[Federal Register Volume 74, Number 76 (Wednesday, April 22, 2009)]
[Notices]
[Pages 18386-18388]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-9193]


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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: Parent-Child Assistance Program (P-CAP) in the Fetal 
Alcohol Spectrum Disorder (FASD) Center of Excellence--New

    Since 2001, SAMHSA's Center for Substance Abuse Prevention has been 
operating a Fetal Alcohol Spectrum Disorder (FASD) Center of Excellence 
which addresses FASD mainly by providing trainings and technical 
assistance; and developing and supporting systems of care that respond 
to FASD using effective evidence based practices and interventions.
    Currently the integration of evidence-based practices into service 
delivery organizations is being accomplished through subcontracts. One 
such intervention which integrates prevention strategies into service 
delivery organizations is the Parent-Child Assistance Program (PCAP) 
targeting pregnant or postpartum women. The PCAP programs uses the 
following 12 data collection tools.

Description of Instruments/Activity for Parent-Child Assistance Program 
(P-CAP)

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             Instrument/activity                                          Description
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At Baseline/Enrollment:
    CRSQ....................................  The Community Referral Screening Questionnaire (CRSQ) is a
                                               screening form administered to individuals referred to PCAP. The
                                               purpose of the form is to determine eligibility for enrollment in
                                               PCAP.
    ASI--Part A.............................  The Alcohol Severity Index (ASI) Part A is an intake interview
                                               administered at client enrollment. The ASI Part A includes
                                               questions about past 30 day alcohol use, lifetime use, age at
                                               first use, month and year of last use, range of use (T-ACE), and
                                               use during pregnancy, thereby providing a thorough assessment of
                                               alcohol consumption.
    ASI--Part B & Twin......................  The Alcohol Severity Index (ASI) Part B is an intake interview
                                               administered as soon as possible after the target child birth.
                                               The ASI Part B includes questions about the target child at birth
                                               and alcohol use during the pregnancy. If the target birth is of
                                               twins then the Twins Addendum form is administered.
    Demographic Data........................  The Demographic Questionnaire is administered after client
                                               enrollment. The questionnaire includes race, educational
                                               attainment, martial status, and an alcohol assessment.
Process Monitoring:
    Weekly Advocate Time Summary............  The PCAP Weekly Advocate Time Summary Sheet is administered on a
                                               weekly basis. The form tracks time spent on the phone, in person,
                                               or providing transportation to each client.
    Monthly Updates.........................  The Monthly Update form is administered on a monthly basis. The
                                               form records any changes in drug and alcohol use, pregnancy,
                                               child custody, and sources of income.

[[Page 18387]]

 
    Biannual Documentation of Progress        The Biannual Documentation of Progress is administered every six
     (every 6 months).                         months. The form documents changes in alcohol/drug treatment,
                                               abstinence from alcohol/drugs, birth control and pregnancy,
                                               connection to other services, and family stability and client
                                               activity.
At Exit:
    Exit ASI................................  The Exit ASI Follow-Up is administered at the end of the program,
                                               at 36 months. The Exit ASI uses a format that is identical to the
                                               Addiction Severity Index administered at intake, providing pre-
                                               and post-test data for the intervention.
    Client Exit Close Out form..............  The Client Exit Close-Out Form documents the total number of
                                               months the client spent in PCAP, number of different advocates
                                               who worked with the client, and whether the client ever moved out
                                               of the area while enrolled in PCAP.
Ad hoc:
    Advocate Accounting of Tracing Activity   The Advocate Accounting of Tracing Activity on Missing Post-Exit
     on Missing Post-Exit Client.              Client is used to track activity to locate a missing client. When
                                               a client is missing, the form is to be completed each month,
                                               instead of the Monthly Update form, until the missing post-exit
                                               client is brought in for an Exit Interview.
    Lost Post-Exit Client Form..............  The Lost Post-Exit Client Form is used when the client is at least
                                               six months past her three year exit date in the program and has
                                               not completed the ASI exit interview. The form documents the
                                               reason the client has not completed the ASI exit interview.
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    Two PCAP subcontracts were awarded in February 2008. PCAP uses an 
intensive paraprofessional home visitation model to reduce risk 
behaviors in pregnant women with substance abuse problems. The primary 
goal of PCAP is to prevent future births of alcohol and drug exposed 
children to women who are at risk. The program uses a holistic case 
management approach, which is a complement to traditional substance 
abuse treatment. In addition to addressing alcohol and drug use, the 
program also aims at reducing other risk behaviors and addressing the 
health and social well being of mothers and their children.
    At the initial client visit, the women receive a comprehensive 
assessment which includes an assessment for alcohol consumption, 
contraception use, and use of community services. At-risk women receive 
case management and every 4 months women are re-evaluated to determine 
their clinical goals. Counselors complete ``Documentation of Client 
Progress'' form every 6 months and a final ``Documentation of Client 
Progress'' at 36 months. In addition, the counselors complete a weekly 
advocate time sheet, summarizing their activities within the program. 
All forms are completed online using the Web-portal. All participating 
subcontractors will maintain identifiable information on clients for 
service delivery purposes but no identifiable information will be 
transmitted to SAMHSA.
    The data collection is designed to evaluate the implementation of 
PCAP by measuring whether abstinence from alcohol is achieved and risk 
for alcohol-exposed births is eliminated.

                                        Estimated Annualized Burden Hours
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                                              Number of         Number of                         Total burden
           Instrument/activity              respondents 2     responses per    Average burden       hours per
                                                sites          respondent       per response       collection
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At Baseline/Enrollment:
    CRSQ................................               190                 1              0.08                15
    ASI--Part A.........................               190                 1              2.75               523
    ASI--Part B & Twin..................               190                 1              0.25              47.5
    Demographic Data....................               190                 1              0.08                15
Process Monitoring:
    Weekly Advocate Time Summary........               190                52              0.50             4,940
    Monthly Updates.....................               190                12              0.50             1,140
    Biannual Documentation of Progress                 161                 2              0.33               106
     (every 6 months)...................
At Exit:
    Exit ASI............................               190                 1              2.25               428
    Client Exit Close Out form..........               161                 1              0.25                40
Ad hoc:
    Advocate Accounting of Tracing                      29                 1              0.25                 7
     Activity on Missing Post-Exit
     Client.............................
    Lost Post-Exit Client Form..........                29                 1              0.25                 7
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        Total...........................             1,710                74  ................             7,269
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[[Page 18388]]

    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 13, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-9193 Filed 4-21-09; 8:45 am]
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