Individuals living with SMI have historically been underserved in State VR service-delivery. Integration of evidence-based case management, supported employment, and appropriate VR counselor education and training may lead to improved employment outcomes for this population. The “warm handoff” approach has been recommended by VR researchers, but to date has not been clearly defined or described in the literature as it specifically relates to psychiatric rehabilitation and the provision of integrated mental health services within VR service-delivery. This article defines the warm handoff approach and provides examples of how this approach can be utilized in State VR service-delivery. Recommendations for implementation of a warm handoff approach within the State VR service-delivery system are provided as well as suggestions for VR counselor training. Further research of evidence-based practices including warm handoff referrals for individuals with SMI within the VR service-delivery system is encouraged.