This study aims to elucidate the support process in Type B continuous employment support businesses to lead people with mental disabilities to competitive employment. Semi-structured interviews were conducted with 12 managers in Type B continuous employment support businesses, and the data were analyzed using a modified grounded theory approach. A six-stage support process was extracted based on the analysis. The steps were to “confirm individual’s intent to work,” “understand the image of real users through work,” “get close to growth,” “see the stability of the support for continuous employment type B as growth,” and “awareness and connection to competitive employment” and “supporting users to continue working.” This study suggests the importance of utilizing individual support plans and practicing support relying on the Strengths Model in supporting people with severe mental disabilities with unclear motivation for competitive employment.
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