Abstract
A challenging goal for clients with brain injury is to obtain employment and maintain the position. The New Medico Neurologic System at Nassau (NMNS) focuses on strengthening communication skills prior to placement in the work site. A three-phase programme is described which is designed to assist clients in integrating specific educational training and performance objectives in each. A case study is presented to illustrate a successful outcome. Factors between group components and successful outcomes are discussed, including the programme design, specific strategies and the possible role of self-confidence. Future research is recommended.