In the last ten years, there have been many refinements made to the implementation of IPS supported employment. Access to theses services has increased nationally and internationally. Improvements have been developed from the experiences of many employment specialists who implement IPS supported employment coupled with the strong evidence base regarding effectiveness. However, administrative barriers still exist. People with severe mental illness should not have to risk losing health insurance, health care, housing; and financial security when they gain competitive employment. Organizational rigidity between mental health and vocational agencies restricts the delivery of integrated and seamless services. Continued research, including long-term studies, will advance our understanding of rehabilitation and career development.
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