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Vocational rehabilitation (VR) for persons surviving traumatic or acquired brain injuries, especially in the form of supported employment, is relatively new to the insurance companies, state VR agencies, and private rehabilitation organizations that fund and deliver services to these consumers. Advances in medical technology and therapeutic intervention and the resultant increase in rates of survival and community re-entry among these people over the past decade have been the primary reasons for their increased demand of VR services. The growing demand of survivors for supported employment services in particular springs in large measure from their desire to return to the world of work which they inhabited prior to their injury, rather than the sheltered work settings so often prescribed for them due to their need for more struture and support in their lives. [ABSTRACT FROM AUTHOR]