[Federal Register Volume 74, Number 146 (Friday, July 31, 2009)]
[Notices]
[Pages 38202-38207]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-18315]


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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.

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 3-
year period. The core of service system data will be collected twice 
(every 18 to 24 months) during the 3-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 
includes the Multi-service Sector Contacts Form, Cultural 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   .............................
----------------------------------------------------------------------------------------------------------------

[[Page 38203]]

 
                                   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--      .................                 X   .............................
 Second 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--      .................                 X   .............................
 Second 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--       .................                 X   .............................
 Second Edition (RADS-2).
Youth Information Questionnaire (YIQ-I)....  .................                 X   .............................
Youth Information Questionnaire (YIQ-F)....  .................                 X   .............................
----------------------------------------------------------------------------------------------------------------
                                            Service Experience Study
----------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts                               X   .................  Slight modification to Card
 Questionnaire--Revised (MSSC-R).                                                   4, 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   .............................
----------------------------------------------------------------------------------------------------------------
                           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.

[[Page 38204]]

 
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.

                                                     Table 2--Detailed Estimate of Respondent Burden
                                                [Note: Total burden is annualized over a 3-year period.]
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                           Total average
                                                                             Number of       number of       Hours per     Total burden   3-year average
                Instrument                           Respondent             respondents    responses per     response          hours       annual burden
                                                                                            respondent                                         hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                System of Care Assessment
--------------------------------------------------------------------------------------------------------------------------------------------------------
Interview Guides and Data Collection Forms  Key site informants.........         \1\ 630               1           1.00              630             210
Interagency Collaboration Scale (IACS)....  Key site informants.........             630               1           0.13               82              27
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                       Longitudinal Child and Family Outcome Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire (CIQ-   Caregiver...................       \2\ 8,810               1           0.283           2,493             831
 IC).
Caregiver Information Questionnaire         Caregiver...................           8,810           \3\ 2           0.200           3,524           1,175
 Followup (CIQ-FC).
Caregiver Strain Questionnaire (CGSQ).....  Caregiver...................           8,810               3           0.167           4,414           1,471
Child Behavior Checklist (CBCL)/Child       Caregiver...................           8,810               3           0.333           8,801           2,934
 Behavior Checklist 1\1/2\-5 (CBCL 1\1/2\-
 5).
Education Questionnaire--Revised (EQ-R)...  Caregiver...................           8,810               3           0.333           8,801           2,934
Living Situations Questionnaire (LSQ).....  Caregiver...................           8,810               3           0.083           2,194             731
The Family Life Questionnaire (FLQ).......  Caregiver...................           8,810               3           0.050           1,322             441
Behavioral and Emotional Rating Scale--     Caregiver...................       \4\ 7,488               3           0.167           4,193           1,398
 Second Edition, Parent Rating Scale (BERS-
 2C).
Columbia Impairment Scale (CIS)...........  Caregiver...................       \5\ 8,369               3           0.083           2,084             695
The Vineland Screener (VS)................  Caregiver...................       \6\ 1,321               3           0.250             330             110

[[Page 38205]]

 
Delinquency Survey--Revised (DS-R)........  Youth.......................       \7\ 5,286               3           0.167           2,648             883
Behavioral and Emotional Rating Scale--     Youth.......................           5,286               3           0.167           2,648             883
 Second Edition, Youth Rating Scale (BERS-
 2Y).
Gain-Quick Substance Related Issues (Gain   Youth.......................           5,286               3           0.083           1,316             439
 Quick-R).
Substance Use Survey--Revised (SUS-R).....  Youth.......................           5,286               3           0.100           1,586             529
Revised Children's Manifest Anxiety Scales  Youth.......................           5,286               3           0.050             793             264
 (RCMAS).
Reynolds Adolescent Depression Scale--      Youth.......................           5,286               3           0.050             793             264
 Second Edition (RADS-2).
Youth information Questionnaire--Baseline   Youth.......................           5,286               1           0.167             883             294
 (YIQ-I).
Youth information Questionnaire--Follow-up  Youth.......................           5,286               2           0.167           1,766             589
 (YIQ-F).
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Service Experience Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Multi-Sector Service Contacts--Revised      Caregiver...................           8,810           \8\ 2           0.250           4,405           1,468
 (MSSC-R).
Evidence-Based Practice Measure (EBPEM)...  Caregiver...................           8,810               2           0.167           2,943             981
Cultural Competence and Service Provision   Caregiver...................           8,810               2           0.167           2,943             981
 Questionnaire (CCSP).
Youth Services Survey--Family (YSS-F).....  Caregiver...................           8,810               2           0.117           2,062             687
Youth Services Survey (YSS)...............  Youth.......................           5,286               2           0.083             877             292
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Services and Costs Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Flex Funds Data Dictionary................  Local staff compiling/             \9\ 2,670          \10\ 3           0.033             218              73
                                             entering data.
Services and Costs Data Dictionary........  Local staff compiling/           \11\ 10,680        \12\ 100           0.033          29,073           9,691
                                             entering data.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Sustainability Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sustainability Survey--Caregiver..........  \13\ Caregiver..............              52               2           0.75               78              26
Sustainability Survey--Provider...........  \13\ Provider/Administrator.             156               2           0.75              234              78
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                         CQI Benchmarking Initiative Evaluation
--------------------------------------------------------------------------------------------------------------------------------------------------------
CQI Initiative Survey.....................  Key community staff.........             150               1           0.5                75              25
CQI Initiative Interview Guide............  Key community staff.........              50               1           1.0                50              17
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                             Evidence-Based Practices Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
The Implementation Factors Discussion       SOC leadership team member..              90               1           0.75               68              23
 Guide.
The Implementation Factors Discussion       Provider....................              60               1           0.75               45              15
 Guide.
The Implementation Factors Discussion       Caregivers..................              30               1           0.5                15               5
 Guide.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                        Cultural and Linguistic Competence Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
CCIOSAS--Beneficiaries of Self-Assessment   Provider....................              40               1           1.0                40              13
 Findings.
CCIOSAS--Beneficiaries of Self-Assessment   Administrators/Managers.....              20               1           1.5                30              10
 Findings.

