This podcast is about the concept and practice of supported employment programmes. We all have concerns about helping patients maximise their potential, and of course, meaningful work is one of the prime ways in which this is achieved. In an uncommon trial for the UK, Dr Louise Howard and colleagues conducted a randomised controlled trial of an American system called IPS or Individual Placement Support, to see if this evidence based programme would be as effective over here in the UK. Their paper helps shed a lot of light on the challenges that supported employment programme participants and professionals face.