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After over a decade of research most empirical evidence indicates that the majority of individuals with severe disabilities who need relatively permanent employment services fare better in supported employment than in sheltered work or other types of services. Despite this, segregated employment services remain the primary service option for the majority of people with disability. The authors argue that the agencies that plan and provide services must be encouraged to reduce the size of segregated work options. Also included in this article is a table giving the benefits and costs of supported employment. Keyword: Employment