[Federal Register Volume 75, Number 124 (Tuesday, June 29, 2010)]
[Notices]
[Pages 37445-37448]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-15722]


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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 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

[[Page 37446]]

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: Evaluation of Pregnant and Postpartum Women (PPW) 
Program

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Substance Abuse Treatment (CSAT), is funding 11 
fiscal year (FY) 2009 Services Grants for the Residential Treatment for 
Pregnant and Postpartum Women (PPW) Program. The purpose of the PPW 
Program is to provide cost-effective, comprehensive, residential 
treatment services for pregnant and postpartum women who suffer from 
alcohol and other drug use problems, and for their infants and children 
impacted by the perinatal and environmental effects of maternal 
substance use and abuse.
    Section 508 [290bb-1] of the Public Health Service Act mandates the 
evaluation and dissemination of findings of residential treatment 
programs for pregnant and postpartum women. This cross-site 
accountability assessment will assess project activities implemented 
for these services.
    CSAT is requesting approval for a total of 8,404 burden hours for 
this new data collection. CSAT is requesting approval for a total of 23 
instruments. Of these 23 instruments, 18 instruments are client-level 
tools and 5 instruments are process-level tools. To examine the 
effectiveness and impact of the PPW program, the current design 
includes both client-level outcomes and process evaluation components. 
The purpose of the outcome evaluation component is to examine the 
extent to which grantees accomplish the five core goals specified by 
the PPW program request for applications (RFA). These goals include:
     Decrease the use and/or abuse of prescription drugs, 
alcohol, tobacco, illicit and other harmful drugs (e.g., inhalants) 
among pregnant and postpartum women;
     Increase safe and healthy pregnancies; improve birth 
outcomes; and reduce related effects of maternal drug abuse on infants 
and children;
     Improve the mental and physical health of the women and 
children;
     Improve family functioning, economic stability, and 
quality of life; and
     Decrease involvement in and exposure to crime, violence, 
sexual and physical abuse, and child abuse and neglect.
    In order to help interpret client-level outcomes, the process 
evaluation will explore what grantees are actually doing, how well they 
are doing it, any challenges encountered, and strategies grantees used 
to address them.
    Data collection instruments will be used to collect outcome and 
process data for this cross-site accountability evaluation, program and 
treatment planning, and local evaluations. For clients, data will be 
collected from women at four time points (intake, 6-months post-intake, 
discharge, and 6-months post-discharge), consistent with the GPRA data 
collection schedule. The schedule for collecting child data is similar 
to the mothers, with the addition of a 3-month post-intake time point. 
The following interview instruments will be used for women, fathers/
mother's partner, and children:

Women Focused Tools

     BASIS-24[supreg] (psychological symptomology).
     Child Abuse Potential Inventory (overall risk for child 
physical abuse).
     Ferrans and Powers Quality of Life Index (quality of life 
measure).
     Family Support Scale (helpfulness of sources of support to 
parents raising a young child).
     Women's Discharge Tool (services received, length of stay, 
treatment goals achieved).
     Staff Completed Women's Items (pregnancy status, problems 
and outcomes).
     Items Administered to Women (children residing with mother 
in treatment, tobacco use, physical abuse and sexual abuse in the past 
year).

Father and Partner Focused Tools

     Ferrans and Powers Quality of Life Index (quality of life 
measure).

Child Focused Tools

     Brief Infant Toddler Social and Emotional Assessment 
(children 12-35 months; social and emotional assessment).
     Child Data Collection Tool (all children; descriptive 
biopsychosocial measure).
     Children's Discharge Tool (all children; services 
received, length of stay, treatment goals achieved, whether child lived 
in the facility).
     CRAFFT (children 11-17; adolescent substance use screen).
     Newborn's Medical Record Audit (childen birth-3 months; 
birth outcomes).
     Parenting Relationship Questionnaire (children 2-17 years; 
parent's relationship with child).
     Parenting Stress Index (children 1 month--12 years; 
parenting stress).
     Social Skills Improvement System (children 3-17 years; 
social skills).
     Trauma Symptom Checklist for Young Children (3-12 years; 
trauma symptoms).
     Staff Completed Child Items (children 0-17; prematurity, 
child's recent primary residence, whether child will reside in 
treatment with mother).
     Staff Completed Newborn Items (children 0-3 months; 
prematurity, length of stay in hospital, neonatal intensive care unit 
(NICU), and treatment for neononatal abstinence syndrome).
    Note that all child focused tools are records reviews or 
administered as maternal interviews with the exception of CRAFFT, which 
is administered to the children directly.

