This study presents findings from a 21-month study situated at a large PSR agency (Thresholds). Comparisons of vocational outcomes are reported for two groups of people who are members of an Assertive Community Treatment [ACT] program. A comparison group (n = 144) received routine ACT services. The intervention group (n = 139) received ACT and vocational services through a "blended vocational model," combining elements of the agency's extant Diversified Placement Approach with elements of the Individual Placement and Support model. The positive outcomes demonstrate that combining elements of both models is a valuable option for psychiatric rehabilitation agencies to consider.