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This qualitative micro-study explored whether participation in a Commonwealth Rehabilitation Service (CRS) Program enhanced career self-efficacy in clients who have psychiatric disabilities. Issues were examined that were related to career self-efficacy before and after participation in the program. Social cognitive career theory may be a useful framework for assessment strategies and counselling interventions with this client group in helping to overcome perceptions of overwhelming barriers to employment. Findings from this study suggest that a CRS program may enhance personal self-efficacy and exploratory job-search behaviour. It is less certain that the program increased career self-efficacy as viewed in the broader context of work options and world-of-work knowledge. Such knowledge is important to assist clients to develop essential skills to become efficacious in the changing world of work. It is suggested that CRS may need to review initial assessment procedures to include assessment of self-efficacy issues across several life domains, including work. Participants reported positive relationships with staff. It is also suggested that this is an area for further study to ascertain which elements of such relationships may encompass a social cognitive career theory framework. Other areas for further research are also discussed.