“…Previous research highlights conditions associated with poorer employment outcomes, such as weak counselorclient relationships (Donnell, Lustig, & Strauser, 2004;Lustig, Strauser, Rice, & Rucker, 2002;Lustig, Strauser, & Weems, 2004), racial or cultural differences (Day-Vines et al, 2007;Hanson & Kerkhoff, 2007;Stodden, Stodden, Kim-Rupnow, Thai, & Galloway, 2003), work disincentives such as receipt of Supplemental Security Income (SSI) or Social Security Disability Income (SSDI) (Ipsen, 2006;Marini, Lee, Chan, Chapin, & Romero, 2008;Matrone & Leahy, 2005), incidence of secondary health conditions (Anderson & Vogel, 2002;DeVivo, 1998;Ipsen, 2006;Ipsen, Seekins, & Arnold, 2011;Ipsen, Seekins, & Ravesloot, 2010), how VR services are delivered, and client characteristics such as disability type (Chan, Cheing, Chan, Rosenthal, & Chronister, 2006;Johnstone, Vessell, Bounds, Hoskins, & Sherman, 2003;Marini et al, 2008;McAweeney, Keferl, Moore, & Wagner, 2008). Many of these factors might also affect client desire and ability to complete services.…”