Sheltered workshops for the physically handicapped, through productive, graduated work, with medical and social care and supervision, have as their objectives the physical, psychological and social adjustment of the patient. These workshops are concerned primarily with preventing retrogression. It is a scheme of physical hardening, reducing the hazards of breakdown and retaining the psychological value of earning on a competitive basis. The sheltered workshop concept maintains that any activity, which is economically useful provides to the patient a satisfaction and sense of real livingâ?"of earning one's keep.