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Traditional approaches to vocational rehabilitation, such as skills training classes, job clubs, and sheltered employment, have not been successful in helping people with severe mental illness gain competitive employment. Supported employment, in which clients are placed in jobs and then trained by on-site coaches, is a radically new conceptual approach to vocational rehabilitation designed for people with developmental disabilities. The Individual Placement and Support (IPS) method utilizes the supported employment concept, but modifies it for use with the severely mentally ill. It is the...