Presented from the perspective of the vocational rehabilitation counselor, the guide defines the essential elements of vocational evaluation and work adjustment programs and identifies problems experienced by State vocational rehabilitation agencies in obtaining high quality vocational evaluation and work adjustment services. It also provides guidelines to assist vocational rehabilitation counselors to develop a better understanding of the proper utilization of vocational evaluation and work adjustment services. Topics treated in the guide include: (1) mutual relationships, some sources of confusion, and recommending work adjustment; (2) vocational evaluation as an assessment process, beginning with referral for evaluation and ending with service recommendations; (3) work adjustment viewed as a treatment/training process utilizing work or work-related activities; (4) reports as effective communication; (5) key roles and functions of vocational evaluation and work adjustment staff; (6) methods of coordinating and communicating at all levels of responsibility, emphasizing the relationship between the State agency counselor and facility staff; (7) cost considerations; and (8) vocational evaluation and work adjustment checklists summarizing essential conditions, programs, and practices. A selected bibliography is appended. (MW)