Following the passage of the ADA and the Rehabilitation Amendments of 1992, vocational rehabilitation services offered by New Hampshire community mental health centers have striven collectively to streamline the efficiency of their interventions. Evolved versions of the two most frequently utilized modalities are compared, by measuring vocational satisfaction as it is rated by the perspective of the consumer. Both methods are found to be highly effective, but differ greatly in the nature of their impact and applicability. The strengths and weaknesses of each are identified in the context of psychiatric rehabilitation, and implications are presented for further research.