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. 2001 Apr 23;2001(2):CD003080. doi: 10.1002/14651858.CD003080

Drake‐New Hampshire1.

Methods Allocation: 'randomly assigned' ‐ information from trialists indicated that randomisation was by an off‐site co‐ordinator using computer‐generated random numbers. 
 Follow up: monthly for 2 years (preceded by 4 once‐weekly "informational" meeting). 
 Lost to follow‐up: 2%. 
 Objectivity of rating of outcome: raters independent.
Participants Inclusion criteria: i. major mental illness with major role dysfunction for past 2 years; ii. in community >1 month; iii. living locally; iv. age 20‐65 years; v. unemployed >1 month, wanting to work; vi. no substance dependence, physical disability, or memory impairment. Diagnosis: schizophrenia, schizophrenia‐like disorders (46.9%). 
 N=143. 
 Age: mean ˜37years. 
 Sex: 52% women. 
 Race: 5% non‐white. 
 History: ever married 50%, ever employed ‐ "relatively good employment history", time since last employment U/K, previous admissions U/K but "many" hospitalised in last year. 
 Setting: urban, New Hampshire, USA.
Interventions 1. Individual placement and support program: i. integrated team working within mental health services; ii. employment specialists attached directly to clinical teams (helped clients find jobs immediately, provided on‐job training, supportive follow‐up); iii. 3 staff working directly with clients in all phases of supported employment (direct contact time with staff ˜62 hours). N=74. 
 2. Brokered model (GST) pre‐employment preparation group: i. discussions of skills needed to get and keep jobs; ii. practising these skills; ii. exploration of work‐related values; iii. exploration of clients' strengths and weaknesses as workers; iv. interview skills meetings; v. discussion of job leads and interviews (meetings 2/week); vi. once employed received on job support (liaison with mental health providers, follow‐along support); vii. 3 staff divided functions into job training, job development, and job support roles (direct contact time with staff=74 hours). N=69.
Outcomes In competitive employment. 
 Time in competitive employment. 
 Monthly earnings. 
 Not participating in program. 
 Global functioning: GAS scores. 
 Self‐esteem: Rosenberg's scale 
 Mental state: BPRS expanded. 
 Costs: program costs, all heatlh care costs.
Unable to use ‐ 
 Quality of life: Lehman's scale (subscales only).
Notes Two centre trial but not possible to separate the data by site.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate