Introduction. Currently, assisted living technologies are actively developing in the Russian Federation. When receiving social services, education, promotion of employment, disabled people need to be accompanied. The effectiveness of these measures depends both on the conditions for the provision of services, the qualifications of accompanying persons, determining the required amount of support, on the ability of a disabled person to live independently and work, and on the readiness of the disabled person to be accompanied when receiving services, including a joint venture.Target. Rationale for the use of the International Classification of Functioning, Disabilities and Health in assessing the degree of readiness of persons with disabilities to be accompanied when receiving services, including accompanied accommodation.Materials and methods. Analysis of the results of monitoring the development of joint venture technologies, presented by 85 constituent entities of the Russian Federation for the period 2020–2021 on a wide range of issues, including the organization of employment of people with disabilities who are on a permanent SP and employed people with disabilities, social employment of people with disabilities, training of people with disabilities who are on a permanent accompanied accommodation, organizing a accompanied accommodation in stationary social service institutions, etc., using the ICF in determining the readiness of people with disabilities to be accompanied.Results. The number of disabled people receiving services within the framework of accompanied accommodation was studied based on materials submitted from 85 subjects of the Russian Federation as of 01.10.2022. The monitoring analysis showed that in 80 subjects of the Russian Federation (94.1 %), work is underway to organize accompanied accommodation. In 2022, there is an increase in the number of disabled people receiving services within the framework of accompanied accommodation to 6649 people, of which 4245 people are on educational (training) accompanied accommodation, 2404 people are on permanent accompanied accommodation.Discussion. Using the methodology of the ICF, questionnaires were developed, as well as a methodology for assessing the readiness of persons with disabilities to be accompanied when receiving services, including accompanied accommodation, carried out using them.Conclusions. The developed criteria and methodology for their use make it possible to quantify the degree of readiness of persons with disabilities and children with disabilities to be accompanied when receiving services, including accompanied accommodation, and be used in the preparation of an individual support program.

The right of every person to free movement, choice of place of stay and residence is guaranteed by the UN Convention on the Rights of Persons with Disabilities [1], the Constitution of the Russian Federation [2] and the Law of the Russian Federation of 25.06.1993 No. 5242-1 "On the right of Citizens of the Russian Federation to freedom of movement, choice of place of stay and residence within the Russian Federation" [3]. The priority direction of the State's social policy is to provide all citizens with equal opportunities for access to social, economic, and cultural values, guaranteeing all members of society respect for the individual and respect for everyone's rights. In order to realize their civil rights and duties, disabled people need the support of society and the state. To integrate disabled people with impaired mental functions into society, the indicators of activity and participation of disabled people living in inpatient social service institutions and families based on the International Classification of Functioning, Disability and Health (ICF) were studied. This study is necessary for further selection of citizens with impaired mental functions for accompanied accommodation and determination of the type of escort.Aim. Research of indicators of activity and participation of disabled people living in inpatient social service institutions and families.Materials and methods. The study of activity and participation indicators was conducted in social service institutions of the population of St. Petersburg. The study involved a multidisciplinary team consisting of employees of the G.A. Albrecht Federal State Budgetary Research Center of the Ministry of Labor of Russia and employees of the CSRIDI (teachers, AFC specialists, psychologists, orderlies). The selection of the Center's clients living in families and graduates of inpatient social service institutions who currently live independently was carried out. The study involved 27 people with impaired mental functions of working age (from 17 to 43 years). Methods and principles of medical and social assessment are used to assess the abilities of persons with mental disorders. Interviewing (interviewing) of the surveyed persons, their relatives and guardians, employees of the PSNI. Documentary data collection (collection of necessary information on the documents of the examined persons). Medical assessment of the condition of the examined persons. Expert assessment of the abilities of persons with impaired mental functions using diagnostic tools by a multidisciplinary team. The data from the clients' documentation was recorded in the developed personal cards. General scientific methods (content analysis, analytical, system-structural, comparative, statistical) and methodological methods of systematization, comparison, generalization, interpretation using the standard Excel-7.0 software package for IBM PC are applied.The object of the study. People with disabilities with impaired mental functions who need accompanied accommodation.The subject of the study. Assisted living services required by disabled persons with impaired mental functions.Results. According to the results obtained, 6 (22.2%) people with impaired mental functions have no restrictions in autonomy, which means they do not need periodic or constant support. It is possible for them to use periodic patronage in order to identify difficult life situations. The rest of