[Federal Register Volume 74, Number 51 (Wednesday, March 18, 2009)]
[Notices]
[Pages 11593-11596]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-5803]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer on (240) 276-1243.
    Comments are invited on: (a) Whether the proposed collections of 
information are necessary for the proper performance of the functions 
of the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.
    Proposed Project: National Evaluation of the Comprehensive 
Community Mental Health Services for Children and Their Families 
Program: Phase VI--NEW.
    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center of Mental Health Services is responsible for the 
national evaluation of the Comprehensive Community Mental Health 
Services for Children and Their Families Program (Children's Mental 
Health Initiative--CMHI) that will collect data on child mental health 
outcomes, family life, and service system development and performance. 
Data will be collected on 26 service systems, and approximately 5,541 
children and families.
    Data collection for this evaluation will be conducted over a five-
year period. Child and family outcomes of interest will be collected at 
intake and during subsequent follow-up sessions at six-month intervals. 
The length of time that individual families will participate in the 
study ranges from 12 to 24 months depending upon when they enter the 
evaluation. The outcome measures include the following: Child 
symptomatology and functioning, family functioning, satisfaction, and 
caregiver strain. The core of service system data will be collected 
every 18-24 months throughout the 5-year evaluation period, with a 
sustainability survey conducted in years 3 and 5. Service utilization 
and cost data will be tracked and submitted to the national evaluation 
every six months using two tools: The Flex Fund Tool and the Services 
and Costs Data Tool to estimate average cost of treatment per child, 
distribution of costs, and allocation of costs across service 
categories. Service delivery and system variables of interest include 
the following: Maturity of system of care development in funded system 
of care communities, adherence to the system of care program model, and 
client service experience. We will also conduct a comprehensive 
evaluation of the CMHI's data driven technical assistance; this 
component of the evaluation will employ a mixed-methods approach, 
combining qualitative and quantitative data to provide a comprehensive 
assessment of the continuous quality improvement (CQI) process in 
funded system of care

[[Page 11594]]

communities. Specifically, data will be gathered through three 
complementary activities: A baseline survey of key constituents in all 
funded communities; a subsequent monitoring survey administered every 
two years to the same constituents; and biennial case studies of four 
selected communities.
    In addition, the evaluation will include three special studies: (1) 
The sector specific assessment and quasi-experimental comparison study 
will examine in more detail the outcomes and service experience of 
children from multiple child-serving sectors and, through child-level 
matching, compare these outcomes with those not receiving system of 
care services; (2) The Alumni Network Study will examine the 
effectiveness of the system of care Alumni Network Web site by 
evaluating end-user satisfaction and usability of the Web site and will 
also assess the collaboration between communities via a Web-based 
Networking and Collaboration Survey that will measure the nature and 
extent of the interaction between communities; (3) The Study of State 
Strategies for Sustainability will examine the State's role in 
sustaining communities after Federal funding ceases and describe 
effective strategies for sustaining funded systems of care. A short 
version of the sustainability survey developed for this evaluation will 
be used to gather this information.
    Internet-based technology such as Web-based surveys and data entry 
and management tools will be used in this evaluation. The measures of 
the national evaluation address the national outcome measures for 
mental health programs as currently established by SAMHSA.
    The average annual respondent burden is estimated below. 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 to complete each response, and the 
total average annual burden for each category of respondent, and for 
all categories of respondents combined.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                                5-Year
                                                                                                    Total average                  Total       average
                  Instrument                                Respondent                Number of       number of     Hours per      burden       annual
                                                                                     respondents    responses per    response      hours        burden
                                                                                                     respondent                                 hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                System-of-care Assessment
--------------------------------------------------------------------------------------------------------------------------------------------------------
Interview Guides A-I, L-R.....................  Key site informants..............             546               3          1.0        1,638          328
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                              Child and Family Outcome Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire (CIQ-IC)..  Caregiver........................           5,541               1          0.4        2,032          406
Caregiver Information Questionnaire Follow-up   Caregiver........................           5,541               4          0.3        6,280        1,256
 (CIQ-FC).
Caregiver Strain Questionnaire (CGSQ).........  Caregiver........................           5,541               5          0.2        4,627          925
Child Behavior Checklist (CBCL)/ Child          Caregiver........................           5,541               5          0.3        9,226        1,845
 Behavior Checklist 1\1/2\-5/6-18.
Education Questionnaire--Revised (EQ-R).......  Caregiver........................           5,541               5          0.3        9,226        1,845
Living Situations Questionnaire (LSQ).........  Caregiver........................           5,541               5          0.1        2,300          460
Behavioral and Emotional Rating Scale-Second    Caregiver........................           4,931               5          0.2        4,117          823
 Edition, Parent Rating Scale (BERS-2C).
Columbia Impairment Scale (CIS)...............  Caregiver........................           4,931               5          0.1        2,046          409
Parenting Stress Index (PSI)..................  Caregiver........................           1,528               5          0.1          637          127
Deveraux Early Childhood Assessment (DECA)....  Caregiver........................           1,528               5          0.1          637          127
Preschool Behavioral and Emotional Rating       Caregiver........................           1,528               5          0.1          764          153
 Scale--Second Edition, Parent Rating Scale
 (PBERS).
Delinquency Survey--Revised (DS-R)............  Youth............................           3,452               5          0.1        2,301          460
Behavioral and Emotional Rating Scale--Second   Youth............................           3,452               5          0.2        2,882          576
 Edition, Youth Rating Scale (BERS-2Y).
Gain-Quick Substance Related Issues...........  Youth............................           3,452               5          0.1        1,433          287
Substance Use Survey--Revised (SUS-R).........  Youth............................           3,452               5          0.1        1,726          345
Revised Children's Manifest Anxiety Scales      Youth............................           3,452               5          0.1          863          173
 (RCMAS).
Reynolds Adolescent Depression Scale--Second    Youth............................           3,452               5          0.1          863          173
 Edition (RADS-2).
Youth information Questionnaire--Baseline (YIQ- Youth............................           3,452               1          0.3          863          173
 I).

