All major types of disabilities were represented in the Work Adjustment Program at the Cleveland Vocational Guidance and Rehabilitation Services (VGRS). During the five year project it successfully placed in competitive employment three-fourths of the 300 clients who had previously been unemployable and untrainable. The report describes the clients' problems and describes and analyzes the procedures developed for coping with these problems. The data on which the report is based are the behaviors of the clients, the counselors, and other staff members as they interact in the rehabilitation process. The two key factors in the program were the role of the work adjustment counselor and the contract workshop. The report is organized as follows: (1) a description of clients, staff, and workshop, (2) entry into work adjustment, (3) the work adjustment process: goals and techniques, (4) client problems outside the program affecting training and employability, (5) placement and followup procedure, (6) characteristics of a work adjustment counselor, (7) evaluation of the project, and (8) discussion of the VGRS work adjustment program and subsequent developments in its utilization. Case histories are appended. (MW)