This fact sheet highlights the Pathways to Careers (Pathways) program, a customized employment service model that helps people with significant disabilities access competitive integrated employment. To examine the effects of Pathways, we analyzed the employment, wage, and earnings outcomes of Pathways participants and compared them with those people with similar disabilities and demographic characteristics served by state vocational rehabilitation (VR) agencies. While the populations targeted by both programs differ in important ways, the outcomes of VR clients offer a benchmark against which to assess Pathways.