Drake‐Washington.

Methods	Allocation: by off‐site co‐ordinator using random number tables, stratified according to work history (information from trialists). Follow up: 6, 12 & 18 months. Lost to follow up: 5% at 18 months. Objectivity of rating of outcome: raters independent.
Participants	Inclusion criteria: i. severe mental disorder; ii. unemployed; iii. no memory impairment or medical illness precluding working/participating in job interviews. Diagnosis: schizophrenia, schizophrenia‐like disorders (67%). N=152. Age: mean ˜39 years. Sex: 61% women. Race: 83% non‐white. History: ever married 34%, ever employed U/K, time since last employment U/K, previous admissions U/K. Setting: urban, Washington DC, USA.
Interventions	1. Individual Placement and Support (IPS): i. rapid job search; ii. follow‐on support after securing work (counselling, transportation, intervening with employer); iii. 3 employment specialists (25 clients each). N=76. 2. Enhanced Vocational Rehabilitation (EVR): i. VR service enhanced by extra VR counselor who monitored clients' satisfaction with service; ii. goal of competitive employment but involved prevocational experiences, work adjustment training in sheltered workshop (primarily paid). N=76.
Outcomes	In competitive employment. Monthly earnings. Mental state: BPRS expanded. Quality of life: Lehman's scale. Self‐esteem: Rosenberg's scale. Unable to use ‐ In any employment throughout study (not primary or secondary outcome). Satisfaction with leisure/finances/job/housing/town (sub‐scale of Lehman's scale). Time to find employment (not primary or secondary outcome measure). Days in hospital (not primary or secondary outcome measure).
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment?	Low risk	A ‐ Adequate