According to the main provisions of the "Concept" of comprehensive rehabilitation/ habilitation of disabled people (children with disabilities) [1], an integrated interdepartmental approach is a priority in the rehabilitation system for disabled people. Of course, it is difficult to single out the most significant and primary ones in a single set of rehabilitation measures, but it is especially important that rehabilitation measures complement each other and, in reasonable synergy, contribute to the full-fledged social adaptation of people with disabilities in society [2-4]. In St. Petersburg, legislative initiatives in the field of social protection, taking into account the provisions of Article 22 of the Federal Law "On the Basics of Social Services for Citizens in the Russian Federation" [5], are reflected in the document "On the state program of St. Petersburg "Social Support for Citizens in St. Petersburg" [6]. For the practical implementation of this program, Centers for providing social and rehabilitation services to people with disabilities have been established in 18 districts of St. Petersburg. The St. Petersburg State Budgetary Institution for Social Services of the Population "Center for Social Rehabilitation of the Disabled and Disabled Children of the Nevsky District of St. Petersburg" (hereinafter referred to as CSRIDI) was established on the basis of the order of the St. Petersburg City Property Management Committee dated 13.10.2011 No. 2467-r [7] and is located at five sites: 4 Chudnovsky St., Zaporizhia 25, Ivanovskaya St. 10, Oktyabrskaya embankment 76, Far East ave. 8. Rehabilitation is organized in the CSIRI, which includes a wide range of activities that activate the physical, intellectual and emotional resources of people with disabilities and help reduce the limitations of their daily lives [8-10]. Social services are provided to people with disabilities in social service institutions on the basis of an individual social services program [11] Rehabilitation services for the disabled are provided through an individual rehabilitation or habilitation program (IPRA) for the disabled, the feature of which is the participation of specialists from institutions of various departments: healthcare, education, social protection, labor and employment, physical education and sports, culture and education, territorial offices of the Pension and Social Insurance Fund of the Russian Federation [12]. The efforts of specialists from social service institutions where social and rehabilitation services are provided are aimed at organizing a creative, individual approach to achieving the main goal of comprehensive rehabilitation - optimal physical, social and psychological well-being in the lives of people with disabilities [13]. Goal / Aim In a comparative aspect, to analyze the main indicators of the implementation of social and rehabilitation services for the disabled of working age in the conditions of the regional rehabilitation center. Materials and methods / Materials and methods The materials were studied and the types, composition and content of social and rehabilitation services provided to people with disabilities of working age at the Center for Social Rehabilitation of Disabled People and Disabled Children in the Nevsky district of St. Petersburg in 2022 and 2023 were analyzed. Methods: data extraction, expert assessments, statistical, analytical. Results / Results The main activity of CSRIDI is the organization and provision of social services within the framework of the IPU and rehabilitation services within the framework of the IPU for the disabled. The target contingent of the CSIRI receiving social and rehabilitation services are people with disabilities of working age. In 2023, this contingent was expanded to include participants in a special military operation and their family members in order to provide them with social support services in accordance with the order of the Committee on Social Policy of St. Petersburg [14]. We have analyzed the demographic indicators of disabled recipients of social and rehabilitation services in the CSIRI in 2022-2023. The comparison in dynamics by gender showed no significant differences: in 2022, the husband. there were 58.0% and 42.0% women, in 2023 there were 56.0% men and 44.0% women. (Fig. 1). Figure 1. Gender distribution of service recipients according to IPS and IPRA in 2022-2023 An analysis of the severity of disability of persons who received social services under the IPSA was also carried out, which showed that in 2022 the proportion of disabled people in group I was 21.0%, group II - 42.0%, group III - 37.0%. On the contrary, in 2023, the disabled of group I accounted for 24.0%; and group II - 41.0%, group III - 34.0%. Thus, over the course of two years, there was an increase in the number of people with disabilities in the first group by 3.0% and a decrease in the number of people with disabilities in the second and third groups by 1% and 3% (respectively) (Fig. 2). Figure 2. Distribution of the disabled by disability groups, % In the structure of disorders of body functions, the largest share in 2022 was made up of people with disabilities with statodynamic disorders, they turned out to be 55.0%, the proportion of people with intellectual disabilities was 33.0%, people with multiple combined disorders accounted for 11.0% and people with disabilities with sensory impairments - 1.0%. People with disabilities with multiple combined impairments are