This report summarizes the employment experiences of 103 individuals with HIV/AIDS in the context of the existing service delivery system. Seventy-four individuals with HIV/AIDS completed surveys about their employment-related experiences. In addition, five focus groups were conducted throughout Massachusetts with 29 individuals with HIV/AIDS. Sixty-eight percent of study participants were unemployed. Individuals with HIV/AIDS described employment as a central source of well-being and dignity. Among work-related obstacles and concerns were a fear of losing Social Security benefits (if working) and a fear of discrimination. Unemployed individuals wanted to return to work but felt that existing AIDS or state agencies were not meeting their job training and placement needs. Employed individuals were concerned that requested job accommodations (such as schedule modifications) were often not granted. Respondents reported using personal supports such as friends or family before professional resources. Specific recommendations and suggested resources are offered to individuals with HIV/AIDS concerning Social Security benefits, employment rights, health insurance, and vocational rehabilitation services. (DB)