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This study examined the long-term, post-high school outcomes of 80 adult vocational rehabilitation clients who had been independently identified as having both high intellectual ability and learning disabilities severe enough to meet stringent federal and state vocational rehabilitation eligibility requirements. Comprehensive follow-up survey responses were examined to explore client educational history, postsecondary educational and training levels, vocational and career counseling, work experiences, and psychosocial issues affecting life satisfaction. Results suggest that these adults were generally functioning at levels consistent with their learningdisability deficits rather than at levels commensurate with their identified intellectual strengths. Recommendations are offered for advocates who work with this population; for further research; and for those individuals who, themselves, have similar characteristics.

This study documents rates of youth referred for adjudication to a state juvenile justice system who have coexisting-and often unidentified-mental illnesses. The project examined records for 1,411 youth who were admitted over a 1-year period. All were screened with an instrument that allowed multidimensional appraisal along relevant mental health concerns. Approximately 70% of the youth exhibited a caution or warning in one or more (out of six) categories of mental health concern. These incidents were cross-referenced with categories of offense as well as incidents of using psychotropic medication. Sex, age, and ethnic heritage were also tracked. Results for each category show wide differences. Statistically, variances among the variables were analyzed by traditional general linear model techniques (e.g., ANOVA, regression) and differences in underlying constructs were confirmed by structural equation modeling. Schoolteachers, counselors, psychologists and psychiatrists, and policymakers can employ this information when working with youth in the juvenile justice system or those who are at risk.