Control strategies of 70 well and depressed mothers were assessed twice: when their children were of toddler age (Time 1) and, for 39 of the mothers, when their children were 5 (Time 2). At Time 1 well mothers were more direct with their children, using more direct commands and reprimands, and fewer explanations than depressed mothers. At Time 2 well mothers used fewer direct commands than depressed mothers. Self-reported negative mood preceding the interaction in well mothers was associated with decreased directness at Time 1 but increased directness at Time 2. At Time 1 depressed mothers' negative mood was associated with a decrease in the use of explanations. All mothers used more unclear commands and fewer reprimands and positive incentives with their 5-year-olds than when the children were toddlers. Depressed mothers, but not well mothers, increased their use of direct commands when the children were older. The findings are interpreted in the context of complex interplay between mother's diagnosis of depression, self-reported mood preceding the interaction, and the developmental level of the child.

Supportive housing models for people with serious mental illness who experience chronic homelessness may be associated with substantial cost offsets, because the use of acute care services diminishes in an environment of housing stability and access to ongoing support services. However, because persons with substance use issues and no recent history of mental health treatment used relatively fewer and less costly services, cost neutrality for these persons may require less service-intensive programs and smaller subsidies.

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