions and limitation of life activity, a person recognized as a disabled person is assigned I, II or III disability group, and a person under the age of 16 is assigned the category "disabled child".

The main distinguishing feature of the new package of laws and social policies in relation to persons with disabilities was their reorientation to active measures, among which the most important is given to programs for the rehabilitation of the disabled . The development of individual programs for the rehabilitation of disabled people in accordance with the Federal Law "On the Social Protection of the Disabled in the Russian Federation" is within the competence of institutions of medical and social expertise. An individual rehabilitation program is, in our opinion, a real step for a disabled person on the way to improving health, raising professional status, and accessibility of a social environment. Thus, it is precisely in the rehabilitation direction that the significant difference between the activities of the new institutions of medical and social expertise (Bureau of Medical and Social Expertise - BMSE) and the previously functioning VTEK lies.

By the end of the 20th century, the traditional state policy regarding the disabled and disability, based on the theory of their exclusivity and focused mainly on medical care, meeting the material and domestic needs of the disabled, lost its effectiveness.

In society, in the state, among the disabled themselves, an approach is becoming increasingly recognized, according to which the problems of disabled people should be considered in the aspect of restoring broken ties between the individual and society, meeting the needs for the social development of the individual, and integrating disabled people into society. At the same time, the policy in the field of relations between the state and the disabled must be consistent with the generally recognized principles and norms of international law. Among them, a special place belongs to the "Standard Rules for Ensuring Equal Opportunities for Persons with Disabilities", adopted by the UN General Assembly on December 20, 1993, which are based on the experience gained during the United Nations Decade of Persons with Disabilities (1983-1992).

The Standard Rules are the main international document that fixes the cornerstone principles of the socio-cultural life of people with disabilities in society. They contain specific recommendations to states on measures to remove obstacles that complicate the participation of persons with disabilities in public life, on the one hand, and to ensure an adequate attitude of society towards the problems of persons with disabilities, their rights, needs, opportunities for self-realization, on the other.

According to the Standard Rules, the rehabilitation process is not limited to the provision of medical care, but includes a wide range of measures, ranging from initial and more general rehabilitation to targeted individual assistance.

The principle of equality of rights implies that the needs of all exclusionary individuals are of equal importance, that these needs should form the basis of social policy planning, and that all means should be used in such a way that everyone has an equal opportunity to participate in society.

One of the main tasks of socio-economic development is to provide all persons with access to any spheres of society. Among the target areas for creating equal opportunities for people with disabilities, along with the availability of education, employment, social security, the sphere of culture was also identified. The Standard Rules, inter alia, state that States should ensure that persons with disabilities living in both urban and rural areas have the opportunity to use their artistic and intellectual potential not only for their own benefit, but also to enrich the culture of society. Examples of such activities include choreography, music, literature, theatre, plastic arts, painting and sculpture.

States are encouraged to promote the accessibility and use of cultural and educational institutions such as theatres, museums, cinemas and libraries, use special technical means to increase the access of persons with disabilities to literary works, films and theatrical performances. The Standard Rules also recommend other equal opportunity measures for persons with disabilities. Among them are: information and research, policy development and planning, legislation, economic policy, coordination of activities, activity of organizations of persons with disabilities, training of personnel, national monitoring and evaluation of programs related to persons with disabilities.

Describing the state of the problem of social protection of persons with disabilities abroad, it is important to note that the main formalized criteria by which the policy of states in relation to persons with disabilities is assessed are the following parameters: 1) the presence of an officially recognized policy in relation to persons with disabilities; 2) the existence of special anti-discrimination legislation in relation to persons with disabilities; 3) coordination of the national policy on persons with disabilities; 4) judicial and administrative mechanisms for the implementation of the rights of persons with disabilities; 5) presence of non-governmental organizations of disabled people; 6) access of persons with disabilities to the exercise of civil rights, including the right to work, to education, to found a family, to privacy and property, as well as political rights; 7) availability of a system of benefits and compensations for disabled people; 8) accessibility of the physical environment for a disabled person; 9) accessibility for the disabled person of the information environment.

According to UN experts, in most countries, general legislation is used to protect people with disabilities, that is, people with disabilities are subject to the rights and obligations of citizens of the state. UN experts believe that special legislation that ensures equal access of persons with disabilities to general legislation is a stronger legal instrument.

In general, the effectiveness of social policy in relation to persons with disabilities also depends on the extent of disability in the country, which is determined by many factors, such as the state of health of the nation, the level of health care, socio-economic development, the quality of the ecological environment, historical heritage, participation in wars and armed conflicts and etc. However, in Russia all of the above factors have a pronounced negative vector, which predetermines the high rates of disability in society. Currently, the number of people with disabilities is approaching 10 million people (about 7% of the population) and continues to grow. Since this trend has become especially noticeable in the last six years, it can be argued that if such rates are maintained in Russia, there will be an increase in the total number of people with disabilities, and especially the entire population of retirement age. Therefore, the Russian state should not ignore the problem of disability, given its scale and the unfavorable direction of the relevant processes.

As a retrospective historical analysis of the development of social assistance to people with disabilities in Russia shows, social work in its modern sense is often identified with social services for people with disabilities who need support. The transformation of the disabled person into a separate object of activity of social service workers had a positive effect not only on expanding the range of tasks of social work, but also on the introduction of its new directions. Thus, it is not enough and wrong to talk only about social services for the disabled. Social work with this category of citizens has absorbed the methods and techniques used by psychologists, psychotherapists, teachers and other professionals in contact with the fate of people, their social status, economic well-being, moral and psychological status. From a theoretical standpoint, social work can be viewed as a penetration into the need sphere of a disabled person and an attempt to satisfy it. In accordance with the broader task of social work on the interaction of a social worker with the environment of a person with a disability, a social worker should: influence social policy and social protection policy for people with disabilities; seek links between organizations and institutions providing social assistance and support to persons with disabilities; encourage organizations to take care of people with disabilities; promote the expansion of the competence of people with disabilities, as well as the development of their abilities in terms of solving life problems; help people with disabilities access resources; promote interaction between individual persons with disabilities and those around them; promote the organization of cultural and leisure activities for disabled people.

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