The purpose of this dissertation was to examine the employment outcomes for adult vocational rehabilitation clients with deaf-blindness. The researcher examined the relationships between case service provisions (any service provided during the entire client case, e.g., vocational guidance and counseling, job-placement assistance, rehabilitation technology) and competitive employment outcomes for individuals with deaf-blindness. The sample was obtained from Rehabilitation Services Administration Case Service Report (RSA911) data, and it included 135 cases of those with deaf-blindness identified as their primary or secondary disability whose case was closed during Fiscal Year 2016. The independent variables consisted of 14 vocational rehabilitation case service variables ((a) vocational rehabilitation counseling and guidance, (b) college or university training, (c) occupational or vocational training, (d) on-the-job training, (e) basic academic remedial or literacy training, (f) job-readiness training, (g) disability-related augmentative skills training, (h) miscellaneous training, (i) job-search assistance, (j) job-placement assistance, (k) transportation, (l) maintenance, (m) rehabilitation technology, and (n) reader services). The dependent variable was attainment of competitive employment. The results indicated that three vocational rehabilitation case service variables were found to be associated with clients with deaf-blindness obtaining competitive employment. Implications for improving employment outcomes for clients with deaf-blindness include supporting post-secondary educational attainment opportunities, providing job-placement services, and providing job search-related services. Implications for case services provided by vocational rehabilitation agencies are also discussed.