ABSTRACT
Staff must have opportunities to make recommendations and be heard in the process of board decision-making. It is also critical to build in opportunities for advocacy by consumers in order to ensure that desirable change occurs. Rehabilitation is changing continuously. New attitudes and ideas reflect not just new knowledge in the field of rehabilitation, but the changing political, social and economic climates within any particular country. Integration, at its best, takes place throughout and across vocational training programmes, home living and leisure training programmes. Certainly in the early stages of programming, responses are not internalized and individuals are unable to make decisions of any great magnitude on their own. Staff have opportunities to move from one aspect of a programme to another while still remaining within the context of a similar philosophy, thus reducing stress and burnout. Leadership of staff is a critical aspect of agency performance.
