Employability Individuals with the more severe psychiatric disabilities have the lowest rates of labor force participation, and the lowest employment among all disability groups (Loveland et al. 2007). For instance, in the last official Australian population survey of people with psychotic disorders, 16% of people with schizophrenia, and 27% of people with bipolar affective disorders, were employed (Waghorn et al. 2007). Similar employment rates are reported by population style surveys in the UK and in the USA. Although it is possible to identify individual characteristics from population surveys that predict employment status, in the presence of an evidence-based service, individual client characteristics are no longer important as outcome predictors. Individual characteristics such as diagnostic category, illness course pattern, illness severity, educational attainment (Nordt et al. 2007), social skills and work history (Tsang et al. 2000), are useful predictors of service intensity and therefore the likely cost of the assistance required. At the service level, individual characteristics give way to two key predictors: (1) the person's interest and motivation towards employment; and (2) the quality, continuity and intensity of the service to be provided (Bond et al. 2008).