Mentally disabled patients compose the greatest number of cases that are eligible for vocational rehabilitative service. However, the success rate for rehabilitation of this group of patients has not improved in 10 years and remains approximately 20 percent below that of other classes of disabled. A recent study found that the unemployment rate of this group of patients ranges from 75 to 85 percent. Mental health professionals are currently being funded to assist individuals with psychiatric disabilities return to work through a 1986 extension of the Rehabilitation Act of 1973. This amendment provides grants to the states for developing supported employment. Supported employment for the psychiatrically impaired allows programs to be developed that are free of some of the restraints placed on programs serving individuals with nonpsychiatric disabilities. Specific supportive employment types that are discussed include individual, enclave, mobile crew, entrepreneurial, and job coaching. A number of guidelines meant to assist the management of vocational rehabilitation programs interested in integrating supported employment programs are presented. Unless there is thorough understanding of supported employment programs by service providers culminating in their inclusion, the needs of the psychiatrically disabled will be less than fully met.