This article traces the emergence of supported employment as a result of philosophical changes in expectations for persons with disabilities, based on scientific developments that challenge traditional service-delivery models. The paper criticises the fact that such employment has not necessarily gone to those for whom it was designed - people with high support needs, and suggests this issue should be addressed. The article describes four placement models, (1) individual placement model (2) clustered placement model (3) mobile crew model, and (4) entrepreneurial model. Keyword: Employment