[Federal Register Volume 66, Number 77 (Friday, April 20, 2001)]
[Notices]
[Pages 20317-20318]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-9813]


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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.
    Providers Survey for the Primary Care Research in Substance Abuse 
and Mental Health Services for the Elderly Cooperative Agreement 
Program--(New)--The Center for Mental Health Services (CMHS) of the 
Substance Abuse and Mental Health Services Administration (SAMHSA), in 
collaboration with the Center for Substance Abuse Prevention (CSAP) and 
the Center for Substance Abuse Treatment (CSAT), the Department of 
Veterans Affairs (VA), the Health Care Financing Administration (HCFA), 
and the Health Resources and Services Administration (HRSA), plans to 
conduct a survey of the service providers in the Aging, Mental Health/
Substance Abuse and Primary Care Program. The purpose of this program 
is to assess alternative models of delivering and financing mental 
health and/or substance abuse services for older adults through primary 
health care. We hope to identify differences in outcomes between models 
referring to specialty mental health/substance abuse (MH/SA) services 
outside the primary care setting (Referral Model) and those providing 
such services within the primary care setting itself (Integrated 
Model).
    SAMHSA is funding the Coordinating Center at the Harvard Medical 
School and six Study Sites, three of which are also HRSA Community 
Health Centers and receive additional service enhancement funding from 
HRSA. Furthermore, the VA is funding a Coordinating Center at the Miami 
VAMC and another five VA Study Sites, following the same protocol, 
making a total of 11 Study Sites, in 8 States throughout the country. 
In the intervention, over 50,000 individuals over age 65 are expected 
to be screened in primary care settings for mental health and substance 
abuse problems; those in need will receive treatment in either the 
referral model or the integrated model.
    Specifically, the primary purpose of the Aging, MH/SA and Primary 
Care Program is to specify the conditions under which integrated and 
referral models are most effective in terms of access, adherence, 
consumer outcomes, and system outcomes. The multi-site study will focus 
on the impact of the treatment models on older adults with depression, 
anxiety, alcoholism, and alcohol abuse with other drugs, and 
combinations of the above disorders. It highlights prevention, early 
identification, early intervention, and brief treatment components of 
service models; it incorporates a consumer-oriented approach throughout 
all phases of the study, and cultural competence in all study 
instruments and methods for a variety of ethnic older populations. This 
study will seek to expand our knowledge, using the most rigorous 
available scientific methods available, by measuring the relative 
effectiveness of service models.
    In this context, this study intends to evaluate the role of the 
providers in the treatment of these older adults with MH/SA disorders, 
both the Primary Care Providers (PCPs) and MH/SA Providers. Therefore, 
it will use a questionnaire called a Providers Survey to survey both 
PCPs and MH/SA Providers to determine their perceptions, attitudes and 
beliefs about providing these services to older adults under the two 
service delivery models.
    Analysis of this information will assist SAMHSA in documenting 
communication patterns with, attitudes towards, and perceptions of 
older adult participants in the study, permitting some understanding of 
the provider-older adult interactions. In addition, there may be 
important differences between the integrated and referral service 
delivery models in the interaction between the PCP and MH/SA Providers. 
These two sets of interactions may, in turn, have a direct effect or 
moderating effect on the effectiveness of the service delivery models. 
Outside, formal comparison groups are not needed, as the main 
comparisons will be made of the integrated and referral models within 
each study site.
    The 11 Study Sites expect to survey approximately 312 providers for 
this study, including 158 PCPs and 154 MH/SA Providers. The chart below 
summarizes complete burden for this project.

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                                                                                          Average
                                                               Number of    Responses/    burden/       Annual
                       Respondent type                        respondents   respondent    response      burden
                                                                                          (hours)      (hours)
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Primary Care Providers......................................          158            1        0.133           21
Mental Health/Substance Abuse Providers.....................          154            1        0.133           20
                                                             ---------------------------------------------------
    Total...................................................          312  ...........  ...........           41
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    Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to: 
Stuart Shapiro, Human Resources and Housing Branch, Office of 
Management

[[Page 20318]]

and Budget, New Executive Office Building, Room 10235, Washington, D.C. 
20503.

    Dated: April 16, 2001.
Richard Kopanda,
Executive Officer, SAMHSA.
[FR Doc. 01-9813 Filed 4-19-01; 8:45 am]
BILLING CODE 4162-20-P