The book presents important and innovative aspects of using the work setting as a vehicle for finding workers in psychological/social trouble (an estimated quarter of any work force at any time) and helping them stay on the job. It describes a four-year demonstration project in which a pioneering team of researchers combined the resources of trade union, management, and ancillary organizations (an outpatient medical clinic, an insurance company, and community mental health programs) to enable a large portion of 293 garmet workers with emotional problems or mental illness to continue their employment, by restructuring both treatment goals and the work environment. Four specific questions shaped the demonstration: (1) how to locate people at work who suffer from emotional problems; (2) how to engage and sustain the worker's involvement in treatment; (3) what is the nature of treatment and how does providing it within the work setting influence it and (4) what should be the labor division among patient, clinician, work representatives, and community agencies. Closing chapters present research data and conclusions: mental health professionals stationed in the work setting as a network hub can increase workers' survival rate, but substantial changes in clinical technology and service delivery systems are required. (AJ)