The benefits of work to people’s health and well being have been explored extensively in occupational therapy literature [1–3]. Unfortunately, people with psychiatric and intellectual disability face inimitable barriers to employment, including stigma, fluctuating impairment patterns, difficulties with social skills and complex support needs. Macro influences, such as high unemployment, inequality and systemic poverty, further reduce opportunities for disabled persons to find work in lower- and middle income countries. South Africa’s 24.9% general unemployment rate [4] places job seekers with disabilities in a strongly competitive labour market.