[Federal Register Volume 80, Number 244 (Monday, December 21, 2015)]
[Notices]
[Pages 79349-79351]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31951]
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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: Community Support Evaluation (CSE)--New
The Substance Abuse and Mental Health Services Administration
(SAMHSA), Center for Mental Health Services (CMHS), is requesting
clearance for the new data collection associated with the CSE. The CSE
is a multicomponent evaluation of two SAMHSA programs--Behavioral
Health Treatment Court Collaborative (BHTCC) and Transforming Lives
through Supported Employment (SE). SE intends to promote recovery for
individuals with serious mental illness, substance
[[Page 79350]]
use, and co-occurring mental and substance use disorders. The programs
are rooted in the belief that recovery is a holistic process bolstered
by trauma-informed care and individual- and community-level support.
The purpose of the CSE is to (1) describe and assess BHTCC and SE
grantee activities and procedures, including the intermediate or direct
effects of the programs on participants; (2) document the application
and sanctioned adaptations of BHTCC programs in the justice system and
of the SE Program; and (3) design and implement plans to disseminate
knowledge about how to replicate effective projects in other States,
territories, tribal nations, and communities. Findings will inform
current grantees, policymakers, and the field about ways to transform
the behavioral health system to cultivate resiliency and recovery,
actively collaborate with and engage, and improve service delivery for
individuals with serious mental, substance, and co-occurring disorders
who are in recovery.
Eight data collection activities compose the CSE--five for
administration with BHTCC program grantees and three to be conducted
with SE program grantees.
BHTCC Study Instruments
Biannual Program Inventory (BPI)-BHTCC: The BPI-BHTCC is a Web-
based survey that will capture infrastructure development and direct
services that are part of the BHTCC programs. Data include the types of
planning, infrastructure, and collaboration grantees are implementing;
trainings conducted; and direct services offered as part of the
program. The BPI will be completed by grantee evaluation staff twice
yearly (April and October) over the grant period.
System-Level Assessment (SLA) Key Informant Interviews (KIIs): The
SLA KIIs will be conducted with five stakeholders from each BHTCC
grantee to assess collaboration strategies to expand or better serve
participants; processes for recruiting, screening, and retaining
participants; practices to ensure treatment adherence and criminal
justice compliance; and involvement of consumers in program planning
and implementation. Data include implementation processes/outcomes;
service infrastructure, capacity, entry, and delivery processes;
management structure; reward and sanction models; trauma-informed
practices; collaboration among BHTCC participants; and facilitators and
barriers to collaboration. There are three versions of the SLA KIIs:
(1) Court personnel (administrators, coordinators, judges, attorneys),
(2) service provider (case managers, BHTCC peer specialists), and (3)
consumer (clients, family members). Grantee staff will assist with
respondent recruitment by collecting consent to contact from potential
participants and forwarding the forms to the CSE team. The SLA KIIs
will be conducted in grant years two and four via telephone or Skype.
The SLA KIIs will cover the same information across years; however, the
Year 4 SLA KIIs also will ask for specific plans for future
implementation.
Concept Mapping: A total of four concept mapping exercises will be
conducted--one local and three cross-site concept maps will be created.
All concept mapping exercises will be coordinated at the local level
with assistance from the CSE team. Beginning in Year two, each grantee
will identify and recruit up to 20 stakeholders (BHTCC peers,
consumers, family members of consumers, and court personnel) to
participate in the first exercise. Concept mapping will be conducted
via a Web-based program; accommodations will be made for respondents
who do not have access to computers via telephone or paper/pencil.
[ssquf] Exercise 1--Local Concept Maps: Between Years two and
three, each BHTCC grantee will generate a local concept map identifying
the priority supports for recovery. The exercise will take place in two
parts. First, participants will be asked to brainstorm as many
responses as they wish to a focus prompt about system-level change
(e.g., one way that this BHTCC collaborative provides support to
consumers is . . .). At a later date, local staff will ask participants
to sort and rate the full list of responses from the brainstorming
activity in ``any way that makes sense'' to them. Respondents will
sort/rate the responses--once for importance and once for frequency--
into groups and name them. The resulting information will be entered
into Concept System software to generate a local map identifying the
most important aspects of the grantee program that support recovery.
[ssquf] Exercise 2--Keys to Recovery (KTR) Map 1: In Year four, up
to 20 stakeholders from each BHTCC grantees will participate in a
second sorting/rating of local concept mapping information. Grantee
staff will develop a list of the most common brainstormed responses to
the original local concept mapping exercise. The information will be
used to generate a cross-site map on the basis of input from the 17
BHTCC sites.
[ssquf] Exercises 3 and 4--Keys to Recovery Maps 2 and 3: In Year
four, two groups of up to five BHTCC grantees with a particular court
structure or program focus (e.g., veterans' court and other BHTCC types
of court models, such as key recovery supports addressing a specific
aspect or type of severe mental illness) will participate in two
concept mapping exercises to generate KTR maps. The program focus will
be determined after the initial site-specific maps have been analyzed.
Up to 20 stakeholders from each participating grantee will engage in
brainstorming and sorting/rating activities. Respondents will
participate via Web, telephone, or paper/pencil.
