[Federal Register Volume 79, Number 248 (Monday, December 29, 2014)]
[Notices]
[Pages 78095-78098]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-30288]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and Mental Health Services
Administration (SAMHSA) will publish a summary of information
collection requests under OMB review, in compliance with the Paperwork
Reduction Act (44 U.S.C. 35). To request a copy of these
[[Page 78096]]
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.
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
(SAIS) 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.
(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 51
planning and 106 implementation grant jurisdictions and local systems.
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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Number of Responses per Total number Hours per Total annual
Instrument/Data collection activity Respondent respondents respondent of responses response burden hours
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Implementation Assessment
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Stakeholder Interviews \a\............. Project Director............... 57 1 57 1.6 90
Family Organization 57 1 57 1.6 90
Representative.
Youth Organization 57 1 57 1.6 90
Representative.
Core Agency Partners \b\....... 287 1 287 1.3 358
SAIS \a\............................... Grant leadership............... 1,540 1.93 2,970 0.82 2,426
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SOCEA.................................. Project Director & 143 1 143 1.5 215
Representatives from Family &
Youth Organizations.
Core Agency Rep, Service 429 1 429 1.0 533
Providers.
Care Coordinators.............. 95 1 95 1.7 162
Caregivers..................... 95 1 95 0.75 106
Clients 14-21.................. 95 1 95 0.5 48
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Network Analysis Survey
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Jurisdiction........................... Grant leadership............... 353 1 353 0.4 147
Local system........................... Local providers of direct 707 1 707 0.4 294
services.
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GIS Component: Group Collaborative Events for GIS Analysis Form
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Jurisdiction........................... Grant administrator/Project 106 4 424 0.25 106
Director.
Local system........................... Local administrator/Project 106 4 424 0.25 106
Director.
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Financial Mapping and Benchmark Components
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Financial Mapping Interview............ Financial administrators at: 97 1 97 2.0 217
Medicaid Agencies & MH
Authorities.
Financial administrators at: 332 1 332 1.5 52
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 11-17 631 \e\ 2.12 1,337 0.37 491
\d\.
Clients age 11-17.............. 631 2.12 1,337 0.37 491
Family/Living Information.............. Caregivers of clients age 5-17 3,172 2.12 6,725 .05 336
\f\.
Clients age 18-21 \g\.......... 650 2.12 1,377 .05 69
Caregiver Strain Questionnaire--Short Caregivers of clients age 5-17. 3,172 2.12 6,725 0.12 807
Form.
Columbia Impairment Scale.............. Caregivers of clients age 5-17. 3,172 2.12 6,725 0.08 538
Clients age 11-21 \h\.......... 1,911 2.12 4,051 0.08 324
Pediatric Symptom Checklist-17......... Caregivers of clients age 5-17. 3,172 2.12 6,725 0.05 336
Clients age 11-21.............. 1,911 2.12 4,051 0.05 203
Client record review................... Site staff..................... 28 407 11,261 0.21 2,365
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Total Annual Burden
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All.................................... All............................ 9,365 .............. 56,664 .............. 11,958
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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 Interviews.......................................... 459 459 628
[[Page 78098]]
SAIS............................................................ 1,540 2,970 2,426
SOCEA........................................................... 858 858 1,063
Network analysis survey......................................... 1,060 1,060 442
GIS............................................................. 212 848 212
Financial mapping interview..................................... 129 129 269
Benchmark Tool.................................................. 24 24 960
Child and family tools (respondent & staff burden).............. 5,083 50,316 5,959
Total....................................................... 9,365 56,664 11,958
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Written comments and recommendations concerning the proposed
information collection should be sent by January 28, 2015 to the SAMHSA
Desk Officer at the Office of Information and Regulatory Affairs,
Office of Management and Budget (OMB). To ensure timely receipt of
comments, and to avoid potential delays in OMB's receipt and processing
of mail sent through the U.S. Postal Service, commenters are encouraged
to submit their comments to OMB via email to:
[email protected]. Although commenters are encouraged to send
their comments via email, commenters may also fax their comments to:
202-395-7285. Commenters may also mail them to: Office of Management
and Budget, Office of Information and Regulatory Affairs, New Executive
Office Building, Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2014-30288 Filed 12-24-14; 8:45 am]
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