[Federal Register Volume 79, Number 191 (Thursday, October 2, 2014)]
[Notices]
[Pages 59498-59500]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-23454]
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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: National System of Care Expansion Evaluation--NEW
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center for Mental Health Services (CMHS) is requesting
approval from the Office of Management and Budget (OMB) for the new
collection of data for the National System of Care (SOC) Expansion
Evaluation.
Evaluation Plan and Data Collection Activities. The purpose of the
National SOC Expansion Evaluation is to assess the success of the SOC
expansion planning and implementation grants in expanding the reach of
SOC values, principles, and practices. These include maximizing system-
level coordination and planning, offering a comprehensive array of
services, and prioritizing family and youth involvement. In order to
obtain a clear picture of SOC expansion grant activities, this
longitudinal, multi-level evaluation will measure activities and
performance of grantees at three levels essential to building and
sustaining effective SOCs. The three levels are: jurisdiction, local
system, and child and family levels.
Data collection activities will occur through four evaluation
components. Each component includes data collection activities and
analyses involving similar topics. Each component has multiple
instruments that will be used to address various aspects. Thus, there
are a total of eight new instruments that will be used to conduct this
evaluation. All four evaluation components involve collecting data from
implementation grantees, but only the Implementation assessment
includes data collection from planning grantees as well.
The four studies with their corresponding data collection
activities are as follows:
(1) The Implementation assessment will document the development and
expansion of SOCs. Data collection activities include: (a) Stakeholder
Interviews with high-level administrators, youth and family
representatives, and child agencies to describe the early
implementation and expansion efforts of planning and implementation
grants, (b) the web-based Self-Assessment of Implementation Survey to
assess SOC implementation and expansion at the jurisdictional level
over time, and (c) the SOC Expansion Assessment (SOCEA) administered to
local providers, managers, clients, and their caregivers to measure SOC
expansion strategies and processes implemented related to direct
service delivery at the local system level. Implementation grantees
will participate in all three of the Implementation assessment data
collection activities. Planning grantee participation will be limited
to the Stakeholder Interview and the Self-Assessment of Implementation
Survey.
(2) The Network Analysis will use Network Analysis Surveys to
determine the depth and breadth of the SOC collaboration across
agencies and organization. Separate network analysis surveys will be
administered at the jurisdiction and local service system levels. The
Geographic Information System (GIS) Component will measure the
geographic coverage and spread of the SOC, including reaching
underserved areas and populations. At the jurisdictional and local
service system levels, the GIS component will use office and business
addresses of attendees to key planning, implementation and expansion
events. At the child/youth and family level, Census block groups
(derived from home addresses) will be used to depict the geographic
spread of populations served by SOCs.
[[Page 59499]]
(3) The Financial Mapping Component involves the review of
implementation grantees' progress in developing financial
sustainability and expansion plans. The Financial Mapping Interview
will be conducted with financial administrators of Medicaid Agencies,
Mental Health Authorities, mental health provider trade associations,
and family organizations. The Benchmark Component will compare relative
rates of access, utilization, and costs for children's mental health
services using the Benchmarking Tool and administrative data requested
from financial administrators and personnel working with Medicaid
Agency and Mental Health Authority reporting and payment systems.
(4) The Child and Family Outcome Component will collect
longitudinal data on child clinical and functional outcomes, family
outcomes, and child and family background. Data will be collected at
intake, 6-months, and 12-months post service entry (as long as the
child/youth is still receiving services). Data will also be collected
at discharge if the child/youth leaves services before the 12-month
data collection point. Data will be collected using the following
scales: (a) A shortened version of the Caregiver Strain Questionnaire,
(b) the Columbia Impairment Scale, (c) the Pediatric Symptom Checklist-
17, (d) Family/Living Situation items, and (e) background information
gathered through the Common Data Platform (CDP). Although OMB approval
for the CPD has been sought separately under an unrelated contract,
this data collection will include both youth age 11 to 17 and their
caregivers whereas CDP includes only one of these respondents (i.e.,
youth or caregiver).
Estimated Burden. Data will be collected from approximately 56
planning and 107 implementation grants, 214 local systems within the
implementation grant jurisdictions. Data collection for this evaluation
will be conducted over a 4-year period.
The average annual respondent burden estimate reflects the average
number of respondents in each respondent category, the average number
of responses per respondent per year, the average length of time it
will take to complete each response, and the total average annual
burden for each category of respondent for all categories of
respondents combined. Table 1 shows the estimated annual burden
estimate by instrument and respondent. Burden is summarized in Table 2.
