FACTORS DETERMINING THE EMPLOYMENT OF DISABLED PERSONS WITH SIGNIFICANT HEALTH PROBLEMS

Disabled people with significant impairments of body functions, make up more than 10% in the structure of the total disability prevalence rates across the regions of Russia. Some of them may be included in the labor force with the considerable help of others in specially created circumstances, such as educational or medical-industrial workshops. The purpose of research is the study of the complex of biopsychosocial factors determining the labor activities of disabled persons of various ages with significant health problems. There were observed 128 people. There were investigated the peculiarities of employment of persons with disabilities working in the medical-industrial workshops in St. Petersburg and the Leningradskaya region. There was used the method of expert and rehabilitation diagnostics, aimed at the study of the functioning of persons with disabilities with the help of processes of health domains and health-related domains systematized according to the International Classification of Functioning, Disability and Health (ICF). There were revealed specific features of the functioning, activity and participation as well as affecting on them environment factors specific to working activity of «severe» psychiatric and ophthalmic disabled, as well as cases with disorders of the musculoskeletal system, capable of working in educational and medical-industrial workshops with the considerable help of other persons. In the course of the study there was determined the pronouncement of persistent disorders of mental and sensory functions and disorders of the musculoskeletal system, when people with such disabilities can be sent to the medical and educational-production workshops institutions of different departmental subordination.There were pointed out the barriers disrupting «severe» people with disabilities be employed, as well as to facilitate career and personal factors that providing a more effective integration of disabled people into the work. Involvement in the feasible work of the «severe» cases with disabilities prevent their discrimination, promote social and economic effectiveness of rehabilitation

disabled people with significant health problems, employment, activity and participation, environmental factors, barriers and facilitating factors, therapeutic and industrial workshops