Methods	Allocation: randomised, sealed envelopes, stratified by previous contacts with psychiatric services. Blindness: double; blinding tested +3 = no blinding, −3 = perfect blinding: mean 1.95. N=87. Follow up: 3 months. Analysis: ITT.
Participants	Diagnosis: schizophrenia (38), mood disorders (32), neurotic (25), other (5). Personality disordered 50 (ICD-10), 35 (PAS)**. History: 51% previous psychiatric contact. N=100*. Age: median 32. Sex: 40 M, 60 F. Setting: inner city.
Interventions	1. Community focused multidisciplinary team, open referral, in-home assessments, collaboration maintained with already involved agencies, clinical decisions by team consensus. N=48 2. Standard hospital treatment : usually outpatient clinic assessments with occasional home visits. N=52
Outcomes	Death. Leaving study early. Satisfaction with care (Satisfaction with Service Questionnaire, displayed as not very satisfied with care). Hospital admission. Duration of hospital care. Team utilisation (mean visits). Social functioning/networks (Network Schedule, SFQ). Police contacts. Unable to use - Psychiatric symptoms: BAS, MADRAS (no SD).
Notes	*Randomisation at point of referral to psychiatric emergency services (A&E presentations, urgent GP or social work referrals), not currently in contact with psychiatric services Additional diagnosis of personality disorder made & data presented on this subgroup. 2 ’natural cause’ deaths subtracted from original number randomised. **Data relating to those with personality disorder presented in separate comparison
Risk of bias
Item	Authors’ judgement	Description
Allocation concealment?	Yes	A - Adequate