[Federal Register Volume 72, Number 176 (Wednesday, September 12, 2007)]
[Notices]
[Pages 52158-52160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-17998]


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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: Cross-Site Assessment of the Residential Treatment 
for Pregnant and Postpartum Women (PPW), Their Minor Children and 
Family Program--(OMB No. 0930-0269)--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Substance Abuse Treatment (CSAT), has funded 
additional Services Grants for Residential Treatment for Pregnant and 
Postpartum Women (PPW). The primary purpose of the PPW Program is to 
provide cost-effective, comprehensive residential substance abuse 
treatment services for women and their minor children that can be 
sustained over time. Based on six-month data collection experience 
gained during training on the cross-site process and instrument 
administration and data collection with the six projects in the 2003 
(first) cohort of this Assessment and feedback from project and 
assessment staff, the following modifications are proposed: (1) To 
implement modifications to the instruments; (2) to replace the 12-month 
post-intake data collection wave with a 6-month post-discharge data 
collection wave to ensure that post-discharge data is collected on all 
women (as some may still be in residential treatment at 12 months) and 
because it is important to collect post-discharge outcome data for all 
women--especially over a uniform interval (i.e., 6 months); (3) to 
increase the number of sites and participants involved in this Cross-
site Assessment; and, (4) to increase the target population to ensure 
that the PPW program is more family-centered, as required in 
Congressional budget language for the PPW program for 2006.
    Section 508 [290bb-1] of the Public Health Service Act, as amended, 
mandates the evaluation and dissemination of findings of residential 
treatment programs for pregnant and postpartum women. This cross-site 
accountability assessment will assess project activities implemented 
for these services. The data collection instruments will be used for 
program and treatment planning and for this cross-site accountability 
assessment. The following interview instruments will be administered to 
mothers:
    1. Child Data Collection Tool, Part 1 (child's demographic 
background) and Part 2 (child's medical background) administered within 
30 days of the mother's intake or the child's birth for each of the 
woman's estimated 4 children;
    2. Allen Barriers to Treatment Instrument;

[[Page 52159]]

    3. Ferrans and Powers Quality of Life Index(copyright) Generic 
Version--III;
    4. BASIS-24[reg] (first cohort used BASIS-32[reg])--behavioral 
health assessment;
    5. Child Well-Being Scales;
    6. Family Recovery Support Services Tool; and
    7. GPRA at 6-months post-discharge.
    The Family Recovery Support Services Tool is a new tool that will 
assess the level of services received by the women, the children, and 
family members at 6-months post-intake, at discharge, and at 6 months 
post-discharge. The Ferrans and Powers Quality of Life Index(copyright) 
Generic Version-III will collect information from women and their 
partners/children's fathers on overall family satisfaction including 
the woman's satisfaction with her partner and the emotional support she 
receives from her family.
    For all children under 18 years, program staff will collect 
information from observation and interview. Children's data collection 
tools include the following:
    1. Denver Developmental Screening Inventory II (ages 0 to 6 years, 
0 days);
    2. Middle Childhood Developmental Assessment Guide (ages 6 to 10);
    3. Adolescent Childhood Development Assessment Guide (ages 11 to 
17); and
    4. CRAFFT substance abuse screening instrument (ages 11-17).
    In addition, records review will be conducted by program staff on 
all program participants using:
    1. Women's Medical Record Audit and the Child's Medical Record 
Audit or the Newborn's Medical Record Audit (at delivery); and
    2. Women's Discharge Tool and the Children's Discharge Tool at 
discharge only.
    All data will be collected using a combination of observation, 
records review, self-administered paper-and-pencil questionnaires, and 
personal interviews. CSAT will use this data for this Assessment to 
inform public policy, research, and programming as they relate to the 
provision of women's services. Data produced by this study will provide 
direction to the type of technical assistance that will be required by 
service providers of women's programming. In addition, the data will be 
used by individual grantees to support progress report efforts.
    The following table shows the estimated annual response burden for 
this collection.

