Purpose: The purpose of the study was to clarify the structure of the relationship between work-related stress and supervision in vocational rehabilitation. Method: A mail survey was conducted with 1,758 vocational rehabilitation service providers. Structural equation modeling and multiple group structural equation modeling were conducted. Results: A covariance structure analysis was performed to test the fit of the NIOSH (National Institute for Occupational Safety and Health) occupational stress model, wherein life stress (comprising “family stress” and “financial stress”) and supervision acted as moderators in the relationship between occupational stress (comprising “Lack of Skills for Supporting Job Placement,” “Difficulty in Coordinating with Relevant Agencies,” “Quantitative Workload of Vocational Rehabilitation Services,” and “Workload Related to Supporting Business Owners.”) and stress responses. The results indicated that occupational stress was significantly related to stress responses. Occupational stress also had a greater effect on stress responses than did life stress. Additionally, supervision may have different effects for providers who have less than 3 years of experience compared to those who have over three years of experience. Conclusion: The findings of the study should be used to inform actual implementation of quality vocational rehabilitation supervision in Japan.

　【Purpose】: This study aims to clarify the relationship between the working conditions and the changes in bodily functions due to secondary disorders in persons with cerebral palsy. 【Methods】: Eleven persons with cerebral palsy, aged between their twenties and fifties, who were currently or formerly employed, were interviewed. The data obtained through the interview research were analyzed with the help of the Modified Grounded Theory Approach (M-GTA). 【Results】: From the narrative of a cerebral palsy, the concept of a secondary disability related to employment was generated. Persons with cerebral palsy were aware of the need for secondary disability and functional decline, and were recognized the process of reconsidering working and the changes in bodily function. Secondary disorder and functional decline, as it affects working, are important aspects of cerebral palsy. As a result, it is important to maintain high motivation levels at the workplace so as to mitigate the demotivation that persons with cerebral palsy might experience as a result of their secondary disorders. 【Conclusion】: Changing the working conditions, while recognizing the bodily changes brought about by secondary disorders, helped in maintaining a motivated and satisfying employment. This enabled employed persons with cerebral palsy to engage in satisfying work.