2. 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

3. 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

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

5. 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

6. 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

7. 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

8. 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,
NIMH RO1 MH-60632

9. Maintenance Study Standard Treatment Results
In a nutshell
CBCL Externalizing Scale

10. ECBI Intensity Scale
Eyberg & Boggs

11. ECBI Problem Scale
Eyberg & Boggs

12. Beck Depression Inventory
Eyberg & Boggs