This report examines various vocational rehabilitation models that serve American Indians and Alaska Natives with disabilities, with examples and case studies to demonstrate how the models work in real client-counselor situations. Stressed throughout is the importance of issues of cultural diversity, cultural competency, and self-determination. The report describes programs initiated by state rehabilitation agencies and others developed by tribes but funded by the Rehabilitation Services Administration under Section 130 of the Rehabilitation Act. Individual chapters address the following topics: (1) historical and demographic aspects of American Indian culture; (2) an overview of American Indian vocational rehabilitation projects; (3) case management strategies for American Indians; (4) the impact of culture on assessment; (5) placement strategies and innovative practices; (6) development of working partnerships; (7) networking and outreach; and (8) training implications for administrators, supervisors, educators, and certifying organizations. Appendices list study group members, Section 130 projects, training materials, and resources. (Contains 90 references.) (DB)