Wolkon‐Cleveland.

Methods	Allocation: 'random assignment' ‐ no further details except randomisation took place before consent was obtained (207 of 333 patients assigned to control group refused to participate). Follow up: 12, 18, 24, 30 months. Lost to follow‐up: 8%. Objectivity of rating of outcome: raters independent.
Participants	Inclusion criteria: i. age 20‐60; ii. >1 month psychiatric hospitalisation + about to be discharged; iii. no primary diagnosis of substance abuse, mental retardation or organic brain disease.* Diagnosis: schizophrenia/schizophrenia‐like disorders (78%). N=540. Age: mean ˜36 years. Sex: 65% women. Race: 43% non‐white. History: Ever married U/K, ever employed U/K, time since last employment U/K, previous admissions >2. Setting: urban, non‐residental, transitional, social rehabilitation centre for adults recently released from psychiatric hospital, Ohio, USA.
Interventions	1. Rehabilitative treatment: i. social group work; ii. individual counselling; iii. transitional work projects; iv. informed that participation was limited to 1 year (not clear if strictly enforced). N=333. 2. Control: standard aftercare services (not specified). N=207.
Outcomes	Rehospitalised. Unable to use ‐ In competitive employment (no data reported). Psychiatric symptoms (unpublished scale).
Notes	* A random sample of all patients about to be discharged from 3 state psychiatric hospitals over a 2.5 year period.
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment?	Unclear risk	B ‐ Unclear

BPRS ‐ Brief Psychiatric Rating Scale. 
 PANSS ‐ Positive and Negative Symptom Scale. 
 ACT ‐ Assertive Community Tretment. 
 CMHC ‐ Community Mental Health Centre 
 SCID 
 U/K ‐ unknown. 
 P/t ‐ part time. 
 F/t ‐ full time. 
 VR ‐ vocational rehabilitation. 
 DSM‐III‐R ‐ Diagnostic Statistical Manual, version 3, revised.