Family-aided assertive community treatment (FACT) was enhanced by adding vo
cational specialists to help persons with severe mental illness obtain comp
etitive employment. Results were then tested against those of conventional
vocational rehabilitation (CVR). The FACT cohort demonstrated significantly
better employment rates than did the CVR, while negative symptoms declined
in the former and increased in the latter. No evidence was found that comp
etitive work presented a significantly risk for relapse.