Bond‐Indiana.

Methods	Allocation: 'randomly assigned' ‐ information from trialists indicates that randomisation was by an independent co‐ordinator using sealed envelopes. Follow up: 12, 24, 48 months. Lost to follow‐up: 14% at 1 year, 6% at 4 years ‐ only 1 site followed up at 4 years. Objectivity of rating of outcome: raters not independent.
Participants	Inclusion criteria: i. age 18‐60; ii. severe mental disorder (Indiana Department of Mental Health Criteria ‐ based on diagnosis, disability & duration); iii. eligible for disability benefit; iv. enrolled in the CMHC community support program; v. no recent V‐R; vi. unemployed >3 months; vii. wanting to work; viii. consistent attendance at CMHC over preceding 4 weeks. Diagnosis: schizophrenia, schizophrenia‐like disorders (66%). N=86. Age: mean ˜35 years. Sex: 49% women. Race: 20% non‐white. History: ever married 52%, ever employed 82%, time since last employment 38 months, previous admissions 5.3. Setting: 4 CMHTs, 57%:43% urban:rural population, Indiana, USA.
Interventions	1. Immediate entry into supported employment: >4 months preparation in prevocational work‐readiness training then rural CMHC provided i. 2 employment specialists (employed by CMHC, receiving internal referrals, 1 client at a time, intensive job‐coaching at beginning of placement.); ii. follow‐on staff worker (maintained contact after initial adjustment phase) and urban CMHCs provided 3 employment specialists (liaised with teams, carried individual case loads). N=43. 2. Control: >4 months preparation in prevocational work‐readiness training. N=43.
Outcomes	In competitive employment. Not participating in program. Monthly earnings. Costs: program costs, all heatlh care costs. Unable to use ‐ In competitive employment at 48 months (follow up <50%). Admitted to hospital (no data). Time in any employment (not a primary or secondary outcome variable).
Notes	Two separate trials described in the reports. Both involve accelerated placement in supported employment. One involves VR team integrated into a CMHC, the other, an independent VR team liaising with 4 different CMHCs. Not possible to report all data separately for the two trials. The integrated site has a slightly better outcome for the accelerated group.
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment?	Low risk	A ‐ Adequate