The paper examines the impact of a disability on an individual's lifestyle and addresses ways in which several countries are attempting to integrate disabled people in work leisure pursuits. The economic, personal, and social effects of disability are noted from research. Among the social/environmental barriers to full integration in work and leisure considered are legal, physical, and attitudinal obstacles. The freedom to work and participate in leisure is seen as more accepted in other western industrial societies than in the United States. Policy declarations of such groups as the United Nations Educational, Scientific, and Cultural Organization, and Rehabilitation International on the full participation of disabled people in work and leisure are cited. Examples of work practices in Sweden, Poland, and England and of leisure practices in Sweden and Canada are described as examples of efforts in integration. (CL)