[Federal Register Volume 83, Number 87 (Friday, May 4, 2018)]
[Notices]
[Pages 19792-19794]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09423]
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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: Mental Health Client/Participant Outcome Measures
(OMB No. 0930-0285)--Revision
SAMHSA is requesting approval to add 13 questions to its existing
Adult Client-level Instrument, and five questions to its Child/
Caregiver Client-level Instrument for Center for Mental Health Services
(CMHS) grantees. These additional questions are related to specific
outcomes for each grant program. Grantees will be required to answer no
more than four of the new questions per CMHS grant awarded, in addition
to existing questions. Currently, the information collected from these
instruments is entered and stored in SAMHSA's Performance
Accountability and Reporting System, which is a real-time, performance
management system that captures information on the substance abuse
treatment and mental health services delivered in the United States.
Continued approval of this information collection will allow SAMHSA to
continue to meet Government Performance and Results Modernization Act
of 2010 (GPRMA) reporting requirements that quantify the effects and
accomplishments of its discretionary grant programs, which are
consistent with OMB guidance.
SAMHSA and its Centers will use the data collected for annual
reporting required by required by GPRMA and to describe and understand
changes in outcomes from baseline, to follow-up, to discharge. SAMHSA's
report for each fiscal year will include actual results of performance
monitoring for the three preceding fiscal years. Information collected
through this request will allow SAMHSA to report on the results of
these performance outcomes as well as be consistent with SAMHSA-
specific performance domains, and to assess the accountability and
performance of its discretionary and formula grant programs. The
additional information collected through this request will allow SAMHSA
to improve its ability to assess the impact of its programs on key
outcomes of interest and to gather vital diagnostic information about
clients served by CMHS discretionary grant programs.
Changes have been made to add a total of 13 questions to its
existing Adult Client-level Instrument, and five questions to its
Child/Caregiver Client-level Instrument. The 13 questions that have
been added to the Adult Instrument are:
1. Behavioral Health Diagnoses--Please indicate patient's current
behavioral health diagnoses using the International Classification of
Diseases, 10th revision, Clinical Modification (ICD-10-CM) codes listed
below: (Select from list of Substance Use Disorder Diagnoses and Mental
Health Diagnoses).
2. [For client] In the past 30 days, how often have you taken all
of your psychiatric medication(s) as prescribed to you? (Always,
Usually, Sometimes, Rarely, Never).
3. [For grantee] In the past 30 days, how compliant has the client
been with their treatment? (Not compliant, Minimally compliant,
Moderately compliant, Highly compliant, Fully compliant).
4. [For grantee] Did the client screen positive for a mental health
or co-occurring disorder?
a. Mental health disorder (Client screened positive, Client
screened negative, Client was not screened).
b. Co-occurring disorder (Client screened positive, Client screened
negative, Client was not screened).
i. If client screened positive, was the client referred to the
following types of services?
1. Mental health services (Yes/No).
2. Co-occurring services (Yes/No).
ii. If client was referred to services, did they receive the
following services?
1. Mental health services (Yes/No/Don't know).
2. Co-occurring services (Yes/No/Don't know).
5. [For client] Please indicate the degree to which you agree or
disagree with the following statement: Receiving community-based
services through the [insert grantee name] program has helped me to
avoid further contact with the police and the criminal justice system.
(Strongly agree to Strongly disagree).
6. [For client] In the past 30 days, how many times have you:
a. Been to the emergency room for a physical health care problem?
b. Been hospitalized for a physical health care problem? (Report
number of nights hospitalized).
7. [For grantee at follow-up and discharge] Please indicate which
type of funding source(s) was (were) used to pay for the services
provided to this client since their last interview.
8. [For client] Did the [insert grantee name] help you obtain any
of the following benefits?
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9. [For client] Did the program provide the following: (Asked of
client at Follow-up).
a. HIV test? (Yes/No).
i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
ii. If result was positive, were you connected to treatment
services? (Yes/No).
b. Hepatitis B (HBV) test? (Yes/No).
i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
ii. If result was positive, were you connected to treatment
services? (Yes/No).
c. Hepatitis C (HCV) test? (Yes/No).
i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
ii. If result was positive, were you connected to treatment
services? (Yes/No).
10. [For client if HIV status is positive]:
a. Did you receive a referral from [grantee] to medical care?
b. Have you been prescribed an antiretroviral medication (ART)?
i. For clients who report being prescribed an ART: In the past 30
days, how often have you taken your ART as prescribed to you? (Always,
Usually, Sometimes, Rarely, Never).
