Best practice in rehabilitation counseling should consider larger economic trends in the provision of vocational rehabilitation services. In the current knowledge-based economy, education or specialized training is crucial to gain entry into employment in which one could earn a living wage (Sharf, 2012; Sullivan, 2010). Most people living with serious mental illnesses (SMI) have intermittent recent work histories, which put these individuals in an almost intractable situation where they lose all attachment to the workforce, and develop an identity related to their status as a person receiving mental health services, or an illness identity (Yanos, Roe, & Lysaker, 2010). Workforce participation rates for persons with SMI remain very low, ranging from 10% to 30%