[Federal Register Volume 72, Number 66 (Friday, April 6, 2007)]
[Notices]
[Pages 17170-17172]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-6481]


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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 summary 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 (240) 276-1243.

Proposed Project: National Evaluation of the Comprehensive Community 
Mental Health Services for Children and Their Families Program: Phase 
IV--(OMB No. 0930-0257)--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center of Mental Health is responsible for the national 
evaluation of the Comprehensive Community Mental Health Services for 
Children and Their Families Program that will collect data on child 
mental health outcomes, family life, and service system development and 
performance.
    The national evaluation of the Comprehensive Community Mental 
Health Services for Children and Their Families Program will collect 
data on child mental health outcomes, family life, and service system 
development and performance. Data will be collected on 27 service 
systems, and roughly 5922 children and families. Data collection for 
this evaluation is conducted over a five-year period. The core of 
service system data will be collected every 18 months throughout the 5-
year evaluation period, with a sustainability survey conducted in 
selected years. Service delivery and system variables of interest 
include the following: Maturity of system of care development, 
adherence to the system of care program model, and client service 
experience. The length of time that individual families will 
participate in the study ranges from 18 to 36 months depending on when 
they enter the evaluation. Child and family outcomes of interest will 
be collected at intake and during subsequent follow-up sessions at six-
month intervals. The outcome measures include the following: child 
symptomatology and functioning, family functioning, material resources, 
and caregiver strain. Time-limited studies addressing the cultural 
competence of services and the role of primary care providers in 
systems of care will be conducted at selected points during the 
evaluation period. Internet-based technology will be used for 
collecting data via Web-based surveys and for data entry and 
management. The average annual respondent burden is estimated below for 
the final three years of data collection. The estimate reflects the 
average number of respondents in each respondent category, the average 
number of responses per respondent per year, the average length of time 
it will take for each response, and the total average annual burden for 
each category of respondent, and for all categories of respondents 
combined.
    This revision to the currently approved information collection 
activities includes: (1) The addition of a Primary Care Study and (2) 
the addition of a Treatment Effectiveness Study. The Primary Care Study 
seeks to investigate the role of primary health care practitioners 
(PCPs) in systems of care and to further understand the impact of 
services provided within primary care on child and family outcomes. One 
goal of this study is to identify strategies that help primary care and 
mental health care providers to work together effectively. Another is 
to identify ways to integrate PCPs into systems of care. The treatment 
effectiveness study will examine the relative impact of community-based 
treatments focused within system of care sites. This study will focus 
on a community-based practice that has not accumulated research 
evidence, but rather through community-based implementation has 
accumulated practice-based evidence.

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                                                                           Total
                                                                          average
                                                            Number of    number of    Hours per    Total burden
             Instrument                    Respondent      respondents   responses     response        hours
                                                                            per
                                                                         respondent
----------------------------------------------------------------------------------------------------------------
                                            System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Interview Guides and Data Collection  Key site informants      \1\ 648            2        1.000            1296
 Forms.
Interagency Collaboration Scale       Key site informants          648            2        0.133             173
 (IACS).
Caregiver Information Questionnaire   Caregiver..........    \3\ 5,922            1        0.283            1676
 (CIQ-IC).
Caregiver Information Questionnaire   Caregiver..........        5,922            3        0.200            3553
 Followup (CIQ-FC).

[[Page 17171]]

