Despite strong empirical support for the role of supported employment in helping adults with severe mental illness obtain and keep jobs, access to such programs is limited and funding insufficient, partly because of a perception that supported employment services are too expensive. Eric A. Latimer, Ph.D., and his coauthors used data from supported employment programs in seven states to assess program fidelity and obtain information about program costs, service use, and staffing. They noted a wide variation in annual direct costs per client served, ranging from $860 in New Hampshire to $2,723 in Oregon. They also estimated an average cost per full-year-equivalent client of $2,449 per year, assuming a typical caseload of about 18 clients. The authors are hopeful that their cost estimates will be useful to service providers contemplating the development of supported employment services and to state governments or other insurers who seek to set appropriate reimbursement levels for these services (see page 401).