Natural supports for workers with disabilities involve using co-workers, supervisors and other supports intrinsic to the job setting to facilitate job skill acquisition, maintenance and integration. The purpose of this article is to review the empirical literature related to natural supports in the workplace for increasing integration and to offer guidelines for implementation. The sources used are case studies and empirical research. Conclusions are offered in terms of limitations of current research, needs for future research and the changing roles of supported employment services.