 
Caregiver Strain Questionnaire        Caregiver..........        5,922        \5\ 4        0.167            3956
 (CGSQ).
Child Behavior Checklist (CBCL)/      Caregiver..........        5,922            4        0.333            7888
 Child Behavior Checklist 1\1/2\-5
 (CBCL 1\1/2\-5).
Education Questionnaire--Revised (EQ- Caregiver..........        5,922            4        0.100            2369
 R).
Living Situations Questionnaire       Caregiver..........        5,922            4        0.083            1966
 (LSQ).
The Family Life Questionnaire (FLQ).  Caregiver..........        5,922            4        0.050            1184
Behavioral and Emotional Rating       Caregiver..........    \6\ 5,626            4        0.167            3758
 Scale--Second Edition, Parent
 Rating Scale (BERS-2C).
Columbia Impairment Scale (CIS).....  Caregiver..........        5,922            4        0.083            1966
The Vineland Screener (VS)..........  Caregiver..........    \7\ 2,369            4        0.250            2369
Delinquency Survey--Revised (DS)....  Youth..............    \8\ 3,553            4        0.167            2374
Behavioral and Emotional Rating       Youth..............        3,553            4        0.167            2374
 Scale--Second Edition, Youth Rating
 Scale (BERS-2).
GAIN Quick--R: Substance Problem      Youth..............        3,553            4        0.083            1180
 Scale (GAIN).
Substance Use Survey--Revised (SUS).  Youth..............        3,553            4        0.100            1421
Revised Children's Manifest Anxiety   Youth..............        3,553            4        0.050             711
 Scales (RCMAS).
Reynolds Adolescent Depression        Youth..............        3,553            4        0.050             711
 Scale--Second Edition (RADS-2).
Youth information Questionnaire--     Youth..............        3,553            1        0.167             593
 Baseline (YIQ-I).
Youth information Questionnaire--     Youth..............        3,553            3        0.167            1780
 Follow-up (YIQ-F).
----------------------------------------------------------------------------------------------------------------
                                            Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts--       Caregiver..........        5,992       \10\ 3        0.250            4442
 Revised (MSSC-RC).
Cultural Competence and Service       Caregiver..........        5,992            3        0.167            2967
 Provision Questionnaire (CCSP).
Youth Services Survey (YSS--F)......  Caregiver..........        5,922            3        0.117            2079
Cultural Competence Practices Study   Caregiver..........           36            1        1.500              54
 (Focus Groups--F).
Youth Services Survey (YSS--Y)......  Youth..............        3,553            4        0.083            1180
Cultural Competence Practices Study   Youth..............           36            1        1.500              54
 (Focus Groups--Y).
Cultural Competence Practices Study   Provider...........           60            1        1.500              90
 (Focus Groups--P).
----------------------------------------------------------------------------------------------------------------
                                          Treatment Effectiveness Study
----------------------------------------------------------------------------------------------------------------
Diagnostic Interview Schedule for     Caregiver..........          262            1        1.000             262
 Children (DISC--Predictive Scales).
Conflict Behavior Questionnaire       Caregiver..........          240            4         .167             160
 (CBQ).
Family Assessment Measure (FAM).....  Caregiver..........          240            4         .250             240
Therapeutic Alliance Scale--          Caregiver..........          240            3         .167             120
 caregiver (TAS).
Ohio Scales (caregiver).............  Caregiver..........          240            4         .250             240
Therapy Adherence Form--Revised.....  Caregiver..........          240            1         .167              40
Therapeutic Alliance Scales--youth    Youth..............          192            4         .167             128
 (TAS-Y).
Ohio Scales--youth..................  Youth..............          192            4         .250             192
Evidence-Based Practices Provider     Provider...........           50            1         .083               4
 Attitudes Scale.
----------------------------------------------------------------------------------------------------------------
                                       Family Education and Support Study
----------------------------------------------------------------------------------------------------------------
Beck Depression Inventory (BDI).....  Caregiver..........          300            3         .117             105
Parenting Sense of Competence Scale   Caregiver..........          300            3         .167             150
 (PSOC).
Alabama Parenting Questionnaire       Caregiver..........          300            3         .117             105
 (APQ).
Duke Social Support Scale...........  Caregiver..........          300            3         .067              60
Vanderbilt Mental Health Services     Caregiver..........          300            3         .050              45
 Self-Efficacy Questionnaire.
FES--Focus groups...................  Caregiver..........           54            1        1.500              81
FES--Focus groups...................  Provider...........           54            1        1.500              81
FES--Interview......................  Provider/                     12            1        1.000              12
                                       Administrator.
----------------------------------------------------------------------------------------------------------------
                                           Primary Care Provider Study
----------------------------------------------------------------------------------------------------------------
Primary Care Provider Survey........  Provider...........          540            1         .500             270
----------------------------------------------------------------------------------------------------------------
                                              Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey--Caregiver....  Caregiver \12\.....           27            2        0.500              27
Sustainability Survey--Provider.....  Provider/                     81            2        0.500              81
                                       Administrator \12\.
----------------------------------------------------------------------------------------------------------------
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[[Page 17172]]


