[Federal Register Volume 64, Number 144 (Wednesday, July 28, 1999)]
[Notices]
[Pages 40889-40890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-19237]
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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 list of information collection
requests under OMB review, in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these documents, call
the SAMHSA Reports Clearance Officer on (301) 443-7978.
State Treatment Outcomes and Performance Pilot Studies Enhancement
(TOPPS II)--New
The Center for Substance Abuse Treatment (CSAT) will develop a
standardized approach that systematically measures the treatment
outcomes of clients as they progress through State substance abuse
treatment systems funded by the Substance Abuse Prevention and
Treatment Block Grant (SAPT BG). The goal underlying TOPPS II is to
enable Single State Authorities (SSAs) to collect information on SAPT
BG funded treatment services and to monitor common substance abuse
treatment effectiveness data measures across their State management
information systems (MISs). The TOPPS II program supports initiatives
to design or enhance State MISs or outcomes monitoring systems (OMS)
which assess treatment outcomes measures. Nineteen SSAs are planning to
conduct and pilot test studies of specific components of substance
abuse treatment systems by incorporating common data measures across
all nineteen States on an inter-State (i.e., with the States acting
mutually together) basis. The TOPPS II study furthers the work begun by
CSAT under TOPPS I. Ten of the nineteen TOPPS II States had received
TOPPS I funding. Most of these States are now using the treatment
outcomes assessment instruments developed during the TOPPS I project.
All such instruments received OMB approval (OMB control number 0930-
0182).
During TOPPS II initial project implementation, a consensus-derived
core data set has been designed to identify key performance measures in
two domains: Effectiveness and efficiency. Within these domains, data
will be collected that will permit States and CSAT to assess client
outcomes (improvement) for indicators such as confinement in a
controlled environment, frequency of overnight hospitalizations and
emergency room visits, pregnancy status, child care responsibilities,
employment patterns, participation in vocational training or
educational programs, arrests, living arrangements, and drug use
patterns. These data will be collected through completion of the
client-oriented core data set.
The inter-State evaluation design for TOPPS II participants will be
a pre-test/post-test design that collects standardized data at client
intake, discharge, and again at follow-up. This time frame is necessary
to allow treatment providers the opportunity to assess the complex
causal links between program processes and client outcomes and to
monitor common substance abuse treatment effectiveness data measures
across their State MISs. In addition, all State-specific designs will
incorporate measures of client satisfaction at selected intervals,
which is essential to assessing the quality, efficiency and efficacy of
services.
This initiative is crucial to support CSAT in developing State
substance abuse treatment accountability measures. The inter-State data
base will incorporate standardized outcome measures which will be
voluntarily reported on by States in their Fiscal Year 2000 SAPT BG
applications. It will also comply with GPRA reporting requirements to
establish measurable performance goals for SAPT BG recipients. Through
these efforts, TOPPS II will contribute to the future development of a
standardized national approach that measures the effectiveness and
efficiency of public substance abuse treatment systems. The estimated
annualized burden for TOPPS II core data set collection for the inter-
State evaluation design, over the next three years is presented in the
following table.
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Number of
State Number of responses/ Total Hours per Total hour
respondents respondents responses response burden
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AZ*............................. 556 4 2,224 0.12 267
AR.............................. 1,125 3 3,375 0.12 405
CA.............................. 2,700 3 8,100 0.12 972
CT.............................. 600 3 1,800 0.12 216
IL.............................. 2,000 3 6,000 0.12 720
IO.............................. 300 3 900 0.12 108
KY**............................ 600 4 2,400 0.12 288
MA.............................. 1,370 3 4,110 0.12 493
MO.............................. 500 3 1,500 0.12 180
NH.............................. 657 3 1,971 0.12 237
NJ.............................. 1,200 3 3,600 0.12 432
NY.............................. 1,875 3 5,625 0.12 675
RI.............................. 1,200 3 3,600 0.12 432
TX.............................. 1,750 3 5,250 0.12 630
UT.............................. 1,050 3 3,150 0.12 378
VA.............................. 1,600 3 4,800 0.12 576
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Total 3-Year Burden......... 19,083 .............. 63,405 .............. 7,009
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Annualized Burden........... 6,361 .............. 21,135 .............. 2,336
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* Arizona has elected to conduct two follow-up assessments: at 6 months post-discharge and at 12 months post-
discharge.
** Kentucky is legislatively required to conduct a 12-month follow-up assessment in addition to the three data
collection points required by the TOPPS II study.
[[Page 40890]]
Written comments and recommendations concerning the proposed
information collection should be sent within 30 days of this notice to:
Daniel Chenok, Human Resources and Housing Branch, Office of Management
and Budget, New Executive Office Building, Room 10235, Washington, D.C.
20503.
Dated: July 21, 1999.
Richard Kopanda,
Executive Officer, SAMHSA.
[FR Doc. 99-19237 Filed 7-27-99; 8:45 am]
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