[Federal Register Volume 74, Number 65 (Tuesday, April 7, 2009)]
[Notices]
[Pages 15730-15735]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-7779]


-----------------------------------------------------------------------

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 V 
(OMB No. 0930-0280)--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS), is responsible for 
the National Evaluation of the comprehensive Community Mental Health 
Services for Children and Their Families Program, which collects data 
on child mental health outcomes, family life, and service system 
development and performance. Data will be collected on 30 service 
systems and roughly 8,810 children and families.
    The data collection for this evaluation will be conducted for a 
three-year period. The core of service system data will be collected 
twice (every 18 to 24 months) during the three-year evaluation period. 
A sustainability survey will be 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; services received by youth and their families, and the 
costs of those services; and consumer 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 interviews at six-month 
intervals. Client service experience information is collected at these 
follow-up interviews. Measures included in an outcome interview are 
determined by the type of assessment (intake or follow-up), child's 
age, and whether the respondent is the caregiver or a youth.
    The outcome measures include the following: Child symptomatology 
and functioning, family functioning, material resources, and caregiver 
strain. The caregiver interview package includes the Caregiver 
Information Questionnaire, Child Behavior Checklist, Behavioral and 
Emotional Rating Scale (BERS), Education Questionnaire, Columbia 
Impairment Questionnaire, Living Situations Questionnaire, Family Life 
Questionnaire, and Caregiver Strain Questionnaire at intake, and also

[[Page 15731]]

includes the Multi-service Sector Contacts Form, Culturally Competence 
and Service Provision Questionnaire and the Youth Services Survey (a 
national outcome measurement tool) at follow-up assessments. Caregivers 
of children under age 6 complete the Vineland Screener to assess 
development, and do not complete the BERS. The Youth Interview package 
includes the Youth Information Questionnaire, Revised Children's 
Manifest Anxiety Scale, Reynolds Depression Scale, BERS (youth 
version), Delinquency Survey, Substance Use Survey, GAIN-Quick: 
Substance Dependence Scale, and Youth Services Survey (youth version).
    The evaluation also includes three special studies: (1) An 
evidence-based practices study that examines the effects of various 
factors on the implementation and use of evidence-based treatments and 
approaches in system of care communities; (2) A cultural and linguistic 
competence study that examines the extent to which the cultural and 
linguistic characteristics of communities influence program 
implementation and provider adaptation of evidence-based treatments, 
and provider service delivery decisions based on provider culture and 
language; and (3) An evaluation of the communities' use of reports 
produced by the national evaluation for continuous quality improvement. 
The national evaluation measures address the national outcome measures 
for mental health programs as currently established by SAMHSA.
    Table 1 summarizes which national evaluation components are 
unchanged from the original 2006 submission and which are new or 
changed.

