IPS (Individual Placement and Support) is an evidence-based practice which has eight principles to be observed and Japanese version of fidelity scale developed for domestic application to show convergent validity with employment rate. Although IPS should be technically feasible in Japanese institutions with appropriate staffing and expected to deliver good employment outcomes, it has been implemented in only a small number of institutions as work transition support project at welfare offices or psychosocial rehabilitation at medical facilities. This paper describes the experience in practicing IPS in psychiatric day care at the National Center Hospital, National Center of Neurology and Psychiatry (NCNP) and tries to outline the current domestic situation where it is difficult to secure sufficient revenue for the continuous practice of IPS either as a medical service or as a welfare service. Issues in institutionalization, which is deemed necessary to accelerate the social implementation of IPS in Japan, are also discussed.
 Authors' abstract