Condition category
Mental and Behavioural Disorders
Date applied
Date assigned
Last edited
Retrospectively registered
Overall trial status
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information



Primary contact

Prof Tom Burns


Contact details

St George's Hospital Medical School
Jenner Wing
Cranmer Terrace
SW17 0RE
United Kingdom
+44 (0)20 8682 6725

Additional identifiers

EudraCT number number

Protocol/serial number


Study information

Scientific title


Study hypothesis

Structured daily activity, and paid work in particular, have been shown to have significant impact on the outcome of ensuring psychotic disorders. This study will examine the impact of a dedicated 'work placement co-ordinator' on the access to work opportunities of 1000 patients currently in the care of secondary mental health services in two inner London Boroughs. The intervention will be compared to standard care using random allocation between 10 sector teams. The intervention consists of a training package on work placement for the team members and on-going team access to a vocational counsellor for advice. Outcome will be measured by improvements in individual patient activity at one year. Patient predictors of response to the intervention will be sought. Improvement in work activity is of direct benefit to individual patients in terms of self esteem and in stemming clinical and social deterioration. It has also been shown to reduce carer burden, thereby addressing the NHS's commitment to the needs of families and carers. Work activity may also reduce relapse rate in the longer term and may save on inpatient bed pressure. The establishment of even a small number of patients in paid employment represents enormous savings in social security transfer payments. A simple generalisable model for work placement in the NHS will be developed.

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design


Secondary study design

Randomised controlled trial

Trial setting

Not specified

Trial type

Not Specified

Patient information sheet


Schizophrenia and other psychoses


1. Patients in the intervention group will receive three seminars and information packs covering local employment opportunities over the three succeeding weeks. There is no further scheduled contact of the CMHT with the work co-ordinator but team staff will be encouraged to seek advice on a case by case basis.
2. Control - no intervention i.e. standard care

Intervention type



Not Specified

Drug names

Primary outcome measures

Outcome will be assessed by recording the vocational status of all study subjects on an individual patient basis at one-year. Vocational status will be measured using 6 categories:
1. Unemployed/inactive
2. Other ata/education related activity
3. Education
4. Sheltered work
5. Voluntary work
6. Open employment.
These 6 categories are comprehensive and clearly defined, but not mutually exclusive as part-time occupation is registered. An individual patient may be involved in, for example, education (3) and sheltered work (4) simultaneously. In these cases both activities will be recorded.
Where there has been a change in vocational status, duration of employment activity will be recorded, and random interviews will check the accuracy of outcome data.
Client attitude and satisfaction will be measured in a sample of patients who obtained work/occupation, concerning their participation in the daily activity. The views of clients who did receive the intervention will be compared to matched case controls of those who returned to work/occupation in the control group.

Secondary outcome measures

Not provided at time of registration

Overall trial start date


Overall trial end date


Reason abandoned


Participant inclusion criteria

1. Have been in contact with the CMHT for at least one year
2. Have been out of work/education for at least one year

Participant type


Age group




Target number of participants


Participant exclusion criteria

1. Men over 65
2. Women over 60

Recruitment start date


Recruitment end date



Countries of recruitment

United Kingdom

Trial participating centre

St George's Hospital Medical School
SW17 0RE
United Kingdom

Sponsor information


NHS R&D Regional Programme Register - Department of Health (UK)

Sponsor details

The Department of Health
Richmond House
79 Whitehall
United Kingdom
+44 (0)20 7307 2622

Sponsor type




Funder type


Funder name

NHS Executive London (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype


Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

2003 results in

Publication citations

  1. Results

    O'Brien A, Price C, Burns T, Perkins R, Improving the vocational status of patients with long-term mental illness: a randomised controlled trial of staff training., Community Ment Health J, 2003, 39, 4, 333-347.

Additional files

Editorial Notes