the persons with mental disorders have different degrees of difficulties of the person's autonomies and need support of different frequency. Of these, 5 (18.5%) have minor difficulties with facial autonomy, 8 (29.6%) have moderate difficulties, 5 (18.5%) have severe difficulties with facial autonomy, and 3 (11.2%) have significant limitations of facial autonomy and need constant care. It is worth noting that three disabled people with impaired mental functions, two of whom, according to the results of the study, were in the group of persons with severe difficulties of facial autonomy, and one with moderate difficulties of facial autonomy have significantly pronounced disorders of neuromuscular, skeletal and movement–related functions, which is why they constantly need help when moving. At the same time, they have mastered secondary general education, can read, count, performs written and oral commands, is able to maintain a conversation, is able to build interpersonal interactions. To clarify the degree of violation of the person's autonomy and the need for support in the presence of restrictions on independent movement, the b760 domain "Control of voluntary motor functions" and the domains of the "Mobility" section were calculated separately.Discussion. The development and implementation of an assessment system for disabled people based on the study of indicators of functioning, activity and participation of citizens with impaired mental function with an assessment of medical and social factors affecting their livelihoods and an assessment of the degree of autonomy of persons living in inpatient social service institutions and families will solve questions about the form of life of citizens suffering from mental disorders, and organize work on their employment.Conclusions. Depending on the indicators of activity and participation of disabled people living in inpatient social service institutions and families, based on the provisions of the international classification of functioning, disability and health, it allows you to determine the degree of expression of a person's autonomy, the volume and duration of support services.

Introduction. The features of the development of infrastructures, regional resource and methodological centers for early care for children and their families in the Russian Federation, the specifics of identifying children of the target group and families in need of early care services are considered.Goal: To develop scientifically based proposals for the further development of early care for children and their families in the Russian Federation.Materials and methods: Information from Federal Statistical Observation No. 1-RP "Information on early care for children of the target group" from 85 regions of the Russian Federation (hereinafter referred to as Form No. 1 RP). General scientific methods (content analysis, analytical, system-structured, comparative, statistical) and methodological methods of systematization, comparison, generalization, interpretation using the standard Excel-7.0 software package for IBM PC are applied.The object of the study: Children from birth to three years of age who need early care services.The subject of the study: Early care services provided for children of target groups and their families in the constituent entities of the Russian Federation.Results. Organizations providing early care services operate in all 85 constituent entities of the Russian Federation. According to statistical observation, in the period 2019–2021, there is an increase in the number of organizations providing early care services (in general, an increase of 21.4% was registered in the Russian Federation), regional resource and methodological centers of early care were established in 53 constituent entities. There is an increase in the number of organizations from the healthcare sector (by 3.8%), in the education sector (by 16.5%), in the social protection of the population (by 2.3%). Early care services for children and their families are provided in 17 constituent entities of the Russian Federation by non-governmental organizations. In the Russian Federation, 75 regional resource and methodological centers for early care for children and their families have been established in 53 constituent entities of the Russian Federation, 12 of them in the field of healthcare, 27 in education, 36 in social protection of the population. The number of children assigned to the target group in the Russian Federation amounted to 248,108 people (4% of the total number of children aged from birth to the age of three). The proportion of children in need of early care services in the constituent entities of the Russian Federation in 2021 varies from 0.3% to 23.4%. According to the data of the constituent entities of the Russian Federation, as of 31.12.2021, the number of specialists providing early care services amounted to 38,484 people.Discussion. Since 2019, the constituent entities of the Russian Federation have been monitoring the state of early care for children and their families in the form of statistical observation No. 1-RP "Information on early care for children of the target group". Information is provided from 85 constituent entities of the Russian Federation. According to statistical observation data, as of 31.12.2021, 6429 organizations provide early care services in the Russian Federation. The formation and development of the infrastructure of early care services and the improvement of human resources are necessary conditions for the development of early care for children and their families in the constituent entities of the Russian Federation. There is a positive trend in the growth of the number of specialists providing early care services. The results of the analysis of the statistical form No. 1-RP allow us to assess the state and level of development of early care for children and their families in the constituent entities of the Russian Federation.Conclusions. The data from the monitoring results allow us to develop proposals for the development of early care services in the constituent entities of the Russian Federation.