11. [For Promoting Integration of Primary and Behavioral Health
Care grantees only] Skip to Primary and Behavioral Health Care
Integration Section H, which captures information on blood pressure,
BMI, waist circumference, breath CO for smoking, glucose, cholesterol
levels, and triglycerides for adults.
12. [For client] Did the services you received from the program
assist you in obtaining employment?
13. [For client] Did the services you received from the program
assist you in maintaining employment?
The five questions that have been added to the Child/Caregiver
Instrument are:
1. Behavioral Health Diagnoses--Please indicate patient's current
behavioral health diagnoses using the International Classification of
Diseases, 10th revision, Clinical Modification (ICD-10-CM) codes listed
below: (Select from list of Substance Use Disorder Diagnoses and Mental
Health Diagnoses).
2. [For client] In the past 30 days:
a. How many times have you thought about killing yourself?
b. How many times did you attempt to kill yourself?
3. [For grantee at follow-up and discharge] Please indicate which
type of funding source(s) was (were) used to pay for the services
provided to this client since their last interview.
4. [For client] Please indicate your agreement with the following
items: (Strongly disagree--Strongly agree): As a result of treatment
and services received, my (my child's) trauma and/or loss experiences
were identified and addressed.
5. [For client] Please indicate your agreement with the following
items: (Strongly disagree--Strongly agree): As a result of treatment
and services received for trauma and/or loss experiences, my (my
child's) problem behaviors/symptoms have decreased.
Individual grantees will only be required to respond to a subset of
these additional questions, with no grantee completing more than four
new questions per CMHS grant awarded. Questions will be selected by
SAMHSA based on the specific goals and characteristics of the grant
program.
SAMHSA is also seeking approval to increase the frequency of
reporting for certain physical health indictors, from annually to semi-
annually. This data is currently being reported by Primary and
Behavioral Health Care Integration (PBHCI) grantees in Section H of the
Adult Services Instrument. Additionally, SAMHSA is requesting approval
to extend the collection of these indicators to Promoting Integration
of Primary and Behavioral Health Care (PIPBHC) grantees, who will also
report the data on a semi-annual basis.
Table1--Estimates of Annualized Hour Burden
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Number of Responses per Total Hours per Total hour
SAMHSA tool respondents respondent responses response burden
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Adult client-level baseline 41,121 1 41,121 0.67 27,551
interview.....................
Adult client-level 6-month 27,140 1 27,140 0.67 18,184
reassessment interview \1\....
Adult client-level discharge 12,336 1 12,336 0.67 8,265
interview \2\.................
Child/Caregiver client-level 12,681 1 12,681 0.67 8,496
baseline interview............
Child/Caregiver client-level 6- 8,369 1 8,369 0.67 5,607
month reassessment interview
\1\...........................
Child/Caregiver client-level 3,804 1 3,804 0.67 2,549
discharge interview \2\.......
PBHCI/PIPBHC Section H Form 14,800 1 14,800 .25 3,700
Only Baseline.................
PBHCI/PIPBHC Section H Form 10,952 1 10,952 .25 2,738
Only Follow-Up \3\............
PBHCI/PIPBHC Section H Form 7,696 1 7,696 .25 1,924
Only Discharge \4\............
Subtotal................... 53,802 ............... 138,899 .............. 79,014
Infrastructure development, 982 4.0 3,928 2.0 7,856
prevention, and mental health
promotion quarterly record
abstraction \5\...............
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Total...................... 54,784 ............... 142,827 .............. 86,870
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\1\ It is estimated that 30% of baseline clients will complete this interview.
\2\ It is estimated that 66% of baseline clients will complete this interview.
\3\ It is estimated that 74% of baseline clients will complete this interview.
\4\ It is estimated that 52% of baseline clients will complete this interview.
\5\ Grantees are required to report this information as a condition of their grant.
No attrition is estimated.
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Send comments to Summer King, SAMHSA Reports Clearance Officer,
5600 Fishers Lane, Room 15E57-B, Rockville, Maryland 20857, OR email a
copy to [email protected]. Written comments should be received
by July 3, 2018.
Summer King,
Statistician.
[FR Doc. 2018-09423 Filed 5-3-18; 8:45 am]
BILLING CODE 4162-20-P