A study examined the long-term adjustment of spinal cord-injured vocational rehabilitation clients by isolating major dimensions of postservice adjustment, correlating preservice status with adjustment followup, and by measuring client pre- to postservice psychological change. Three self-report instruments (a needs satisfaction inventory, a goal scaling measure, and a measure of perceived life status) were completed at service entry by 122 clients of various Arkansas intermediate medical centers or comprehensive rehabilitation centers. Included among the major study findings were the following: (1) postservice adjustment to spinal cord injury is clearly multidimensional and spans at least four major dimensions--satisfaction in meeting basic needs, participation in vocational activities, participation in avocational activities, and accomplishment of highly personal goals; (2) there were no relationships of preservice psychological status to adjustment followup; (3) clients' psychological status remained stable from service entry to followup; and (4) at followup a significant number of spinal cord-injured clients positively revised their life status perceptions toward personally important goals. (MN)