Individual placement and support (IPS) for people with severe mental health problems

INTERVENTION: Individual Placement and Support (IPS) alone versus IPS + work ‐ focussed psychological therapy CONDITION: Severe mental Illness ; Mental and Behavioural Disorders ; Mental disorder, not otherwise specified PRIMARY OUTCOME: 1. The total number of working hours completed within six months of entering the trial. We will measure this by monitoring job start and end dates and paid hours worked per week.; 2. Type of employment and wage levels will be recorded SECONDARY OUTCOME: 1. Changes in self‐esteem, experienced stigma, work limitations, quality of life and changes in costs, service utilisation, income and related matters; 2. We will also monitor other vocational activities such as education, training and volunteering that participants may have done while looking for paid work INCLUSION CRITERIA: 1. Community Mental Health Teams and Early Intervention in Psychosis teams' clients of working age (18‐60) 2. People with dual diagnosis (substance use problems and mental health issues) will also be included