The present study compared 30 patients with Fibromyalgia Syndrome (FS) to 30 healthy control subjects matched for age, sex, and estimated intellectual level on standardized measures of attention, concentration, and memory as well as subjective ratings of memory abilities and sleep quality. In addition, in order to investigate the relationship between cognitive functioning and other physical and psychological symptoms, subjects with FS completed psychological measures of pain severity, trait anxiety, and depression. Results indicated that patients with FS performed more poorly on tests of immediate and delayed recall, and sustained auditory concentration, and their ratings of both their memory abilities and sleep quality were lower than those of controls. Furthermore, perceived memory deficits of the FS subjects were disproportionately greater than their objective deficits. Results indicated significant correlations between performance on memory and concentration measures and scores on questionnaires of pain severity and trait anxiety. Implications of these results for multidisciplinary treatment programs are discussed.

The current study explores two issues: which factors predict case management services and which case management services predict outcomes. Thirty individuals with schizophrenia participated in the study. Information regarding clients' characteristics and the working alliance was collected within the first 2 months of participation in the program and again 1 year later. Case managers completed a daily contact log for each client over the course of the year. Results suggest that the working alliance is a strong predictor of case management services. The working alliance and the frequency with which housing and medication were discussed were strong predictors of community functioning outcomes. Directions for future research are provided that are based upon these preliminary findings.

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Résumé Cet article traite du concept de stabilité du logement1. Bien que le terme « stabilité du logement » soit fréquemment utilisé dans la littérature scientifique, le concept n’a pas encore été défini de manière appropriée. Les auteurs montrent d’abord comment il a été précédemment défini et comment notre compréhension peut en être enrichie. Ensuite, ils présentent deux approches de la stabilité du logement, qu’on peut qualifier de « stable » et de « dynamique ». Alors que les approches orientées vers la stabilité soulignent qu’il est préférable de maintenir les personnes atteintes de troubles mentaux graves (TMG) dans un logement adapté le plus longtemps possible, les approches plus « dynamiques » reconnaissent que le changement et la croissance sont essentiels. Ces deux optiques sont étudiées en tenant compte du développement des modèles de logement en Ontario et de la publication d’un document émis par le gouvernent de l’Ontario, ainsi que de la recherche des besoins de logement et des préférences des personnes atteintes de troubles mentaux graves.

This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.