                   Table 1--Study Component and Instrument Revisions for Phase V Re-Submission
----------------------------------------------------------------------------------------------------------------
                                                New or changed
                                                   for 2009        No change             Nature of change
                                                 resubmission
----------------------------------------------------------------------------------------------------------------
                                            System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Site Visit Tables............................  ...............               X   ...............................
Interview Protocols..........................  ...............               X   ...............................
Inter-Agency Collaboration Scale (IACS)......  ...............               X   ...............................
----------------------------------------------------------------------------------------------------------------
                                   Longitudinal Child and Family Outcome Study
----------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire (CIQ-I)..               X   ...............  Question 39a skip pattern
                                                                                  revised
                                                                                 Question 39d list of
                                                                                  medications updated.
Caregiver Information Questionnaire (CIQ-F)..               X   ...............  Question 39a skip pattern
                                                                                  revised
                                                                                 Question 39d list of
                                                                                  medications updated.
Caregiver Strain Questionnaire (CGSQ)........  ...............               X   ...............................
Child Behavior Checklist (CBCL)/Child          ...............               X   ...............................
 Behavior Checklist 1\1/2\-5 (CBCL 1\1/2\-5).
Education Questionnaire--Revised (EQ-R)......               X   ...............  Slight wording change to
                                                                                  interviewer note and the term
                                                                                  ``day care'' changed to
                                                                                  ``childcare''.
Living Situations Questionnaire (LSQ)........  ...............               X   ...............................
Family Life Questionnaire (FLQ)..............  ...............               X   ...............................
Behavioral and Emotional Rating Scale--Second  ...............               X   ...............................
 Edition--Parent Rating Scale (BERS-2C).
Columbia Impairment Scale (CIS)..............  ...............               X   ...............................
Vineland Screener (VS).......................  ...............               X   ...............................
Delinquency Survey--Revised (DS-R)...........  ...............               X   ...............................
Behavioral and Emotional Rating Scale--Second  ...............               X   ...............................
 Edition, Youth Rating Scale (BERS-2Y).
Gain-Quick Substance Related Issues (Gain      ...............               X   ...............................
 Quick-R).
Substance Use Survey--Revised (SUS-R)........  ...............               X   ...............................
Revised Children's Manifest Anxiety Scales     ...............               X   ...............................
 (RCMAS).
Reynolds Adolescent Depression Scale--Second   ...............               X   ...............................
 Edition (RADS-2).
Youth Information Questionnaire (YIQ-I)......  ...............               X   ...............................
Youth Information Questionnaire (YIQ-F)......  ...............               X   ...............................
----------------------------------------------------------------------------------------------------------------
                                            Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts Questionnaire--               X   ...............  Slight modification to Card 4
 Revised (MSSC-R).                                                                and Cards 6 and 7 are new.
Evidence-Based Practices Experience Measure    ...............               X   ...............................
 (EBPEM).
Cultural Competence and Service Provision      ...............               X   ...............................
 Questionnaire (CCSP).
Youth Services Survey for Families (YSS-F)...  ...............               X   ...............................
Youth Services Survey (YSS)..................  ...............               X   ...............................
----------------------------------------------------------------------------------------------------------------
                                            Services and Costs Study
----------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary...................               X   ...............  New.
Services and Costs Data Dictionary...........               X   ...............  New.
----------------------------------------------------------------------------------------------------------------
                                              Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey........................  ...............               X   ...............................
----------------------------------------------------------------------------------------------------------------

[[Page 15732]]

 
                           Continuous Quality Improvement (CQI) Initiative Evaluation
----------------------------------------------------------------------------------------------------------------
CQI Initiative Survey........................               X   ...............  New.
CQI Initiative Interview Guide...............               X   ...............  New.
----------------------------------------------------------------------------------------------------------------
                                         Evidence-Based Practices Study
----------------------------------------------------------------------------------------------------------------
System-level Implementation Factors                         X   ...............  New.
 Discussion Guide.
Service-level Implementation Factors                        X   ...............  New.
 Discussion Guide.
Consumer-level Implementation Factors                       X   ...............  New.
 Discussion Guide.
----------------------------------------------------------------------------------------------------------------
                                    Cultural and Linguistic Competence Study
----------------------------------------------------------------------------------------------------------------
CCIOSAS--Beneficiaries of Self-Assessment                   X   ...............  New.
 Findings Focus Group Guide--Staff and
 Partners.
CCIOSAS--Beneficiaries of Self-Assessment                   X   ...............  New.
 Findings Focus Group Guide--Caregivers.
CCIOSAS--Beneficiaries of Self-Assessment                   X   ...............  New.
 Findings Focus Group Guide--Youth.
CCIOSAS--Participants in Self-Assessments                   X   ...............  New.
 Focus Group Guide--Staff and Partners.
CCIOSAS--Participants in Self-Assessments                   X   ...............  New.
 Focus Group Guide--Caregivers.
CCIOSAS--Participants in Self-Assessments                   X   ...............  New.
 Focus Group Guide--Youth.
CCIOSAS--Users of Self-Assessment Findings                  X   ...............  New.
 Focus Group Guide--Staff and Partners.
CCIOSAS--Users of Self-Assessment Findings                  X   ...............  New.
 Focus Group Guide--Caregivers.
CCIOSAS--Users of Self-Assessment Findings                  X   ...............  New.
 Focus Group Guide--Youth.
CCIOSAS--Telephone Interview--Staff and                     X   ...............  New.
 Partners.
CCEBPS--Managers of EBP Process Focus Group                 X   ...............  New.
 Guide.
CCEBPS--Providers of EBP Focus Group Guide...               X   ...............  New.
CCEBPS--Family Focus Group Guide.............               X   ...............  New.
CCEBPS--Youth Focus Group Guide..............               X   ...............  New.
CCEBPS--Telephone Interview..................               X   ...............  New.
----------------------------------------------------------------------------------------------------------------

    Internet-based technology will be used for data entry and 
management, and for collecting data using Web-based surveys. The 
average annual respondent burden, with detail provided about burden 
contributed by specific measures, 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 for each response, and the total average 
annual burden for each category of respondent and for all categories of 
respondents combined.


