目的 本文通过总结基于《国际功能、残疾和健康分类》(ICF)模式和全人发展的社区康复合作项目的做法和经验，为推进残疾人小康进程提供借鉴和思考。方法 双轨制、优势视角及全人发展观等理念指导下的残疾人工作思路；开发和整合社区资源，提供个性化精准服务；以具体任务为切入，将残疾人事务纳入各部门职责中；因地制宜，创新工作方法；营造良好的社会氛围。结果 项目实施三年来，项目县残疾人在健康、教育、谋生、赋能等各个方面均有所改善，实现受益残疾人不同程度回归社会。结论 该项目把国际社区康复理念与各项目地区的实际情况有效结合。通过“全人发展”的培训和项目实践，促进社会化方式的有效运作，残疾认识和工作方式的转变、“双轨模式”的发展，全面提升基层康复工作者的服务水平，促进当地残联能力建设。

Objective This paper summarized the practice and experience of community rehabilitation project based on the model of International Classification of Functioning, Disability and Health (ICF) and whole-person development, in order to promote the well-off process of people with disabilities. Methods They worked under the guidance of double track, strength perspective and whole-person development for people with disabilities; developed and integrated the community resources and provided personalized accurate service; brought the affairs of people with disabilities into various departments; adjusted measures to local conditions and innovated working methods; and created a good social atmosphere. Results Three years after project implementation, it improved in health, education, making a living and other aspects. The benefited people with disabilities returned to society in various degrees. Conclusion The project combined the concept of international community rehabilitation with the actual situation of the project area effectively. Through "whole-person development" training and practice, it promoted the social way of functioning, disability, and changed the way of work and the development of the "dual-track model", fully promoted the service level of rehabilitation workers at the grass-roots level, as well as the ability construction of local disabled persons' federation.