patients with combined impairments of motor, speech, or sensory functions. As a rule, these are patients with the consequences of a previous injury. cerebral circulation or traumatic brain injuries, as well as congenital diseases of the central nervous system. It was found that in 2023, people with disabilities with impaired statistical functions also prevailed - 56.0%, people with intellectual disabilities accounted for 31.0%, people with multiple combined disabilities - 19.0%, and people with sensory impairments - 5.0%. Thus, during the two years of follow-up, individuals with multiple combined impairments increased by 8.0% and those with disabilities with sensory impairments by 4.0% (Fig. 3). Figure 3. The structure of functional disorders in people with disabilities of working age, % It was found that in 2022, 3,390 people received social and rehabilitation services, including 2,216 people with disabilities (65.4%), 904 people with disabilities (26.6%) and 312 young children (9.0%). In 2023, services were provided to a smaller number of rehabilitators - 3,100 people, of whom 1,932 people. (62.4%) - disabled people of working age, 856 (27.6%) - disabled children and 312 (10.0%) - young children. Thus, in 2023, compared with 2022, there was a decrease in the number of disabled people who received services by 290 people (Table 1). Table 1 / Table 1 Categories of recipients of services in the Central Hospital of the Nevsky district n/a / Numeric Category of citizens / The category of Citizens / Year 20222023 abs. / abs.s. / abs.% 1. Disabled people of working age 2,216,65,4 1,932 62,4 2. Children with disabilities 904 26.6 856 27.6 3. Young children 270 8.0 312 10.0 Total / Total: 3,390,100 3,100,100 In the CCRIDI, the range of social services provided is represented by social and household, social and medical, social and psychological, social and pedagogical, social and labor, social and legal services and services aimed at increasing the communicative potential of people with disabilities. It turned out that even in this short period of observation, there were significant changes in the volume and types of services provided (Table 2). Table 2 /Table 2 Summary indicators of the number of social services provided in 2022 and 2023 n/a / Numeral Naming of types of social services / The name of the types of social services20222023 abs. / abs.s. / abs.% 1. Social and household issues 121 736 18.0 124 784 20.8 2. Social and medical 163 167 24.0 139 267 23.2 3. Socio-psychological 33 274 4.8 29 301 4.9 4. Socio-pedagogical 199 679 29.4 165 373 27.5 5. Social and labor relations 31 882 4.7 31 405 5.2 6. Social and legal issues 3,003 0,4 2,025 0,3 7. Services aimed at increasing the communicative potential 125 611 18.5 106 746 17.8 8. Urgent social services 1 606 0.2 1 462 0.2 Total / Total: 680 008 100.0 600 363 100.0 The total number of social services provided by the specialists of the CSRIDI departments in 2022 amounted to 68,000.8. At the same time, in the total structure of the set of services, social and pedagogical services were provided in the amount of 29.4%, social and medical services - 24.0%. social and household services - 18.0%, and social and labor services — only 4.7%. In 2023, the total number of services was 11.7% less and amounted to 600,363. At the same time, social and educational services The volume of 27.5% was provided (a decrease of 2.0%), social and medical services - 23.2%, social and household services — 20.8%, social and labor services - 5.2% (they were provided the most by 0.5%). The dynamics of the growth in the number of social and household services provided increased by 2.8%. Such services were in demand as part of the development of day care units for people with severe multiple developmental disabilities, as well as in the department of specialized social and medical services at home. Within the framework of this type of services, assistance in dressing and changing clothes is most in demand for those who are unable to take care of themselves for health reasons, as well as hygiene procedures. It is unclear why the share of social and pedagogical services decreased in 2023: they are important for people with disabilities of working age and, above all, are aimed at organizing leisure activities, conducting speech therapy classes, and providing assistance in teaching computer literacy skills. It is also unclear for what reason there was a decrease in social and medical services, which provided for the implementation of therapeutic and recreational activities aimed at forming a healthy lifestyle, as well as monitoring and monitoring the health status of people with disabilities in the CSIRI. Persons with disabilities had the right, along with social services, to receive rehabilitation services under the IPRA developed by the ITU Bureau. I would especially like to emphasize the participation of the institution's specialists in the work of the interdepartmental group for the implementation of the IPRA for the disabled in a neuropsychiatric boarding school (PSNI) in 2020-2023, supervised by the CCRIdI. It turned out that out of the total number of disabled people in the PSNI — 1,243 people, 1,047 disabled people needed to update the IPRA, which amounted to 84.2%. The Center has created an interdisciplinary team of specialists in the form of a structural and functional unit that unites specialists in rehabilitation and habilitation of medical and non-medical profiles (doctors and nursing