The critical role of gainful employment in community integration of individuals with serious mental illness has received renewed attention since publication of the President's New Freedom Commission's report in 2003. Two studies in this month's issue examine factors related to employment in this population. David S. Salkever, Ph.D., and colleagues examined data from the U.S. Schizophrenia Care and Assessment Program (US-SCAP), a naturalistic study of more than 2,300 participants randomly selected from organized care systems in six U.S. regions. Data on employment were gathered at more than 7,000 assessments over three years. The overall employment rate in nonsheltered jobs was 17.2%. Rates of attaining a recovery threshold of employment—defined as 40 hours of work per month—were even lower at 9.7%. The mean monthly wage among those who worked was $494 (page 315). The second study examined outcomes of a supported employment program implemented at nine Veterans Affairs (VA) medical centers for homeless veterans with mental disorders, substance use disorders, or both. Robert A. Rosenheck, M.D., and Alvin S. Mares, Ph.D., found that over two years program participants showed better work outcomes than veterans in a comparison group. Days competitively employed per month were 15% higher (8.4 days compared with 7.3 days), and average annualized employment income was about $1,300 higher ($8,889 compared with $7,590) (page 325). In a commentary on the VA study, Gary R. Bond, Ph.D., warns that accepting marginal improvements is setting the bar too low and notes that we can do better (page 334).