This article examines Supported Employment (SE) concepts, philosophy,
mythology and methodology as they apply to people with serious mental
illness. The authors explore some attitudes, particularly prevalent am
ong mental health practitioners, that can hinder the expansion of this
service to potential users. The historical and philosophical developm
ent of SE is examined to identify the factors that make it more tradit
ional and appropriate for people with mental illness than commonly per
ceived. Other elements are also considered that have unique ramificati
ons for serving people whose primary problem is psychiatric, not cogni
tive. The intent is to weave the strands of various community psychiat
ric rehabilitation approaches together to demonstrate how SE is a natu
ral link in a developmental chain, not a radical departure from that e
volutionary path.