staff, psychologists, educators, specialists in social work, adaptive physical education, etc.) to provide services to people with disabilities, including including children with disabilities, rehabilitation (rehabilitation) services. Specialists use various methods combined into a single plan for the implementation of IPRA and IPSU, rehabilitation services for people with disabilities of working age with disorders of the central nervous system, speech disorders, memory disorders and other higher mental functions were in particular demand. In 2023, a team of specialists served 12 disabled people who were undergoing a course of comprehensive rehabilitation at the temporary residence department for the disabled of working age at the Center. One of the priority areas of CSRIDI's activities is the provision of vocational rehabilitation services for people with disabilities of working age. An analysis of the disability employment indicator showed that the predominant number of disabled people (up to 82.0%) did not work, therefore, measures to include them in the workforce were urgent issues of vocational rehabilitation of disabled people. It was established that 203 disabled people were employed in 2023. Rehabilitation services included career guidance, assistance in education and retraining, as well as professional training in sought-after specialties. One of the central measures of vocational rehabilitation was the employment of people with disabilities with the active assistance of employees of the Nevsky District employment center in St. Petersburg. Despite the fact that 125 people mastered various vocational training programs in 2022-2023, a comparative analysis of vocational training indicators showed that in the dynamics of observation in 2023 there was a significant decrease in the proportion (up to 8.0%) of people with disabilities who acquired a new profession compared to the previous year (Figure 4). Figure 4. Indicators of employment of people with disabilities of working age, % In order to achieve the predicted indicators of vocational rehabilitation, the following activities were carried out at the CSIRI: field trips to city job fairs and training places with recipients of social services (attended by 73 people); 16 master classes with invited specialists in style and fashion studios, workshops (attended by 151 people); 43 master classes with department specialists in handicrafts, style and fashion studios, workshops (attended by 370 people); seminars "Training"Crisis periods", "Life goals", "Managing one's own time", "Family conflicts and ways to solve them", "Peculiarities of relations with disabled children", "Domestic violence. What to do and where to apply", etc. CSRIDI has organized work on social support for families of a special category. Currently, social supervisors provide social support to 29 families, of which 13 families have a disabled child and 16 families with a disabled person of working age. Discussion / Discussion A comparative analysis (2022-2023) of the main performance indicators of the institution of social services for the disabled of working age has established a sufficient amount of ongoing social and rehabilitation activities. However, in 2023, the number of users of social and rehabilitation services decreased by 18.2%. During the two years of follow-up, individuals with multiple combined impairments increased by 8.0% and those with disabilities with sensory impairments increased by 4.0%. A structural analysis of the services provided revealed a decrease in the number of all types of services, however, the number of social and household services increased by 2.5%. The demand for rehabilitation services by disabled people in order to acquire a new profession turned out to be at a low level: students with disabilities accounted for only 5.0% of all disabled people of working age receiving rehabilitation at the CCRIDI. In this study, the short follow-up period does not allow us to draw definitive conclusions, but justifies the need for timely and regular generalization of the institution's performance indicators for the provision of social and rehabilitation services. Conclusion / Conclusion As a result of the analysis of the activities of the Central Research Institute of the Nevsky district of St. Petersburg, multidirectional trends in the system of providing social and rehabilitation services to people with disabilities were identified. age. There has been a decrease in socio-pedagogical and socio-cultural services, on the contrary, the volume of social and household services has increased, which may indicate an increase in the number of disabled people entering rehabilitation. A low indicator of the implementation of vocational rehabilitation services was also revealed. The data obtained lead to further study of the system of providing social and rehabilitation services with the development of proposals for improving the activities of the regional centers for the social rehabilitation of the disabled in St. Petersburg. Also, the results of the conducted research indicate the need to develop improved organizational and methodological approaches in the analysis of indicators of the implementation of social and rehabilitation services for people with disabilities of working age. Ethics of publication. The submitted article has not been previously published. Conflict of interests. There is no information about a conflict of interest. The source of financing. The study had no sponsorship....