ABSTRACT
Policies or themes organize and describe our experience, predict consequences and lead people to control the conditions influencing our lives. The difficulty of blending peer support with professional services appears to be extraordinarily difficult, as is the emerging role of the able bodied professional in a self help base. The impact of these service delivery models on the person with a disability, service providers and society at large is great, but there is an overriding business orientation emerging within rehabilitation systems. In the early stages of development most human service organizations are built on a small group's direct and personalized response to individual needs. The subtle pressure on agencies to become large and structured occurs not only from government funders. The pressure on service agencies to emulate business also occurs because of a poor self concept as capable organizations. The powers of organizational structure also pervade our cultural base.
