[Federal Register Volume 79, Number 138 (Friday, July 18, 2014)]
[Notices]
[Pages 42026-42028]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-16891]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer on (240) 276-1243.
    Comments are invited on: (a) Whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Multi-Site Evaluation of the Safe Schools/Healthy 
Students (SS/HS) State Program--NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Mental Health Services (CMHS) will conduct the 
multi-site evaluation of the Safe Schools/Healthy Students (SS/HS) 
state program. The data collected through the multi-site evaluation 
addresses three study components: (1) The planning, collaboration, and 
partnership study; (2) the implementation study; and (3) the workforce 
study.
    The SS/HS state program funded grantees in seven states beginning 
in September 2013. Data will be collected from state/tribal 
administrators, Local Education Authorities (LEAs)/Districts, local 
program staff (e.g., school resource officers, teachers and 
administrators, and psychologists) and program partners (e.g., parents, 
representatives from the juvenile justice and mental health providers).
    Data collection activities will include key informant interviews, 
and web-based surveys. The instruments to be used for data collection 
are as follows:

Planning, Collaboration and Partnership Study

 State Key Informant Interview Protocol.
 District Key Informant Interview Protocol.
 State Collaborator Survey.
 District Collaborator Survey.
 State Collaboration Indicator Data Instrument.
 District Collaboration Indicator Data Instrument.

Implementation Study

 State & District Key Informant Interview Protocol.
 School-Level Survey.

Workforce Study

 No additional instruments will be used for this study. Data 
will be gathered from the Planning, Collaboration and Partnership Study 
and the Implementation Study.

    A summary table of the number of respondents and respondent burden 
has also been included.

Data Collection Activities for MSE Grantees

    Data for all instruments will be collected annually with the 
exception of data for the state and District

[[Page 42027]]

Collaboration Indicator Data Instrument which will be collected 
quarterly.

State Key Informant Interview (Planning, Collaboration and Partnership 
Study)

    The key informant interview protocol will collect information on 
the service model, partnerships and interagency collaboration, program 
implementation fidelity, plan deviations, and state and local policy 
development at the state level. Interviews will also include questions 
to learn about opportunities that were provided for workforce training. 
Responses will be compared over time to assess positive development of 
the program model, emerging barriers and facilitators to 
implementation, and evolving solutions. On average, 14 state 
administrators will be interviewed annually and the duration of the 
interview is estimated to be one hour.

District Key Informant Interview (Planning, Collaboration and 
Partnership Study)

    The purpose of these interviews is to identify, through the 
perspectives of LEA administrators and program partners their 
descriptions of SS/HS program activities. In particular, the degree to 
which critical SS/HS framework elements are operationalized, as well as 
the degree to which principles and strategies are acknowledged and 
integrated as part of the service processes. Topics include the 
provider's approach to service provision (sensitivity to health 
disparities, cultural competence), the coordination of services across 
the LEA and other local agencies, training of mental health workers, 
local policy and protocol development, and barriers/facilitators at the 
local level that influence the adoption, integration, and 
sustainability of SS/HS principles. Responses will be compared over 
time to assess positive development of the program model. It is 
anticipated that an average of 63 district administrators and program 
partners will participate in the interview each year and the interviews 
will be about one hour in duration.

State Collaborator Survey (Planning, Collaboration and Partnership 
Study)

    The state administrator's survey will seek to understand the level 
of inter-professional collaboration among entities working at the state 
level to promote expanded school mental health. The survey will also 
capture perceptions of partnership functioning in terms of partner 
goals, resources, culture and values, and roles and responsibilities, 
as well as leadership and collaboration among partners as they impact 
(1) school and community partner engagement, (2) facilitators, (3) 
barriers, (4) shared decision-making, (5) partnership structure, and 
(6) sustainability. An average of 208 state administrators and program 
partners will complete the survey annually and it is estimated that 
completion will take 30 minutes.

District Collaborator Survey (Planning, Collaboration and Partnership 
Study)

    The state administrator's survey will seek to understand the level 
of inter-professional collaboration among entities working at the 
district level to promote expanded school mental health. The survey 
will also capture perceptions of partnership functioning in terms of 
partner goals, resources, culture and values, and roles and 
responsibilities, as well as leadership and collaboration among 
partners as they impact (1) school and community partner engagement, 
(2) facilitators, (3) barriers, (4) shared decision-making, (5) 
partnership structure, and (6) sustainability. An average of 624 LEA 
district administrators and program partners will complete the survey 
annually and the time for completion is estimated to be 45 minutes.

State Collaboration Indicator Data Instrument (Planning, Collaboration 
and Partnership Study)

    The State Collaboration Indicator Data Instrument will gather data 
about the program activities that occur at the state level. By tracking 
these activities, it will be possible to determine the frequency with 
which administrators engage in SS/HS program related activities such as 
holding meetings, the number of persons who attend such meetings, 
whether and the frequency with which trainings and other support 
activities occur as well as the participants in such trainings. The 
instrument will also track whether and what type of resources are 
leveraged by program partners at the state level. One instrument will 
be completed by each state and it is estimated that it will take on 
average 1.5 hours to gather the data and complete the instrument.

District Collaboration Indicator Data Instrument (Planning, 
Collaboration and Partnership Study)

    The District Collaboration Indicator Data Instrument will gather 
data about the program activities that occur at the LEA/district level. 
By tracking these activities, it will be possible to determine the 
frequency with which LEA administrators and program partners at the 
district level hold meetings, the number of persons who attend such 
meetings, whether and the frequency with which trainings and other 
support activities occur, and the participants in such trainings. The 
instrument will also track whether and what type of resources are 
leveraged by program partners at the district level. One instrument 
will be completed by each of the 21 LEAs and it is estimated that it 
will take on average 1.5 hours to gather the data and complete the 
instrument.

State and District Key Informant Interview (Implementation Study)

    The State and District Key Informant Interviews will be held with 
administrators and program partners at the state and LEA districts. The 
interviews will seek to gain an understanding of respondents' 
perspectives as these relate to the degree to which critical SS/HS 
framework elements are operationalized, as well as the degree to which 
mental health principles and strategies are acknowledged and integrated 
as part of the service processes. The interviews will also seek to gain 
an understanding of the types of services and supports that have been 
implemented as a result of the SS/HS program, children's access to 
mental health services, and the facilitators and barriers to program 
implementation. Interviews will also include questions to learn about 
the role workforce development opportunities played in program 
implementation. A total of 56 persons will be interviewed: 14 at the 
state/tribal level and 42 at the district level. Interviews will take 
on average one hour to complete.
    School-Level Survey (Implementation Study): The school-level survey 
will be completed by persons who work within the schools that are 
participating in the SS/HS state program. The survey combines items 
from three surveys: The Evidence-Based Practice Attitude Scale (EBPAS) 
assesses mental health and social service provider attitudes toward 
adopting evidence-based practices. The Mental Health Service 
Integration Survey (MHSIS) assesses professional school mental health 
roles, service integration, and barriers and facilitators of mental 
health service integration in schools. The School Mental Health Quality 
Assessment Questionnaire (SMHQAQ) is a 40 item instrument divided into 
10 domains that assess the integration of school mental health services 
delivered in schools. The 10 domains related to the 10 principles of 
expanded school mental health include: (1) Access to care; (2) Needs 
assessment; (3) Evidence-based practices; (4) Stakeholder involvement 
and feedback;

[[Page 42028]]

(5) Quality assessment and improvement; (6) Continuum of care and 
referral processes; (7) Clinician training, support, and service 
delivery; (8) Competently addressing developmental, cultural, and 
personal differences; (9) Interdisciplinary collaboration and 
communication; and (10) Community coordination. The School Mental 
Health Capacity Instrument is a 27-item scale that assesses the 
capacity of schools to address the mental health needs of students. The 
schools can be rated along a continuum using the three individual 
subscales of intervention, early recognition & referral, or prevention 
& promotion. In addition, the total sum of all three scales provides an 
overall measure of capacity. The intervention subscale looks at 
training, protocols, and the designation of specific follow-up 
procedures for children referred for mental health services. Early 
recognition and referral covers universal screenings for potential 
problems, and communication between staff members to discuss students 
who may be experiencing mental health concerns. Finally, prevention and 
promotion looks at the efforts focused on student's social-emotional 
development. A total of 2,100 persons will be invited to complete the 
survey annually and it is estimated that completion of the survey will 
take on average 25 minutes.
    Internet-based technology will be used for collecting data via Web-
based surveys, and for data entry and management. The average annual 
respondent burden is estimated below.

                                  Table 1--Estimates of Annualized Hour Burden
----------------------------------------------------------------------------------------------------------------
                                                     Number of     Responses per  Average  hours   Total  annual
      Type of respondents          Instrument       respondents     respondent    per respondent    hour burden
----------------------------------------------------------------------------------------------------------------
                                  Planning, Collaboration & Participation Study
----------------------------------------------------------------------------------------------------------------
Key project staff at state      State KIIs......              14               1            1                 14
 level (e.g., project
 coordinators, evaluators),
 SMT members.
Key project staff at LEA level  District KIIs...              63               1            1                 63
 (e.g., project coordinators,
 evaluators), CMT members.
Key project staff at state      State                        208               1             .5              104
 level (e.g., project            Collaborator
 coordinators, evaluators),      Survey.
 SMT members.
Key project staff at LEA level  District                     624               1             .33             206
 (e.g., project coordinators,    Collaborator
 evaluators), CMT members.       Survey.
Project Evaluator.............  State                          7               4            1.5               42
                                 Collaboration
                                 Indicator Data
                                 Instrument.
Project Evaluator.............  District                      21               4            1.5              126
                                 Collaboration
                                 Indicator Data
                                 Instrument.
----------------------------------------------------------------------------------------------------------------
                                              Implementation Study
----------------------------------------------------------------------------------------------------------------
Program and school staff        KIIs............              56               1            1                 56
 working at the state &
 district level.
Program and school staff        School-Level             * 2,100               1             .45             945
 working at the school level.    Survey.
                                                 ---------------------------------------------------------------
    Total.....................  ................           3,093  ..............  ..............           1,556
----------------------------------------------------------------------------------------------------------------
* 10 respondents will participate in up to 10 schools in each of the 21 LEAs.

    The estimate reflects the average annual number of respondents, the 
average annual number of responses, the time it will take for each 
response, and the average annual burden. The number of grantees in each 
year is assumed to be constant.
    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email her a 
copy at [email protected]. Written comments should be received 
by September 16, 2014.

Summer King,
Statistician.
[FR Doc. 2014-16891 Filed 7-17-14; 8:45 am]
BILLING CODE 4162-20-P