Jacobs Harvey E. PhDJournal of Head Trauma Rehabilitation: October 1997 Community-Based Empolyment: PDF Only Buy Abstract Behavioral challenges in the workplace are not always the sole dominion of the person with disability after brain injury. These challenges may also emanate from the work site or the vocational services that are used to help people return to work. Although present-day vocational services have helped numerous persons with disabilities after brain injury return to work, most remain unemployed. Other approaches may benefit some of these people and address some of the longstanding limitations of existing vocational programming. One such approach is the Clubhouse, a member-directed, community-based program of supports that is gaining increasing attention in supportive programming. This article discusses salient factors that affect can work tenure after brain injury, the origins and design of the Clubhouse model, and examples of its application in helping people with presumed behavioral challenges sustain employment. © Williams & Wilkins 1997. All Rights Reserved.