[Federal Register Volume 74, Number 205 (Monday, October 26, 2009)]
[Notices]
[Pages 55048-55050]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-25667]


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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: 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 (P-CAP) 
targeting pregnant or postpartum women. The P-CAP program uses the 
following 11 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 P-CAP. The purpose of the
                                                             form is to determine eligibility for enrollment in
                                                             P-CAP.
    ASI--Part A...........................................  The Addiction 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 Addiction 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.

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    Demographic Data......................................  The Demographic Questionnaire is administered after
                                                             client enrollment. The questionnaire includes race,
                                                             educational attainment, marital status, and an
                                                             alcohol assessment.
Process Monitoring:
    Weekly Advocate Time Summary..........................  The P-CAP 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.
    Biannual Documentation of Progress (every 6 months)...  The Biannual Documentation of Progress is
                                                             administered every six 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 P-CAP, number
                                                             of different advocates who worked with the client,
                                                             and whether the client ever moved out of the area
                                                             while enrolled in P-CAP.
Ad hoc:
    Advocate Accounting of Tracing Activity on Missing      The Advocate Accounting of Tracing Activity on
     Post-Exit Client.                                       Missing Post-Exit 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.
----------------------------------------------------------------------------------------------------------------

    Two P-CAP subcontracts were awarded in February 2008. P-CAP uses an 
intensive paraprofessional home visitation model to reduce risk 
behaviors in pregnant women with substance abuse problems. The primary 
goal of P-CAP 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 
P-CAP 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                                     Total burden
       Instrument/Activity           Number of     responses per   Total number   Average burden       hours
                                    respondents     respondent     of responses    per response     collection
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At Baseline/Enrollment:
    CRSQ........................             190               1             190            0.08              15
    ASI--Part A.................             190               1             190            2.75             523
    ASI--Part B & Twin..........             190               1             190            0.25              48
    Demographic Data............             190               1             190            0.08              15
Process Monitoring:
    Weekly Advocate Time Summary             190              52           9,880            0.50           4,940
Intermediate Outcomes:
    Monthly Updates.............             190              12           2,280            0.50           1,140
    Biannual Documentation of                161               2             322            0.33             106
     Progress (every 6 months)..
At Exit:
    Exit ASI....................             190               1             190            2.25             428
    Client Exit Close Out Form..             161               1             161            0.25              40
Ad hoc:
    Advocate Accounting of                    29               1              29            0.25               7
     Tracing Activity on Missing
     Post-Exit Client...........
    Lost Post-Exit Client Form..              29               1              29            0.25               7
                                 -------------------------------------------------------------------------------
        Total...................             190  ..............          13,651  ..............           7,269
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    Written comments and recommendations concerning the proposed 
information collection should be sent by November 25, 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: 202-395-5806.

    Dated: October 19, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-25667 Filed 10-23-09; 8:45 am]
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