The chapter presents a multi-level framework for workplace mental health disability management in line with best practice employment initiatives. By presenting an interdisciplinary disability research overview, workers with mental health disability (WMHD; MHD) are discussed and presented in relation to their work environment or lack thereof. By taking a health promotion framework, several evidence-based recommendations for organizations that structure employment plans are also presented in order to facilitate needs-driven accommodation strategies, promote inclusion, and implement employment sustainability. These recommendations outline an approach to mental health disability that seeks to better meet the needs of workers with a focus on improving health and well-being through more sustainable and inclusive working conditions that center the whole organization around mental health initiatives as opposed to an individualistic approach. By implementing both promotive individual and organizational practices in the workplace, organizations can act to promote diversity as well as counter stereotypes and unconscious bias in the organization.