    Note: Total burden is annualized over a 3-year period.


                                 Table 2--Detailed Estimate of Respondent Burden
----------------------------------------------------------------------------------------------------------------
                                                                 Total
                                                                average                                 3-year
                                                  Number of    number of    Hours per      Total       average
          Instrument              Respondent     respondents   responses     response      burden       annual
                                                                  per                      hours        burden
                                                               respondent                               hours
----------------------------------------------------------------------------------------------------------------
                                            System of Care Assessment
----------------------------------------------------------------------------------------------------------------
Interview Guides and Data      Key site              \1\ 630            1         1.00          630          210
 Collection Forms.              informants.
Interagency Collaboration      Key site                  630            1         0.13           82           27
 Scale (IACS).                  informants.
----------------------------------------------------------------------------------------------------------------
                                   Longitudinal Child and Family Outcome Study
----------------------------------------------------------------------------------------------------------------
Caregiver Information          Caregiver.......    \2\ 8,810            1        0.283        2,493          831
 Questionnaire (CIQ-IC).
Caregiver Information          Caregiver.......        8,810            2        0.200        3,524        1,175
 Questionnaire Followup (CIQ-
 FC).
Caregiver Strain               Caregiver.......        8,810        \3\ 3        0.167        4,414        1,471
 Questionnaire (CGSQ).
Child Behavior Checklist       Caregiver.......        8,810            3        0.333        8,801        2,934
 (CBCL)/Child Behavior
 Checklist 1\1/2\-5 (CBCL 1\1/
 2\-5).
Education Questionnaire--      Caregiver.......        8,810            3        0.333        8,801        2,934
 Revised (EQ-R).
Living Situations              Caregiver.......        8,810            3        0.083        2,194          731
 Questionnaire (LSQ).

[[Page 15733]]

