For the past 30 years, Coast Mental Health has operated supported employment programs for people with severe mental illness. We have observed the difficulty people with severe mental illness have in returning to work due to the symptoms of their illness, their medication and their lack of confidence. Coast has seen that opportunities to work need to have structured expectations but offer the client flexibility, time to practice good work skills and to become accustomed to working. In 2009,Coast had the opportunity to develop a new low barrier employment program, theâ€ Street Cleaning Crewâ€ with funding from the City of Vancouver. The project hires and trains people with mental illness in skills required to clean community sidewalks, gutters and alleys of refuse and debris. The workers are supported by Peer Support Workers and supervised on the job by project staff until they regain their independent work skills. Once they reach that point the clients are encourage to find other paid employment if that is appropriate for their health.