This paper summarizes issues concerning supported employment for individuals with severe disabilities, based on discussions with seven groups concerned with improving the quality of supported employment. The paper outlines three strategic challenges facing supported employment: providing access to individual jobs for an increasing number of people, sustaining innovation and continuously improving quality, and creating ways to organize for future development. The paper notes the early success of supported employment and the need for new strategies to meet growing demand. It describes approaches to increasing the availability of individual employment support, identifies clear signs of accomplishment in supported employment, explores how supported employment can contribute to better quality of life, and presents techniques for increasing co-worker and employer support. The paper cites innovations that have moved the focus from the supported employee alone, to the employee and the job coach, and finally to the total set of social resources available. A self-evaluation checklist for job coaches and job developers to maintain direction in supported employment is provided. (JDD)