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The group who gathered at Boston in 1965 to consider how to train psychologists for community mental health functions discerned the outlines of a distinct professional specialty which went beyond the traditional concerns of community mental health.

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As a unique treatment milieu, the controlled work setting has inherent, relatively fixed, parameters which both enhance and Lmit its therapeutic potentials. Within these boundaries the work therapist has at his disposal a number of procedures for structuring work experience for maximum therapeutic effectiveness. This article presents a model for this effort. The model is based on an ordering of the complex processes of controlled work into "therapeutic dimensions." These are conceptions of psychodynamically consistent emphases in approach, and can serve as guidelines for practical strategy in work therapy programs as well as suggest possible lines of research inquiry into the prediction and measurement of outcomes in such programs.