 
The Family Life Questionnaire  Caregiver.......        8,810            3        0.050        1,322          441
 (FLQ).
Behavioral and Emotional       Caregiver.......    \4\ 7,488            3        0.167        4,193        1,398
 Rating Scale--Second
 Edition, Parent Rating Scale
 (BERS-2C).
Columbia Impairment Scale      Caregiver.......    \5\ 8,369            3        0.083        2,084          695
 (CIS).
The Vineland Screener (VS)...  Caregiver.......    \6\ 1,321            3        0.250          330          110
Delinquency Survey--Revised    Youth...........    \7\ 5,286            3        0.167        2,648          883
 (DS-R).
Behavioral and Emotional       Youth...........        5,286            3        0.167        2,648          883
 Rating Scale--Second
 Edition, Youth Rating Scale
 (BERS-2Y).
Gain-Quick Substance Related   Youth...........        5,286            3        0.083        1,316          439
 Issues (Gain Quick-R).
Substance Use Survey--Revised  Youth...........        5,286            3        0.100        1,586          529
 (SUS-R).
Revised Children's Manifest    Youth...........        5,286            3        0.050          793          264
 Anxiety Scales (RCMAS).
Reynolds Adolescent            Youth...........        5,286            3        0.050          793          264
 Depression Scale--Second
 Edition (RADS-2).
Youth information              Youth...........        5,286            1        0.167          883          294
 Questionnaire--Baseline (YIQ-
 I).
Youth information              Youth...........        5,286            2        0.167        1,766          589
 Questionnaire--Follow-up
 (YIQ-F).
----------------------------------------------------------------------------------------------------------------
                                            Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service           Caregiver.......        8,810        \8\ 2        0.250        4,405        1,468
 Contacts--Revised (MSSC-R).
Evidence-Based Practice        Caregiver.......        8,810            2        0.167        2,943          981
 Measure (EBPEM).
Cultural Competence and        Caregiver.......        8,810            2        0.167        2,943          981
 Service Provision
 Questionnaire (CCSP).
Youth Services Survey--Family  Caregiver.......        8,810            2        0.117        2,062          687
 (YSS-F).
Youth Services Survey (YSS)..  Youth...........        5,286            2        0.083          877          292
----------------------------------------------------------------------------------------------------------------
                                            Services and Costs Study
----------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary...  Local staff         \9\ 2,670       \10\ 3         .033          218           73
                                compiling/
                                entering data.
Services and Costs Data        Local staff       \11\ 10,680     \12\ 100         .033       29,073        9,691
 Dictionary.                    compiling/
                                entering data.
----------------------------------------------------------------------------------------------------------------
                                              Sustainability Study
----------------------------------------------------------------------------------------------------------------
Sustainability Survey........  Caregiver.......      \13\ 52            2         0.75           78           26
Sustainability Survey........  Provider/                 156            2         0.75          234           78
                                Administrator.
----------------------------------------------------------------------------------------------------------------
                           Continuous Quality Improvement (CQI) Initiative Evaluation
----------------------------------------------------------------------------------------------------------------
CQI Initiative Survey........  Key community             150            1          0.5           75           25
                                staff.
CQI Initiative Interview       Key community              50            1          1.0           50           17
 Guide.                         staff.
----------------------------------------------------------------------------------------------------------------
                                         Evidence-Based Practices Study
----------------------------------------------------------------------------------------------------------------
System-level Implementation    SOC leadership             90            1         0.75           68           23
 Factors Discussion Guide.      team member.
Service-level Implementation   Provider........           60            1         0.75           45           15
 Factors Discussion Guide.
Consumer-level Implementation  Caregivers......           30            1          0.5           15            5
 Factors Discussion Guide.
----------------------------------------------------------------------------------------------------------------
                                    Cultural and Linguistic Competence Study
----------------------------------------------------------------------------------------------------------------
CCIOSAS--Beneficiaries of      Provider........           40            1          1.0           40           13
 Self-Assessment Findings
 Focus Group Guide.
CCIOSAS--Beneficiaries of      Administrators/            20            1          1.5           30           10
 Self-Assessment Findings       Managers.
 Focus Group Guide.
CCIOSAS--Beneficiaries of      Caregivers......           40            1          .75           30           10
 Self-Assessment Findings
 Focus Group Guide.
CCIOSAS--Beneficiaries of      Youth...........           40            1          .75           30           10
 Self-Assessment Findings
 Focus Group Guide.
CCIOSAS--Participants in Self- Provider........           40            1          1.0           40           13
 Assessments Focus Group
 Guide.

[[Page 15734]]

 
CCIOSAS--Participants in Self- Administrators/            20            1          1.5           30           10
 Assessments Focus Group        Managers.
 Guide.
CCIOSAS--Participants in Self- Caregivers......           16            1          .75           12            4
 Assessments Focus Group
 Guide.
CCIOSAS--Participants in Self- Youth...........           16            1          .75           12            4
 Assessments Focus Group
 Guide.
CCIOSAS--Users of Self-        Provider........           40            1          1.0           40           13
 Assessment Findings Focus
 Group Guide.
CCIOSAS--Users of Self-        Administrators/            20            1          1.5           30           10
 Assessment Findings Focus      Managers.
 Group Guide.
CCIOSAS--Users of Self-        Caregivers......           16            1          .75           12            4
 Assessment Findings Focus
 Group Guide.
CCIOSAS--Users of Self-        Youth...........           16            1          .75           12            4
 Assessment Findings Focus
 Group Guide.
CCIOSAS--Telephone Interview.  Providers.......            2            1          1.0            2         0.67
CCIOSAS--Telephone Interview.  Administrators/             3            1          1.0            3            1
                                Managers.
CCEBPS--Managers of EBP/PBE    Providers.......           16            1          1.0           16            5
 Interventions Focus Group
 Guide.
CCEBPS--Managers of EBP/PBE    Administrators/            20            1          1.5           30           10
 Interventions Focus Group      Managers.
 Guide.
CCEBPS--Providers of EBP/PBE   Providers.......           40            1          1.0           40           13
 Interventions Focus Group
 Guide.
CCEBPS--Family Focus Group     Caregivers......           40            1          .75           30           10
 Guide.
CCEBPS--Youth Focus Group      Youth...........           40            1          .75           30           10
 Guide.
CCEBPS--Telephone Interview    Providers.......            2            1          1.0            2         0.67
 Guide.
CCEBPS--Telephone Interview    Administrators/             3            1          1.0            3            1
 Guide.                         Managers.
----------------------------------------------------------------------------------------------------------------


