Programs broadly available to individuals with disabilities in general (rather than focusing on special groups within the disability population) that provide vocational assessment, job development, job training, job placement, specialized job situations and/or other supportive services that help people with disabilities prepare for, find and retain paid employment.

Programs that find paid, meaningful work in a variety of community-based settings for people who have disabilities and which assign a "job coach" to work side-by-side with each client to interface with the employer and other employees, and provide training in basic job skills and work-related behaviors, assistance with specific tasks as needed and whatever other initial or ongoing support is required to ensure that the individual retains competitive employment. Included are individual placement models in which a job coach works on-the-job with a single individual and group models such as enclaves (which are self-contained work units of people needing support) and mobile work crews, in which a group of workers with disabilities receives continuous support and supervision from supported employment personnel. In the enclave model, groups of people with disabilities are trained to work as a team alongside employees in the host business supported by a specially trained on-site supervisor, who may work either for the host company or the placement agency. A variation of the enclave approach is called the "dispersed enclave" and is used in service industries (e.g., restaurants and hotels). Each person works on a separate job, and the group is dispersed throughout the company. In the mobile work crew model, a small team of people with disabilities works as a self-contained business and undertakes contract work such as landscaping and gardening projects. The crew works at various locations in a variety of settings within the community under the supervision of a job coach.

A severe, chronic disability that is attributable to a cognitive, neurological or physical impairment or a combination of cognitive, neurological and physical impairments; that is manifested during the developmental period (prior to age 22); that is likely to continue indefinitely; and that results in substantial functional limitations in three or more areas of major life activity including self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, and economic self-sufficiency.

Any of a variety of conditions that are characterized by significant impairment of brain tissue and resultant loss of brain function including degenerative illnesses (e.g., Alzheimer's disease, multiple sclerosis, Parkinson's disease, stroke and other cerebrovascular accidents), genetic variations or mutations that affect the development and functioning of the brain either in utero or following birth, traumatic brain injury, post infection damage, brain tumors, and permanent damage that occurs as a result of seizures, substance toxicity or other disorders as well as conditions affecting the brain that are present prior to birth.

A number of mental or emotional conditions of a seriously debilitating nature which progress or do not respond positively to treatment over a period of time and which require adjustments on the part of the individual and his or her significant others, or long-term medication, to make daily functioning possible.