This report examines the disability community's efforts to help individuals who have significant disabilities access and maintain employment. It identifies how welfare agencies can learn from and build upon lessons from the disability community. Chapter 1 describes the hard-to-employ (HTE) Temporary Assistance for Needy Families (TANF) population and identifies barriers to employment and how states treat people with disabilities under their TANF systems. Chapter 2 highlights these four employment strategies for increasing employment among people with disabilities: workplace accommodations, supported employment, natural support, and Projects with Industry programs. A discussion of implications for the HTE TANF population follows each strategy. Chapter 3 reviews use of cash and in-kind supports to increase employment and describes four programs from the disability field. Chapter 4 describes types of transitional supports available to TANF recipients and discusses interventions designed to help people with disabilities transition to work and maintain employment. Chapter 5 summarizes these key lessons for the TANF community: expectations are important; the modified "work first" approach to employment can be successful for the HTE population; some clients need ongoing support to remain employed; some need to mix benefits and work indefinitely; and employer involvement is crucial. Appendixes contains a 100-item bibliography and description of rules governing the primary public assistance programs. (YLB)