                                         Total Annual Respondent Burden
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                                     Number of     Responses per       Total         Hours per      Total hour
           Instrument               respondents     respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
                                   Annual Burden for Interviews of the Mothers
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Child Data Collection Tool \a\..             321               4           1,284            0.75             963
Allen Barriers to Treatment \b\.             321               4           1,284            0.25             321
Ferrans and Powers Quality of                321               4           1,284            0.25             321
 Life Index \b\.................
BASIS 24[supreg] \b\............             321               4           1,284            0.17             218
Child Well-Being Scales (age 0               321    20 (5 times,           6,420            0.33           2,119
 to 17) \c\.....................                  <= 4 settings)
Family Recovery Support Services             321               3             963            0.25             241
 Tool \d\.......................
GPRA at 6-months post-discharge.             321               1             321            0.33             106
                                 -------------------------------------------------------------------------------
    Total for Mothers...........             321  ..............          12,840  ..............           4,289
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                              Annual Burden for Interviews of the Partners/Fathers
----------------------------------------------------------------------------------------------------------------
Ferrans and Powers Quality of                642               1             642            0.25             161
 Life Index \e\.................
                                 -------------------------------------------------------------------------------
    Total for Family Members....             642  ..............             642  ..............             161
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                               Annual Burden for Interviews of the Minor Children
----------------------------------------------------------------------------------------------------------------
Denver Developmental Screening               770               5           3,850            0.50           1,925
 Inventory II (age 0 to 6 years)
 \f\............................
                                 -------------------------------------------------------------------------------
Middle Childhood Developmental               257               5           1,285            0.33             424
 Assessment Guide (age 6 to 10)
 \g\............................
Adolescent Childhood                         257               5           1,285            0.33             424
 Developmental Assessment Guide
 (age 11 to 17) \h\.............
CRAFFT (age 11 to 17) \h\.......             257               5           1,285            0.17             218
                                 -------------------------------------------------------------------------------
    Total for Minor Children....           1,284               5           7,705  ..............           2,991
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                                    Annual Burden for Records Review by Staff
----------------------------------------------------------------------------------------------------------------
Women's Medical Record Audit....               8  120 (40 women,             960            0.25             240
                                                        3 times)
Children's Medical Record Audit.               8        600 (117           4,800            0.25           1,200
                                                  intakes; 1,284
                                                    followups, 3
                                                    times = 483)
Newborn's Medical Record Audit..               8              43             344            0.08              28
Women's Discharge Tool \i\......               8              40             320            0.58             186
Children's Discharge Tool \j\...               8             161           1,288            0.58             747
                                 -------------------------------------------------------------------------------

[[Page 52160]]

 
    Total for Staff.............               8  ..............           7,712  ..............           2,401
                                 ===============================================================================
        Total...................           2,255  ..............          28,899  ..............          9,842
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\a\ Based on intake interviews of 321 mothers regarding each of her estimated 4 children.
\b\ Based on interviews with 321 mothers at intake, 6 months, discharge, and 6 months post-discharge.
\c\ Based on interviews of 321 mothers (and observation of them interacting with their children) with regard to
  the setting in which each of her estimated 4 children lives. If all children live in the same setting, then
  the instrument is only completed once. This instrument is completed according to the children's data
  collection schedule--that is, at intake/delivery, 3 months, 6 months, discharge, and 6 months post-discharge.
\d\ Based on 321 mothers at 6 months post-intake, at discharge, and 6 months post discharge
\e\ Based on 2 family members responding, on average, for each of 321 women.
\f\ Based on 60% of 1,284 minor children ages 0 to 6 at intake or delivery, 3 months, 6 months, discharge, and
  at 6-months post-discharge.
\g\ Based on 20% of 1,284 minor children ages 6 to 10 years at intake, 3 months, 6 months, discharge, and 6-
  months post-discharge.
\h\ Based on 20% of 1,284 minor children ages 11 to 17 at intake, 3 months, 6 months, discharge, and 6-months
  post-discharge.
\i\ Based on treatment records review on all mothers at discharge. The instrument is completed for all women who
  entered treatment regardless of treatment completion rate.
\j\ Based on treatment records review on all minor children at discharge. The discharge instrument is completed
  for all minor children who entered treatment regardless of treatment completion rate.

    Written comments and recommendations concerning the proposed 
information collection should be sent by October 12, 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: September 7, 2007.
Elaine Parry,
Acting Director, Office of Program Services.
 [FR Doc. E7-17998 Filed 9-11-07; 8:45 am]
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