The requirement to acknowledge a mental illness when seeking employment creates barriers to employment , creating a greater stigma when dealing with employers. People with psychiatric disabilities deal with more prejudice and fear from employers, co-workers, customers and the general public than those with other disabilities. Discrimination by employers , even though prohibited under Title I of the Americans with Disabilities Act. Disincentives of salary caps . Loss of benefits or non-comprehensive medical insurance upon entering the work force.
Public transportation is limited or non-existent to better paying jobs in the suburbs.
Rehabilitation is still focused on behaviors that don't match the economy which dictates a need for adapting to change, management of stress, continuous learning of new skills, renegotiation of support systems, ability to be creative, and to communicate and work with others in various levels. Vocational programs are often understaffed and have a limited vision for the client. Trade training only offered in 40 hour week program in trade high schools . Lack of therapists and dentists willing to take Medicare and Medicaid . Decrepit, sub-standard housing available to the disabled.