The Maintenance Study Goal Assumptions To prevent relapse for ALL children Assumptions Early conduct disorders are persistent and recurrent Treatments that end as soon as the problems first remit may not consolidate gains sufficiently for all families Timely boosters my prevent relapse

Design Participants Randomize completers Assessments Estimated 80 treatment completers Randomize completers Two-year Maintenance Treatment (MT) Follow-up Assessments Only (AO) Assessments Six brief quarterly phone assessments Two major yearly assessments

The Maintenance Treatment Monthly phone calls provide Support Monitoring Intervention Monitoring checks on child behavior problems parent mood/stress parent follow-through with PCIT

Three Levels of Intervention Level I (5-15 minute call) reinforce parent follow through brief suggestions if indicated show concern for parent well-being encourage continued participation

Maintenance Interventions Level II (15-60 minutes) Level I components plus Address identified problem Empathic listening Engage parent problem solving Outline a plan to solve problem Brief follow-up call 1 week later

Maintenance Interventions Level III (a clinic session) When Monitoring call indicates crisis Level II problem has persisted Parent calls and requests clinic session Involves Providing support Problem solving Observing parent-child interactions and coaching if indicated Developing a plan

Maintenance Study 1-1-03 81 families enrolled so far 22 families dropped out 19 families currently in treatment 40 families have completed treatment 37 families have completed the post assessments Randomly assigned to either maintenance treatment or control Eyberg & Boggs, 1999-2004 NIMH RO1 MH-60632

Maintenance Study Standard Treatment Results In a nutshell CBCL Externalizing Scale

ECBI Intensity Scale Eyberg & Boggs

ECBI Problem Scale Eyberg & Boggs

Beck Depression Inventory Eyberg & Boggs