[Federal Register Volume 75, Number 56 (Wednesday, March 24, 2010)]
[Notices]
[Pages 14161-14163]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-6457]


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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.

Proposed Project: Transformation Accountability (TRAC) Reporting System 
--(OMB No. 0930-0285)--Revision

    SAMHSA's CMHS is requesting approval for a revision to the National 
Outcome Measures (NOMs) for Consumers Receiving Mental Health Services. 
The name of this data collection effort is revised to the 
Transformation Accountability (TRAC) Reporting System (hereafter 
referred to as TRAC) to enable SAMHSA CMHS to consolidate its 
performance reporting activities within one package. This request 
includes a revision of the currently approved client-level data 
collection effort for programs providing direct services; additional 
questions will enable CMHS to more fully explain grantee performance in 
relation to Agency and/or program objectives. This request also 
includes the addition of data collection from Project Directors of 
grants engaged in infrastructure development, prevention, and mental 
health promotion activities. These new instruments will enable SAMHSA 
CMHS to capture a standardized set of

[[Page 14162]]

performance indicators using a uniform reporting method.
    These proposed data activities are intended to promote the use of 
consistent measures among CMHS grantees and technical assistance 
contractors. These common measures recommended by CMHS are a result of 
extensive examination and recommendations, using consistent criteria, 
by panels of staff, experts, and grantees. Wherever feasible, the 
proposed measures are consistent with or build upon previous data 
development efforts within CMHS. These data collection activities will 
be organized to reflect and support the domains specified for SAMHSA's 
NOMs for programs providing direct services, and the categories 
developed by CMHS to specify infrastructure development, prevention, 
and mental health promotion activities.

Client-Level Data Collection

    The currently approved data collection effort for the SAMHSA CMHS 
programs that provide direct services to consumers includes separate 
data collection forms that are parallel in design for use in 
interviewing adults and children (or their caregivers for children 
under the age of 11 years old). These SAMHSA TRAC data will be 
collected at baseline, at six month reassessments for as long as the 
consumer receives services, and at discharge. The proposed data 
collection encompasses eight of the ten SAMHSA NOMs domains.

------------------------------------------------------------------------
                                                           Number of
                                        Number of          questions:
              Domain                 questions: adult    caregiver and
                                                        child/adolescent
------------------------------------------------------------------------
Access/Capacity...................                  4                  4
Functioning.......................                 28                 26
Stability in Housing..............                  1                  2
Education and Employment..........                  4                  3
Crime and Criminal Justice........                  1                  1
Perception of Care................                 15                 14
Social Connectedness..............                  4                  4
Retention \1\.....................                  5                  5
                                   -------------------------------------
    Total Number..................                 63                 59
------------------------------------------------------------------------
\1\ Retention is defined as retention in the community. The indicator is
  based on use of psychiatric inpatient services, which is based on a
  measure from the Stability in Housing Domain.

    Changes to the current instruments include the following:
     The administrative section of all instruments was changed 
to allow grantees to capture and track when consumers refuse 
interviews, consent cannot be obtained from proxy, and consumers are 
impaired or unable to provide consent. The administrative section of 
the children's instruments was additionally changed to capture whether 
the respondent is the child or his/her caregiver.
     Questions were added to all instruments to capture general 
health, psychological functioning, life in the community, and substance 
use.
     CMHS reduced the data collection requirement for 3-month 
programs to be consistent with 6-month programs; all grant programs 
will now be required to collect the client-level interviews in 6-month 
intervals, and CMHS will require the completion of clinical discharge 
interviews.
    In addition to questions asked of consumers as listed above, 
programs will be required to abstract information from consumer records 
regarding the services provided. The time to complete the revised 
instruments is estimated as shown below. These estimates are based on 
grantee reports of the amount of time required to complete the 
currently approved instruments accounting for the additional time 
required to complete the new questions, as based on an informal pilot.

Infrastructure Development, Prevention, and Mental Health Promotion 
Performance Data Collection

    CMHS has identified categories and associated grant- or community-
level indicators to assess performance of grant programs engaged in 
infrastructure development, prevention, and mental health promotion 
activities. Upon approval of the indicators, a Web-based data entry 
system will be developed to capture this performance data for all CMHS-
funded grants engaged in infrastructure development, prevention, and 
mental health promotion activities. Not all categories or indicators 
will apply to every grant program; CMHS Program Directors will be 
responsible for determining whether a category (or an indicator within 
a category) applies to each grant program, establishing targets at the 
grant level, and monitoring data submission. The following table 
summarizes the total number of indicators for each category that may or 
may not apply to each grant program:

------------------------------------------------------------------------
                                                              Number of
                          Category                            indicators
------------------------------------------------------------------------
Policy Development.........................................            2
Workforce Development......................................            5
Financing..................................................            3
Organizational Change......................................            1
Partnerships/Collaborations................................            2
Accountability.............................................            6
Types/Targets of Practices.................................            4
Awareness..................................................            1
Training...................................................            1
Knowledge/Attitudes/Beliefs................................            1
Screening..................................................            1
Outreach...................................................            2
Referral...................................................            1
Access.....................................................            1
                                                            ------------
  Total Number.............................................           31
------------------------------------------------------------------------

    Grantee Project Directors will be responsible for submitting data 
pertaining to these indicators quarterly. The use of standardized 
domains and data collection approaches will enhance aggregate data 
development and reporting.
    Following is the estimated annual response burden for this effort.

[[Page 14163]]



                                       Estimate of Annual Response Burden
----------------------------------------------------------------------------------------------------------------
                                     Number of     Responses per       Total         Hours per      Total hour
        Type of response            respondents     respondent       responses       response         burden
----------------------------------------------------------------------------------------------------------------
Client-level baseline interview.          15,681               1          15,681           0.333           5,222
Client-level 6-month                      10,646               1          10,646           0.367           3,907
 reassessment interview.........
Client-level discharge interview           4,508               1           4,508           0.367           1,655
Client-level baseline chart                2,352               1           2,352             0.1             235
 abstraction....................
Client-level reassessment chart            9,017               1           9,017             0.1             902
 abstraction....................
                                 ===============================================================================
    Client-level Subtotal.......          15,681  ..............          15,681  ..............          11,920
                                 ===============================================================================
Infrastructure development,                  942               4           3,768               4          15,072
 prevention, and mental health
 promotion quarterly record
 abstraction....................
                                 -------------------------------------------------------------------------------
    Total.......................          16,623  ..............  ..............  ..............          26,992
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by April 23, 2010 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: March 17, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-6457 Filed 3-23-10; 8:45 am]
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