[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]
BILLING CODE 4162-20-P