[[Page 38206]]

 
CCIOSAS--Beneficiaries of Self-Assessment   Caregivers..................              40               1           0.75               30              10
 Findings.
CCIOSAS--Beneficiaries of Self-Assessment   Youth.......................              40               1           0.75               30              10
 Findings.
CCIOSAS--Participants in Self-Assessments.  Provider....................              40               1           1.0                40              13
CCIOSAS--Participants in Self-Assessments.  Administrators/Managers.....              20               1           1.5                30              10
CCIOSAS--Participants in Self-Assessments.  Caregivers..................              16               1           0.75               12               4
CCIOSAS--Participants in Self-Assessments.  Youth.......................              16               1           0.75               12               4
CCIOSAS--Users of Self-Assessment Findings  Provider....................              40               1           1.0                40              13
CCIOSAS--Users of Self-Assessment Findings  Administrators/Managers.....              20               1           1.5                30              10
CCIOSAS--Users of Self-Assessment Findings  Caregivers..................              16               1           0.75               12               4
CCIOSAS--Users of Self-Assessment Findings  Youth.......................              16               1           0.75               12               4
CCIOSAS--Telephone Interview..............  Providers...................               2               1           1.0                 2            0.67
CCIOSAS--Telephone Interview..............  Administrators/Managers.....               3               1           1.0                 3               1
CCEBPS--Managers of EBP Process...........  Providers...................              16               1           1.0                16               5
CCEBPS--Managers of EBP Process...........  Administrators/Managers.....              20               1           1.5                30              10
CCEBPS--Providers of EBP..................  Providers...................              40               1           1.0                40              13
CCEBPS--Families and Youth................  Caregivers..................              40               1           0.75               30              10
CCEBPS--Families and Youth................  Youth.......................              40               1           0.75               30              10
CCEBPS--Telephone Interview...............  Providers...................               2               1           1.0                 2            0.67
CCEBPS--Telephone Interview...............  Administrators/Managers.....               3               1           1.0                 3               1
--------------------------------------------------------------------------------------------------------------------------------------------------------


                               Table 2--Estimate of Respondent Burden (Continued)
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average annual
                                                     Number of     responses per    burden per     Total annual
                                                     distinct        year per        response     burden (hours)
                                                    respondents     respondent        (hours)
----------------------------------------------------------------------------------------------------------------
                               Summary of Annualized Burden Estimates for 3 Years
----------------------------------------------------------------------------------------------------------------
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 constituents in up to 30 grant communities will complete the System of Care Assessment
  interview. These constituents 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/youth recruited in year 2 (of grant community funding), 3 for children/youth recruited
  in year 3, 4 for children/youth recruited in year 4, and 4 for children/youth 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/youth recruited in year 2 (of grant community funding), 5 for
  children/youth recruited in year 3, 6 for children/youth recruited in year 4, and 4 for children/youth
  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/youth 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.

[[Page 38207]]

 
\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 x 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 x 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 in 5 communities funded in 2006, 25 communities funded in 2005, 2
  communities funded in 2000, and 20 communities funded in 1999. For each community, one respondent will be a
  caregiver and three respondents will be administrators/providers.

    Written comments and recommendations concerning the proposed 
information collection should be sent by August 31, 2009 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: July 27, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-18315 Filed 7-30-09; 8:45 am]
BILLING CODE 4162-20-P