[[Page 11595]]

 
Youth information Questionnaire--Follow-up      Youth............................           3,452               4          0.3        3,452          690
 (YIQ-F).
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                                                                Service Experience Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts--Revised--Intake  Caregiver........................           5,541               1          0.3        1,385          277
 (MSSC-R-I).
Multi-Sector Service Contacts--Revised--Follow- Caregiver........................           5,541               4          0.3        5,541        1,108
 up (MSSC-R-F).
Cultural Competence and Service Provision       Caregiver........................           5,541               4          0.1        2,955          591
 Questionnaire--Revised (CCSP-R).
Youth Services Survey--Family (YSS-F).........  Caregiver........................           5,541               4          0.1        2,593          519
Youth Services Survey (YSS)...................  Youth............................           3,452               4          0.1        1,146          229
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Juvenile Justice Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Delinquency Survey--Revised--JJ Addendum (DS-R- Youth............................             405               5          0.0           68           14
 JJ).
Court Representative Questionnaire............  Court representatives............             212               5          0.2          177           35
Electronic Data Transfer of Juvenile Justice    Key site personnel...............             212               5          0.0           35            7
 Records.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                     Education Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Teacher Questionnaire.........................  Teacher..........................             212               5          0.3          265           53
School Administrator Questionnaire............  School administrators............             212               5          0.2          177           35
Electronic Data Transfer of Education Records.  Key site personnel...............             212               5          0.0           35            7
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Child Welfare Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Child Welfare Sector Study Questionnaire--      Care coordinators................             487               1          0.5          244           49
 Intake (CWSQ-I).
Child Welfare Sector Study Questionnaire--      Care coordinators................             487               4          0.5          974          195
 Follow-up (CWSQ-F).
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Sustainability Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sustainability Survey: Brief Form.............  Project Director.................              79               2          0.2           26            5
Sustainability Survey.........................  Providers........................             180               2          0.8          270           54
Sustainability Survey.........................  Caregiver........................              60               2          0.8           90           18
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               CQI Effectiveness Evaluation
--------------------------------------------------------------------------------------------------------------------------------------------------------
CQI Baseline Survey, Web-based................  Key site personnel...............             208               1          0.5          104           21
CQI Monitoring Survey, Web-based..............  Key site personnel...............             208               2          0.5          208           42
Local Focus Group Guide.......................  Key site personnel...............              30               2          1.0           60           12
National Focus Group Guide....................  National TA providers............              20               2          1.0           40            8
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Alumni Networking Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Networking and Collaboration Survey...........  Key site personnel...............             236               4          0.5          472           94
Alumni Network Satisfaction Survey............  Key site personnel, nat'l TA                  458               3          0.3          344           69
                                                 providers, Branch staff.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Services and Costs Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary/Tool...............  Local programming staff compiling/          1,306               3          0.0          129           26
                                                 entering administrative data on
                                                 children/youth.

[[Page 11596]]

 
Services and Costs Data Dictionary/Data Entry   Local evaluator, staff at partner           5,541             100          0.1       27,705        5,541
 Application.                                    agencies, and programming staff
                                                 compiling/entering service and
                                                 cost records on children/youth.
--------------------------------------------------------------------------------------------------------------------------------------------------------


----------------------------------------------------------------------------------------------------------------
                                                                     Number of
                   Respondent                        Number of      responses/    Average burden/  Total average
                                                    respondents     respondent        response     annual burden
----------------------------------------------------------------------------------------------------------------
Caregiver.......................................           5,541             0.9             2.2          10,891
Youth...........................................           3,452             0.9             1.0           3,119
Provider/Administrator..........................             546            10.5             1.1           6,580
                                                 ---------------------------------------------------------------
    Total.......................................           9,539  ..............  ..............          20,591
----------------------------------------------------------------------------------------------------------------

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 and e-mail her 
a copy at [email protected]. Written comments should be 
received within 60 days of this notice.

    March 11, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-5803 Filed 3-17-09; 8:45 am]
BILLING CODE 4162-20-P