McFarlane‐New York.

Methods	Allocation: 'randomly assigned' ‐ no further details. Follow up: 3 monthly for 18 months, partial follow up at 24 + 30 months. Lost to follow‐up: 16% at 18 months. Objectivity of rating of outcome: raters independent.
Participants	Inclusion criteria: i. age 18‐55; ii. family available; iii. interested in obtaining a job; iv. in treatment at site clinics; v. schizophrenia, schizoaffective disorder, bipolar disorder or major depression. Diagnosis: schizophrenia, schizophrenia‐like disorders (65%). N=69. Age: mean ˜33 years. Sex: 30% women. Race: 7% non‐white. History: ever married 26%, ever employed U/K, time since last employment, mean ˜15 months, previous admissions, mean ˜5. Setting: 2 CMHCs, 1 urban, 1 rural, New York State, USA.
Interventions	1. Family‐aided Assertive Community Treatment: i. ACT; ii. family intervention; iii. vocational specialists: specialists' tasks a. developing contacts with employers; b. case‐specific job development; c. job assessment; d. assessment of patients' cognitive, physical and social capacities; e. setting career goals; f. interview and resume practice and assistance; g. on or near job support; h. intervening with employers; i. close co‐ordination with clinicians. N=37. 2. Control: conventional vocational rehabilitation with referral to state VR service often leading to placement in sheltered workshop. N=32.
Outcomes	Obtaining competitive employment. Obtaining any form of employment. Not participating in program Monthly earnings. Unable to use ‐ Obtaining competitive employment at 30 months (follow up <50%) Admissions to hospital per patient (not a secondary outcome). Mental state (not reported by group).
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment?	Unclear risk	B ‐ Unclear