Federal policy consistently emphasizes the allocation of public vocational rehabilitation resources for individuals considered to have the most significant disabilities. Many individuals may not have the skill, experience, stamina, or life circumstances to easily compete for typical positions in the open labor market. The ability of public vocational rehabilitation agencies and their community rehabilitation providers to maintain a high level of successful closures is often challenged by individuals who present a need for unique and intensive job search and retention strategies. Customized employment has been promoted at various levels of policy and practice as means for assisting individuals who are unlikely to compete for jobs with standardized job descriptions due to intensive support and accommodation needs. This article presents the employment outcomes of participants in a project in Tennessee that featured interventions collectively referred to as "customized employment," provides illustrative case studies, and discusses the implications for community rehabilitation practice. (PsycINFO Database Record (c) 2007 APA, all rights reserved).

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