                                 Table 3--Summary Estimate of Respondent Burden
                              [Summary of annualized burden estimates for 3 years]
----------------------------------------------------------------------------------------------------------------
                                                                            Number of     Average       Total
                                                               Number of    responses    burden per     annual
                                                                distinct       per        response      burden
                                                              respondents   respondent    (hours)      (hours)
----------------------------------------------------------------------------------------------------------------
Caregivers..................................................        8,810         2.46         2.36       51,147
Youth.......................................................        5,286         2.56         0.99       13,397
Community staff.............................................          870        72.22         0.86       54,035
    Total Summary...........................................       14,996         6.54  ...........      118,579
        Total Annual Average Summary........................        4,989         2.18  ...........      39,526
----------------------------------------------------------------------------------------------------------------
\1\ An average of 21 stakeholders in up to 30 grant communities will complete the System of Care Assessment
  interview. These stakeholders will include site administrative staff, providers, agency representatives,
  family representatives, and youth.
\2\ Number of respondents across 30 grantees. Average based on a 5 percent attrition rate at each data
  collection point.
\3\ Average number of responses per respondent is a weighted average of the possible numbers of responses per
  respondent for communities beginning data collection in FY2007 and FY2008. The maximum numbers of responses
  per respondent are for 24 communities beginning data collection in FY2007, 1 follow-up data collection point
  remaining for children recruited in year 2 (of grant community funding), 3 for children recruited in year 3, 4
  for children recruited in year 4, and 4 for children recruited in year 5. The maximum numbers of responses per
  respondent are, for 6 communities beginning data collection in FY2008, 3 follow-up data collection points
  remaining for children recruited in year 2 (of grant community funding), 5 for children recruited in year 3, 6
  for children recruited in year 4, and 4 for children recruited in year 5.
\4\ Approximate number of caregivers with children over age 5, based on Phase V data submitted as of 12/08.
\5\ Approximate number of caregivers with children 3 and older, based on Phase V data submitted as of 12/08.
\6\ Approximate number of caregivers with children 5 or under, based on Phase V data submitted as of 12/08.
\7\ Based on Phase III and IV finding that approximately 60 percent of the children in the evaluation were 11
  years old or older.
\8\ Respondents only complete Service Experience Study measures at follow-up points. See Footnote 3 for
  the explanation about the average number of responses per respondent.
\9\ Staff will enter data on flexible funds expenditures into a Web-based application or will recode existing
  data on flexible funds expenditures to match the Flex Funds Data Dictionary format. Each community will use
  flexible funds expenditures on average for approximately one-quarter of the estimated 356 children/youth
  enrolled, suggesting a total of 89 children/youth will receive services from flexible funds per community.
  Thus, there will be data entered for 89*30 = 2,670 children/youth using the Flex Funds Data Dictionary.
\10\ Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund
  benefits.
\11\ Staff will collect paper-based forms from agencies and enter them into a Web-based application or will
  extract data from agencies' existing data systems. Staff will recode data to match the Services and Costs Data
  Dictionary format. Service and costs records will be compiled for all 356*30=10,680 children/youth enrolled.
\12\ Assumes that each child/youth will have 100 service episodes, on average, during his/her time in a system
  of care.
\13\ This survey will be administered at 5 sites funded in 2006, 25 sites funded in 2005, 2 sites funded in
  2000, and 20 sites funded in 1999.


[[Page 15735]]

    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.

    Dated: April 1, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-7779 Filed 4-6-09; 8:45 am]
BILLING CODE 4162-20-P