Prevocational exploration and vocational rehabilitation of the psychiatric client.

The primary objective of this paper is to survey current trends in the United States in the use of vocational rehabilitation services for the psychiatric client in relation to occupational therapy. In assessing the techniques and services that can be employed by occupational therapists working in psychiatric rehabilitation centers, nine vocational rehabilitation prototypes have been identified, i.e., evaluation of skills and aptitudes, occupational information groups, individual counseling, vocational training, pre-employment group counseling, transitional volunteer work, sheltered work, temporary tryout work, and special placement. Based on a number of descriptive clinical studies, it can be concluded that vocational rehabilitation serves as a key factor in a comprehensive psychiatric treatment program located in the community. In general, work provides the psychiatric client with opportunities to be in the mainstream of life and to attain the psychological satisfactions that are derived from being employed.