Purpose. The aim of the study is to describe occupational therapists experiences of working with actors in vocational rehabilitation at the Swedish Public Employment Service [SPES].Method. Qualitative study was conducted. Semi-structured interview guide was used in data collection, where eight licensed occupational therapists participated. The occupational therapists worked at the SPES in two different regions of Sweden. The collected data were transcribed and processed by qualitative content analysisResult. The result shows the actors that occupational therapist at SPES cooperates with in the vocational rehabilitation. Further, it is illustrated in the results how the actors work load, competence and attitude affect cooperation. Furthermore, it emerged that the common guidelines for the actors are missing. The underlying message in the result was that collaboration is deficient in vocational rehabilitation for vulnerable persons who are outside the labor market.Conclusion. Cooperation in vocational rehabilitation has its shortcomings today based on the results of this study. It emerged in the study of occupational therapists at SPES interacts with several different actors. Furthermore, it emerged that the actors work load affect the interaction negatively in several ways, but also the competence and actors an attitude prejudice to collaboration between actors. Policies and laws can set actors against each other, which affects their prerequisite to be able to cooperate. The authors believe that interaction problems regardless actor line solution to the managerial and political level when it was clearly the result that individuals alone can not solve the problems in order to improve cooperation. The authors that are aware of occupational therapy theory believes that the study has illustrated the importance of occupational therapy expertise in vocational rehabilitation.