This is basically an article describing a method of improving the competitive work capacity for seriously mentally ill adults, based on placing trained vocational specialists along side of mental health staff in mental health centers and implementing a variety of nontraditional processes of vocational rehabilitation. This is a type of supported employment (i.e., ~'place and train") approach, but different than the usual type in that it is more flexible, uses primarily competitive work settings, relies less on on-site job coaching, and is highly integrated with mental health providers. As the authors say, it ~draws heavily" from the PACT Program and also describes other "influences." In the discussion the authors describe preliminary results in New Hampshire and suggest that this approach is very effective compared with a traditional one, though mentions that the long-terms results are unknown. It also mentions the problem of implementing such an approach in a ~less coherent" mental health system with a different orientation. My comments regarding this paper are the following: 1. I strongly agree with the nature of the problem, as stated by the authors, that few of the seriously mentally ill are able to at tain or sustain employment. Traditional approaches that are based on vocational rehabilitation staff working in an uncoordinated fashion at a distance from treatment staff, using sheltered and non-normal work settings, and using a "train and place" philosophy have not been shown to be effective in markedly increasing employment in this population. I