Table 1--Estimated Average Annual Burden
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Total
Number of Responses Total Hours per annual
Instrument/ data collection activity Respondent respondents per number of response burden
respondent responses hours
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Implementation Assessment
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Stakeholder Interview \a\...................... Project Director................. 54 1 54 1.3 72
Family Organization 54 1 54 1.3 72
Representative.
Youth Organization Representative 54 1 54 1.2 64
Core Agency Partners \b\......... 272 1 272 1.0 272
SAIS \a\....................................... Grant leadership................. 815 1.89 1,540 0.82 1,258
SOCEA.......................................... Project Director & 214 1 290 1.5 435
Representatives from Family &
Youth Organizations.
Core Agency Rep, Service 870 1 870 1 1,077
Providers.
Care Coordinators................ 193 1 193 1.7 329
Caregivers....................... 193 1 193 0.75 214
Clients 11-21.................... 193 1 193 0.5 97
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Network Analysis Survey
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Jurisdiction................................... Grant leadership................. 357 1 357 0.4 149
Local system................................... Local providers of direct 713 1 713 0.4 297
services.
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GIS Component: Group Collaborative Events for GIS Analysis Form
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Jurisdiction................................... Grant administrator/Project 107 4 428 0.25 107
Director.
Local system................................... Local administrator/Project 214 4 856 0.25 214
Director.
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Financial Mapping and Benchmark Components
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Financial Mapping Interview.................... Financial administrators at: 99 1 99 2.0 221
Medicaid Agencies & MH
Authorities.
Financial administrators at: 33 1 33 1.5 53
Trade associations & Family
organizations.
Benchmark Tool................................. Payment/reporting personnel at:.. 24 1 24 40.0 960
Medicaid Agencies & MH
Authorities.
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Child and Family Outcome Component
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Background Information (CDP) \c\............... Caregivers of clients age 11-17 1,283 \e\ 2.12 2,720 0.37 998
\d\.
Clients age 11-17................ 1,283 2.12 2,720 0.37 998
Family/Living Information...................... Caregivers of clients age 5-17 6,454 2.12 13,683 .05 684
\f\.
Clients age 18-21 \g\............ 1,322 2.12 2,802 .05 140
Caregiver Strain Questionnaire--Short Form..... Caregivers of clients age 5-17... 6,454 2.12 13,683 0.12 1,642
Columbia Impairment Scale...................... Caregivers of clients age 5-17... 6,454 2.12 13,683 0.08 1,095
[[Page 59500]]
Clients age 11-21 \h\............ 3,888 2.12 8,243 0.08 659
Pediatric Symptom Checklist--17................ Caregivers of clients age 5-17... 6,454 2.12 13,683 0.05 684
Clients age 11-21................ 3,888 2.12 8,243 0.05 412
Client record review........................... Site staff....................... 56 407 22,794 0.21 4,787
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Total Annual Burden
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All............................................ All.............................. 14,423 ............ 108,477 .............. 17,989
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\a\ Burden includes planning and implementation grantees.
\b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors.
\c\ OMB clearance sought for CDP is limited to the added burden for a second respondent (Caregiver OR Client age 11 to 17). For clients age 11 to 17,
CDP only collects information from either Caregivers OR youth. In addition, clearance is requested for the burden only as OMB approval of CDP has been
sought separately.
\d\ Assumes 33% of clients will be age 11 to 17 and that the additional CDP interview for clients age 11 to 17 and their caregiver will be evenly split
between clients and caregivers. Evaluation design requires all participating clients age 5 to 17 to have a caregiver participating in the evaluation.
\e\ Accounts for attrition.
\f\ Assumes 83% of clients will be age 5 to 17.
\g\ Assumes 17% of clients will be age 18 to 21.
\h\ Assumes 50% of clients will be age 11 to 21.
Table 2--Total Estimated Annual Burden
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Average
Instrument/data collection activity Number of Total number annual burden
respondents of responses (hours)
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Stakeholder Interview........................................... 435 435 479
SAIS............................................................ 815 1,540 1,258
SOCEA........................................................... 1,284 1,740 2,151
Network analysis survey......................................... 1,070 1,070 446
GIS............................................................. 321 1,284 321
Financial mapping interview..................................... 132 132 274
Benchmark Tool.................................................. 24 24 960
Child and family tools (respondent & staff burden).............. 10,342 102,253 12,100
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Total....................................................... 14,423 108,477 17,989
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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
December 1, 2014.
Summer King,
Statistician.
[FR Doc. 2014-23454 Filed 10-1-14; 8:45 am]
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