The current study examined narrative data from a series of semi-structured focus groups in order to identify and
examine the proficiencies and deficiencies in practice competencies specific to job functions in the changing practice environment
of vocational rehabilitation (VR). Focus groups were conducted with members of organizations, individual service providers, as
well as consumers and their families, and data were gathered to determine the potential barriers to employment and service needs
of individuals with the most significant disabilities living in Wisconsin. Three major domains identified by the comprehensive
needs assessment are employment knowledge, systems interactions and navigation, and consumer needs. Recommendations are
aimed at increasing opportunities for community-based employment for persons with disabilities, increasing communication
between consumers and service providers, and most importantly, eliminating financial disincentives that promote facility based
employment.