Okpaku‐Nashville.
Methods | Allocation: 'randomly assigned' ‐ no further details. Follow up: 7 to 28 months.* Lost to follow‐up: 0% ‐ difficult to verify. Objectivity of rating of outcome: raters independent. | |
Participants | Inclusion criteria: i. serious mental illness as judged by eligibility for disability benefits; ii. client of CMHC. Diagnosis: schizophrenia, schizophrenia‐like disorders (67%). N=152. Age: mean ˜37 years. Sex: 41% women. Race: 40% non‐white. History: ever married 52%, ever employed U/K, time since last employment U/K, previous admissions ˜3. Setting: urban, Tenessee, USA. | |
Interventions | 1. Employment oriented case management:** i. multi‐disciplinary team of rehabilitation specialists (case load/specialist ˜10); ii. employment needs assessment; iii. regular review; iv. "aggressively pursued social and rehabilitative services". N=73. 2. Control: standard case management services from CMHC (case load 40‐90). N=79. | |
Outcomes | Finding any employment
Not participating in program. Unable to use ‐ Cost data (insufficient data). |
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Notes | * Variable follow up period ‐ all received 4 month intervention and one 3 month follow up interview, some followed up as long as 24 months. ** Not an assertive community treatment model ‐ not explicit what the intervention was, but not supported employment. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | B ‐ Unclear |