This study focuses on individuals with a spinal cord injury (SCI) and their employment challenges. Clinical trials on supported employment (SE) intervention have established that SE is at least two times more effective in gaining competitive employment, and the cost of Spinal Cord Injury Vocational Integration Program (SCI-VIP) intervention at the one-year mark was not significantly different from the usual employment assistance offered to veterans with SCI. In practice, Veterans with SCI looking for employment should participate in SE interventions offered through the VA or other organizations, and Veterans with SCI who are seeking employment should know that there are resources available to assist them. Suggestions for future research include a sample of an increased number of veterans with spinal cord injuries (SCI) to further explore the cost-effectiveness of SE intervention, veterans from additional VA SCI centers, and veterans with SCI who are not currently receiving treatment from the VA.