This document is the product of meetings of the Prime Study Group of the Institute on Rehabilitation Issues, whose mission was to: examine consumer choice and decision making in rehabilitation; review the legislation and consumer movements leading to greater consumer choice; identify the roles and responsibilities of the consumer, the counselor, supervisors, administrators, and others in the vocational rehabilitation process; and consider how to operationalize the process of consumer choice and involvement. Chapter 1 focuses on the concept of "consumer informed choice," noting the counselor's changing role, the consumer-counselor partnership, and benefits of consumer informed choice. Chapter 2 provides background information on the evolution of rehabilitation as a social program, reasons for social change and demand for rehabilitation reform, and the change process. Chapter 3 focuses on the roles and responsibilities of various stake-holders in the informed-choice process. Chapter 4 considers how to operationalize the process. It discusses when the process occurs, the importance of counseling in implementing informed-choice, counselor skills, a case study involving choice issues, documentation, strategies to empower the consumer and reduce conflict, pilot projects, and program models. Attached are a glossary and two article reprints by Thomas Czerlinsky and Shirley Chandler, titled "Effective Consumer-Service Provider Interactions in Vocational Rehabilitation" and "Empowerment Counseling: Consumer-Counselor Partnerships in the Rehabilitation Process." (Contains approximately 90 references.) (DB)