In 2004 the Department of Veterans Affairs (VA) began national implementation of supported employment. Over two years, beginning in July 2006, researchers interviewed 110 VA leaders, clinicians, and supported employment staff to document perceived barriers to implementation. Terri K. Pogoda, Ph.D., and colleagues used qualitative methods to identify categories of barriers. Paternalistic and uninformed concerns about the ability of persons with serious mental illness to be gainfully employed and a lack of organizational structures and leadership to promote and integrate the supported employment program were common implementation barriers identified during the first-year interviews. Most sites had addressed these challenges by the second year (page 1289). In a related Taking Issue commentary, Robert E. Drake, M.D., Ph.D., and Deborah R. Becker, M.Ed., C.R.C., note that a critical barrier to more widespread implementation of supported employment is “our failure to develop a clear, simple, direct funding mechanism” (page 1251).