This project involved a national survey of Indian Health Sevice (IHS) agencies to assess the working environment, the extent to which IHS agencies employ and provide support services for persons with disabilities, and the need for program and consumer services to enhance the employability of American Indians with disabilities. A total of 676 interviews with IHS employees (62 percent American Indian) with disabilities, supervisors, co-workers of employees with disabilities, and other employees was conducted. The survey found that employees believed their work sites were accessible but needed to learn more about disability issues. Employees with disabilities believed that IHS needs to take specific steps to recruit persons with disabilities. The project also developed and pilot tested a supported employment job training model to demonstrate effective practices in hiring and providing support services to American Indians with disabilities. Supervisors and a job coach worked with nine trainees (six of whom had severe disabilities) to provide on-the-job training and solve work-related issues. An unanticipated outcome of the pilot project was the amount of emotional support the trainees needed to sustain their involvement. Recommendations focus on training costs, provision of psychological counseling to trainees, and staff requirements. (DB)