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Most people with severe mental illness want to work, and there are
compelling ethical, social, and clinical reasons for helping them do
so. Prevocational training and supported employment are two different
approaches to achieving this goal. Prevocational training requires a
period of preparation before entering competitive employment, whereas
supported employment places people in competitive employment without
preparation but offer job support. Crowther et al (p 204)
performed a systematic review of 11 randomised controlled trials and
found that clients who received supported employment were more likely
to be in competitive employment than those who received prevocational
training (34% compared with 12% at 12 months).