[Federal Register Volume 74, Number 220 (Tuesday, November 17, 2009)]
[Notices]
[Pages 59190-59191]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-27524]



[[Page 59190]]

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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: FASD Diagnosis and Intervention Programs 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 diagnosis and intervention 
strategies into existing service delivery organizations is the FASD 
Diagnosis and Intervention programs targeting children 0-18 years of 
age. The Diagnosis and Intervention programs use the following 11 data 
collection tools.

 Description of Instruments/Activity for the Diagnosis and Intervention
                                Programs
------------------------------------------------------------------------
        Instrument/Activity                      Description
------------------------------------------------------------------------
Screening and Diagnosis Tool......  The purpose of the screening and
                                     diagnosis tool is to determine
                                     eligibility to participate in the
                                     SAMHSA FASD Center Diagnosis and
                                     Treatment Intervention. The form
                                     includes demographic, screening,
                                     and diagnostic data.
Positive Monitor Tracking.........  The Positive Monitor Tracking form
                                     is to monitor the outcome of
                                     placing a child (ages 0-3 years) on
                                     a positive monitor.
Services Child is Receiving at the  The Services Child is Receiving at
 time of the FASD Diagnosis.         the time of the FASD Diagnosis form
                                     is to record services the child is
                                     receiving at the time of an FASD
                                     diagnosis.
Services Planned and Provided       The Services Planned and Provided
 based on Diagnostic Evaluation.     based on Diagnostic Evaluation form
                                     is to record services planned and
                                     received based on the diagnostic
                                     evaluation.
Services Delivery Tracking Form...  The Services Delivery Tracking form
                                     is for the services provided during
                                     every visit.
End of Intervention/Program         The End of Intervention/Program
 Improvement Measure--Case Manager.  Improvement Measure--Case Manager
                                     form is for the case manager to
                                     report on the overall improvement
                                     in the child as a result of
                                     receiving services.
End of Intervention/Program         The End of Intervention/Program
 Improvement Measure--Parent/        Improvement Measure--Parent/
 Guardian.                           Guardian form is for the parent/
                                     guardian to report on the overall
                                     improvement in the child as a
                                     result of receiving services.
End of Intervention/Program         The End of Intervention/Program
 Customer Satisfaction with          Customer Satisfaction with Service
 Service.                            form is to determine customer
                                     satisfaction (parents) with the
                                     SAMHSA FASD Center Diagnosis and
                                     Intervention project.
Outcome Measures (Children 0-7      The Outcome Measures (Children 0-7
 years).                             years) form is an outcomes measure
                                     checklist used to record measures
                                     every six months from start of
                                     service to end of service, at end
                                     of intervention, at 6 months follow-
                                     up, and 12 months follow-up.
Outcome Measures (Children 8-18     The Outcome Measures (Children 8-18
 years).                             years) form is an outcomes measure
                                     checklist used to record measures
                                     every six months from start of
                                     service to end of service, at end
                                     of intervention, at 6 months follow-
                                     up, and 12 months follow-up.
Lost to follow-up.................  The Lost to follow-up form is used
                                     if the child is no longer
                                     accessible for follow-up.
------------------------------------------------------------------------

    Eight subcontracts were awarded in February 2008 to integrate the 
FASD Diagnosis and Intervention program within existing service 
delivery organization sites. Using an integrated service delivery model 
all sites are screening children using an FASD screening tool, 
obtaining a diagnostic evaluation, and providing services/interventions 
as indicated by the diagnostic evaluation. Specific interventions are 
based upon the individual child's diagnosis. Six of the sites are 
integrating the FASD Diagnosis and Intervention projects either in a 
child mental health provider setting or in a dependency court setting 
and serve children ages 0-7 years. Two of the sites are delinquency 
courts and serve children 10-18 years of age.
    Data collection at all sites involves administering the screening 
and diagnosis tool, recording process level indicators such as type and 
units of service provided; improvement in functionality and outcome 
measures such as school performance, stability in housing/placement, 
and adjudication measures (10-18 yrs only). Data will be collected at 
baseline, monthly, every six months from start of service to end of 
service, at end of intervention, at 6 months follow-up, and 12 months 
follow-up.

[[Page 59191]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of                     Total burden
               Instrument/Activity                   Number of     responses per  Average burden     hours per
                                                    respondents     respondent     per response     collection
----------------------------------------------------------------------------------------------------------------
Client Surveys: Children 0-7....................
Screening and Diagnosis Tool....................            1400               1            0.17             238
    Positive Monitor Tracking...................             450               1            0.03              14
    Services Child is Receiving at the time of               750               1            0.17             128
     the FASD Diagnosis.........................
    Services Planned and Provided based on                   750               1            0.33             248
     Diagnostic Evaluation......................
    Services Delivery Tracking Form.............             750              12            0.08             720
    End of Intervention/Program Improvement                  750               1            0.02              15
     Measure--Case Manager......................
    End of Intervention/Program Improvement                  750               1            0.02              15
     Measure--Parent/Guardian...................
    End of Intervention/Program Customer                     750               1            0.03              23
     Satisfaction with Service..................
    Outcome Measures (Children 0-7 years).......             750               3            0.08             180
    Lost to follow-up...........................             135               1            0.03               4
Client Surveys: Children 8-18:
    Screening and Diagnosis Tool................             100               1            0.17              17
    Services Child is Receiving at the time of                50               1            0.17               9
     the FASD Diagnosis.........................
    Services Planned and Provided based on                    50               1            0.33              17
     Diagnostic Evaluation......................
    Services Delivery Tracking Form.............              50              12            0.08              48
    End of Intervention/Program Improvement                   50               1            0.02               1
     Measure--Case Manager......................
    End of Intervention/Program Improvement                   50               1            0.02               1
     Measure--Parent/Guardian...................
    End of Intervention/Program Customer                      50               1            0.03               2
     Satisfaction with Service..................
    Outcome Measures (Children 8-18 years)......              50               3            0.08              12
    Lost to follow-up...........................              15               1            0.03               1
      TOTAL.....................................           7,700              45              --           1,693
----------------------------------------------------------------------------------------------------------------

    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: November 4, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-27524 Filed 11-16-09; 8:45 am]
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