Severe mental illness often leads to long-term disability, and disability leads to loss of employment. Six research reports in this month's issue examine these consequences. Gary R. Bond, Ph.D., and colleagues present evidence that persons with severe mental illness receiving Social Security Administration benefits are able to do nearly as well in supported employment programs as nonbeneficiaries (page 1412). Nicole H. J. van Erp, M.A., and colleagues report on implementation of supported employment in the Netherlands and two-year outcomes among clients (page 1421). In France, Audrey Cougnard, Ph.D., and coauthors found a median delay of four years between schizophrenia onset and initial request for disability status—a period during which most persons with the illness had no income and relied on financial support from their families (page 1427). Eric B. Elbogen, Ph.D., M.L.S., and colleagues took a closer look at the dynamics of representative payeeship by asking 50 persons with disabling mental illness and their family member payees about their experiences (page 1433). In a study of veterans with bipolar disorder, Lori Altshuler, M.D., and colleagues found that unemployed veterans had neurocognitive impairment in executive function (page 1441). In a brief report from Norway, Simon Overland, Psy.D., and colleagues present data showing that a third of adults who were pensioned out of the workforce for a disability involving mental illness had never received and mental health treatment (page 1479).