Vocational rehabilitation is an important topic in people with severe mental illness as only about 10–15% have a regular job. This paper will present results of a European multicentre study on a specific intervention of supported employment designed for people with mental illness. This new method is called Individual Placement and Support (IPS). The study found that IPS is much more effective than the traditional vocational rehabilitation. This paper will additionally describe approaches to further develop vocational rehabilitation in people with severe and enduring mental illness.