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

Kuldau‐California.

Methods Allocation: by sealed envelope method. 
 Follow up: 18 months. 
 Lost to follow‐up: 5%. 
 Objectivity of rating of outcome: unclear if raters were independent.
Participants Inclusion criteria: i. new admission to VA hospital; ii. residing locally. 
 Diagnosis: schizophrenia, schizophrenia‐like disorders (>27%). 
 N=94. 
 Age: mean ˜41 years. 
 Sex: all men. 
 Race: not reported. 
 History: ever married 74%, ever employed U/K but 12% unemployed for 5 years, time since last employment U/K, previous admissions, mean ˜3. 
 Setting: California, USA.
Interventions 1. Treatment program: combination of i. inpatient care (in therapeutic community milieu); ii. transitional day hospital care; iii. community housing; iv. supported/sheltered work. An employment co‐ordinator (ex‐patient) i. scanned community for job possibilities; ii. worked with patients to help find employment; iii. placed people in jobs. Patients i. worked through the 'progress and planning group' until a "work‐readiness" committee declared them fit for work; ii. could independently seek work own or through this service. Staff liaision with employers about on‐the‐job problems. N=44. 
 2. Control: i. 'rapid' discharge with emphasis on discharge planning; ii. no housing or community employment service but emphasised work activities such as unpaid industrial therapy assignments in hospital. N=50.
Outcomes Monthly earnings.
Unable to use ‐ 
 Ever employed during study (not a primary or secondary outcome variable. 
 Time in competitive employment (data unclear). 
 Living in community at end of study (not a primary or secondary outcome variable).
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate