The University of Michigan Rehabilitation Engineering Program provides clinical rehabilitation engineering services at the University of Michigan Health System. Services are directed toward the application of engineering and technology to increase the functional capabilities and quality of life of individuals with disability. Rehabilitation engineering and technology services are offered for inpatients and outpatients in a variety of areas including: computer access, environmental control, augmentative communication, manipulation aids, mobility, education, recreation, and vocational rehabilitation. The clinical role of the engineers and technology specialists incorporates evaluation, design, and training to provide assistive devices and systems that fit the special needs of each person. This role includes multiple levels of involvement ranging from an appropriate "off the shelf" system, to modification of commercial approaches, to the design and development of custom systems. The staff work closely with physicians, occupational therapists, physical therapists, speech pathologists, psychologists, orthotists, prosthetists, nurses, and other health professionals involved in rehabilitation.