Organization problems and strategies; a dilemma for the rehabilitation agency director.

During the last 20 years there has been considerable progress in the development of rehabilitation knowledge and philosophy, particularly in the behavioural and social aspects of programming. Frequently these changes are not applied, either because of lack of information amongst senior staff and board members, or because of pressures within the community. The article describes issues and concerns related to agency function, including changes that need to occur in philosophy and operation to provide a more individualized service.