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The traditional job placement approach to vocational rehabilitation service delivery is no longer sustainable in terms of delivering meaningful employment outcomes for people with disabilities. For vocational rehabilitation to be relevant in the current labour market to the needs and aspirations of this population, a conceptual shift is required in the focus of service delivery. This paper suggests that an approach focused on career development is warranted, and to this end, a model of career development for vocational rehabilitation underpinned by systems theory is presented. The application of the model is illustrated through the use of a case study and the implications of the model for rehabilitation practice are explored.