18-Month Client Level Abstraction Tool: The 18-Month Tool is an
Excel-based tool that collects existing data on long-term client
outcomes on recidivism. Data include (1) rearrest dates (from the
National Crime Information Center database), (2) recommitment dates
(from State departments of corrections and local/county jails and
corrections), (3) revocation dates (from State and local corrections),
and (4) risk assessment quantitative score. Grantee staff will complete
the tool at 18 months from the baseline period for any client enrolled
in the BHTCC program. Beginning in year two, grantees will upload all
extracted data on a quarterly basis. In their final upload (last month
of grant activity), grantees will include data for all clients not
currently submitted including those enrolled less than 18 months. The
18-Month Tool will be completed by BHTCC grantee evaluation staff using
existing sources. In addition, court staff (e.g., court clerks) from
two BHTCC comparison courts will complete the tool for non-BHTCC
participants as part of a comparison study.
Comparison Study Client Level Abstraction Tool: The Comparison
Study Tool is an Excel-based tool that collects existing data on
comparison cases (individuals who are not participating in the BHTCC
program but are comparable in program eligibility) at baseline and six
months. Baseline data include demographics and status of screening for
co-occurring disorders, employment, and probation/parole. Data
abstracted through the six-month tool include employment status,
probation/parole status, services received (e.g., case management,
treatment, medical care, after care, peer-to-peer recovery support, and
education) and number of days services were received. Respondents will
include court staff
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(e.g., court clerks) at comparison courts who have regular interaction
with clients during their involvement in the justice system.
Respondents will complete the tool on the basis of (1) court paperwork
and (2) information discussed during regular court-related
interactions.
SE Study Instruments
Biannual Program Inventory-SE: The BPI-SE is a Web-based survey
that captures the infrastructure development and direct services that
are part of the SE programs. Data include the types of planning that SE
grantees and local implementation sites are implementing and activities
and infrastructure developed as part of the project. The BPI is
administered twice yearly (April and October) over the grant period and
will be completed by SE grantee program staff.
Scalability/Sustainability Assessment (SSA) KIIs: The SSA KIIs will
be conducted with various stakeholders to assess local SE program
resources, infrastructure, outcomes, sustainability, and scalability
from stakeholders. Data include changes in outcomes, workforce
development, State-level collaboration, partnerships and policies, and
scalability and sustainability. There are two versions of the SSA
KIIs--each is tailored to the intended audience: (1) State-level
administrator (project directors, agency directors, SECC members) and
(2) local, pilot-level service provider (local service provider). The
SSA KIIs will be conducted remotely by telephone and/or Skype
technology in years two and four of the evaluation with five
stakeholders from each SE grantee. The KIIs cover the same information
across years; however, Year four KIIs will follow up on how the
infrastructure and activities taking place in Year two come to
fruition.
Employment Needs Focus Groups (FGs): The employment needs FGs will
be conducted to gather information about the needs and experiences of
employment specialists, consumers, and employers as they relate to
supported employment principles and program goals. Data include local
program implementation, the adoption of policies and practices for
sustainability and scalability, and recommendations for program
improvement and implementation best practices. Employment Needs FGs
will be conducted with employment specialists and employers (who have
and have not participated in the program) virtually using a Web-based
platform (such as JoinMe) in years two and four of grant funding.
Specific topics are tailored to respondent type.
[ssquf] Employment specialists will discuss training received and
techniques used to engage employers, the needs and experiences of
clients and employers, facilitators and barriers to program
implementation, and program scalability and sustainability. The
employment specialist FG will take 90 minutes.
[ssquf] Employers (e.g., hiring managers, supervisors) will discuss
experiences and satisfaction with the program, factors that facilitate
and pose barriers to their participation, and program scalability and
sustainability. The employer FG will take 60 minutes.
The estimated response burden to collect this information
associated with the CSE is as follows, annualized over the requested
three-year clearance period, as presented below:
Total and Annualized Averages: Respondents, Responses, and Hours
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Burden per
Instrument Number of Responses per Total Number response Annual burden
respondents respondent of responses (hours) (hours) *
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BHTCC Study Instruments
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Biannual Program Inventory-BHTCC 17 2 34 0.75 26
System Level Assessment KIIs.... 58 1 58 1 58
18-Month Abstraction Tool....... 19 1 19 5.40 102.6
Comparison Study Abstraction 2 1 2 7 14
Tool (BL)......................
Comparison Study Tool (6 Mo).... 2 1 2 7 14
Concept Mapping Brainstorm/Sort/ 180 1 180 1 180
Rate...........................
Concept Mapping Sort/Rate....... 115 1 115 0.5 58
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SE Study Instruments
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Biannual Program Inventory-SE... 7 2 14 0.75 11
Sustainability/Scalability KIIs. 28 1 28 1 28
Employer FG..................... 28 1 28 1 28
Employment Specialist FG........ 28 1 28 1.5 42
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Total....................... 467 .............. 508 .............. 562
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* Rounded to the nearest whole number.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email a copy
to [email protected]. Written comments should be received by
February 19, 2016.
Summer King,
Statistician.
[FR Doc. 2015-31951 Filed 12-18-15; 8:45 am]
BILLING CODE 4162-20-P