Research on the social determinants of health informs us that employment is a major determinant of mental health not only because it provides income but also because it affords people a sense of identity and purpose, social contacts and opportunities for personal growth (Harnois & Gabriel, 2000;Keon & Pepin, 2009;Raphael, Bryant, & Rioux, 2010). In the case of people with serious mental disorder, employment can provide a stepping-stone to recovery and there is increasing evidence that the ability to participate in employment enriches their quality of life and decreases disability (Ackerman &