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A sample of fifty-one former patients from the Intermediate Service of the Veterans Administration Hospital, West Haven, Connecticut were surveyed for the kinds of adjustment problems encountered in the home, in the community, and in job or retirement status. These long-term chronic disability patients had suffered catastrophic accidents or illnesses. The median age was 58 years; range was from 26 to 78 years. 40 discharged patients reported physical, financial, marital, vocational, and family or community adjustment problems. Transition problems from the hospital to the community were mentioned by 27 of the men. It was found that only seven patients had been given counseling help and of these the oldest was 54. A large segment of the younger group and none of the older patients were contacted. Suggestions were made for meeting some currently unmet counseling needs during and after hospitalization.