 
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                                                                                      Average 3-
                                                            Number of    Number of   year burden
                                                             distinct    responses       per       Total burden
                                                           respondents      per        response       (hours)
                                                                         respondent    (hours)
----------------------------------------------------------------------------------------------------------------
                               Summary of Annualized Burden Estimates for 3 Years
----------------------------------------------------------------------------------------------------------------
Caregivers...............................................        5,922         1.13         2.08          13,954
Youth....................................................        3,553         1.19         1.00           4,220
Provider/Administrators..................................          648         .542         1.90             669
                                                          ------------------------------------------------------
    Total Summary........................................       10,123  ...........  ...........          18,844
                                                          ------------------------------------------------------
        Total Annual Average Summary.....................        3,374  ...........  ...........          6,281
----------------------------------------------------------------------------------------------------------------
\1\ An average of 24 stakeholders in up to 27 grantee sites will complete the System of Care Assessment
  interview. These stakeholders will include site administrative staff, providers, agency representatives,
  family representatives, youth and youth coordinators.
\2\ Assuming the average annual income across all types of staff/service providers/administrators is $40,000,
  the wage rate was estimated using the following formula: $40,000 (annual income)/2080 (hours worked per year)
  = $19.25 (dollars per hour).
\3\ Number of respondents across 27 grantees. Average based on a 5 percent attrition rate at each data
  collection point. These data are collected as part of the grantees' routine intake processes. Hence, burden is
  calculated only for the subset of the Cross-Sectional Descriptive Study sample that also participates in the
  Child and Family Outcome Study.
\4\ Given that 65 percent of the families in the Phase III evaluation sample fall at or below the 2005 DHHS
  National Poverty Level of $19,350 (based on family of four), the wage rate was estimated using the following
  formula: $19,350 (annual family income)/2080 (hours worked per year) = 9.30 (dollars per hour).
\5\ Average number of responses per respondent based on 6 data collection points for children recruited in year
  3, 4 for children recruited in year 4, 2 for children recruited in year 5 (of grantee funding).
\6\ Estimated number of caregivers with children over age 5, based on Phase IV preliminary needs-assessment that
  95 percent of children served will be over age 5.
\7\ Estimated number of caregivers with children under age 12, based on Phase IV preliminary needs-assessment
  that 40 percent of children served will be under age 12.
\8\ Based on Phase III finding that approximately 60 percent of the children in the evaluation were 11 years old
  or older.
\9\ Based on the Federal minimum wage rate of $5.15 per hour.
\10\ Respondents only complete Service Experience Study measures at follow-up points. Average number of follow-
  up responses per respondent based on 6 follow-up data collection points for children recruited in year 3, 4
  for children recruited in year 4, and 2 for children recruited in year 5 (of grantee funding).
\11\ Assuming the average annual income across all types of staff/service providers is $31,200, the wage rate
  was estimated using the following formula: $31,200 (annual income)/2080 (hours worked per year) = $15.00
  (dollars per hour).
\12\ 25 respondents will be caregiver and 75 respondents will be administrators/providers.

    Written comments and recommendations concerning the proposed 
information collection should be sent May 7, 2007 to: SAMHSA Desk 
Officer, Human Resources and Housing Branch, Office of Management and 
Budget, New Executive Office Building, Room 10235, Washington, DC 
20503; due to potential delays in OMB's receipt and processing of mail 
sent through the U.S. Postal Service, respondents are encouraged to 
submit comments by fax to: 202-395-6974.

    Dated: April 3, 2007
Elaine Parry,
Acting Director, Office of Program Services.
 [FR Doc. E7-6481 Filed 4-5-07; 8:45 am]
BILLING CODE 4162-20-P