Process Evaluation Tools

     Biannual Project Director Telephone Interview (interview 
with grantee project directors to clarify information reported in their 
biannual progress reports);
     Site Visit Protocol--Client Focus Group (focus groups with 
clients to gather information about their experience in the program);
     Site Visit Protocol--Clinical Director(s)/Supervisor(s) 
(interviews with both the director of clinical services for women and 
the director of clinical services for children to gather more specific 
information about clinical services);
     Site Visit Protocol--Counselor(s) (interviews with 
counselors to gather information related to daily treatment operations 
and their experience in providing services); and
     Site Visit Protocol--Program Director (interview with 
grantee program directors gather information about overall PPW 
programmatic issues).
    All data will be collected using a combination of observation, 
records review, questionnaires, and personal interviews. CSAT will use 
this data for accountability reporting, and program monitoring to 
inform public policy, research, and programming as they relate to the 
provision of women's services. Data produced by this study will provide 
direction to the type of technical assistance that will be required by 
service providers of women's programming. In addition, the data will be 
used by individual grantees to support progress report efforts.
    The total annualized burden to respondents for all components of 
the PPW program is estimated to be 8,404 hours. Table A-1 presents a 
detailed

[[Page 37447]]

breakdown of the annual burden for all data collection instruments for 
all respondents (i.e., mother, child, project staff, partner/father 
(family members), medical staff, project director, clinical director, 
counselor, program director). The number of respondents for all child-
focused tools is weighted, based on the percentage of children within 
the appropriate age bracket in the prior PPW evaluation. With the 
exception of the CRAFFT, all child-focused tools are completed for the 
child by the mother or project staff. The burden estimates, also 
summarized in Table A-2, are based on the reported experience of the 
2006 cohort, proprietary instrument developer estimates and experience, 
pre-testing of the additional items completed by staff and administered 
to women, and pre-testing of process evaluation measures. There are no 
direct costs to respondents other than their time to participate.

                                            Table A-1--Detailed Annual Burden for All Interviews and Surveys
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                                                                                          Number of    Responses                 Burden per     Total
             Interviews and surveys                            Respondent                respondents      per         Total        resp.        burden
                                                                                             \1\       respondent   responses      (hrs.)       (hrs.)
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                                                                Child Focused Interviews
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CRAFFT (11-17 yrs) \2\.........................  Child.................................           70            5          350         0.08           28
Brief Infant Toddler Social and Emotional        Mother................................          141            5          705         0.17          120
 Assessment (12-35 mos) \3\.
Child Data Collection Tool (0-17 yrs) \4\......  Mother................................          440            2          880         0.75          660
Parenting Relationship Questionnaire (2-17 yrs)  Mother................................          387            5        1,935         0.25          484
 \5\.
Parenting Stress Index (1 month-12 yrs) \6\....  Mother................................          418           10        4,180          0.5        2,090
Social Skills Improvement System (3-17 yrs) \7\  Mother................................          326            5        1,630         0.42          685
Trauma Symptom Checklist for Young Children (3-  Mother................................          290            5        1,450         0.33          479
 12 yrs) \8\.
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                                                                Women Focused Interviews
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BASIS-24[supreg]...............................  Mother................................          440            4        1,760         0.25          440
Child Abuse Potential Inventory................  Mother................................          440            4        1,760         0.33          581
Family Support Scale...........................  Mother................................          440            4        1,760         0.17          299
Ferrans and Powers Quality of Life Index         Mother................................          440            4        1,760         0.17          299
 (Women).
Items Administered to Women....................  Mother................................          440            4        1,760         0.17          299
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                                                             Fathers and Partners Interview
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Ferrans and Powers Quality of Life Index         Partner/Father........................          110            2          220         0.17           37
 (Partners).
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                                                  Staff Completed Items/Record Reviews at 11 Facilities
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Children's Discharge Tool (0-17 yrs) \9\.......  Project Staff.........................           11           80          880         0.58          510
Women's Discharge Tool.........................  Project Staff.........................           11           40          440         0.58          255
Newborn's Medical Record Audit (0-3 mos) \10\..  Medical Staff.........................           11           25          275         0.08           22
Staff Completed Newborn Items..................  Medical Staff.........................           11           25          275         0.25           69
Staff Completed Child Items (0-17 yrs) \11\....  Project Staff.........................           11          400        4,400         0.08          352
Staff Completed Women's Items \12\.............  Project Staff.........................           11          160        1,760         0.17          299
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                                                                   Process Evaluation
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Biannual Project Director Telephone Interview..  Project Director......................           11            2           22            1           22
Site Visit Protocol--Client Focus Group \13\...  Mother................................          176            1          176          1.5          264
Site Visit Protocol--Clinical Director/          Clinical Director/Supervisor..........           22            1           22            2           44
 Supervisor.
Site Visit Protocol--Counselor(s)..............  Counselor.............................           33            1           33            1           33
Site Visit Protocol--Program Director..........  Program Director......................           11            1           11            3           33
                                                --------------------------------------------------------------------------------------------------------
    Total......................................  ......................................        4,701  ...........       28,444  ...........        8,404
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\1\ Data will be collected from women at four time points (intake, 6-months post-intake, discharge, and 6-months post-discharge), consistent with the
  GPRA data collection schedule. Figures in this table are based on 40 mothers per site with 2 children and 0.25 father/partner per mother. The schedule
  for collecting child data is similar to the mother's with the addition of a 3-months post-intake time point with selected tools for a total of five
  time points. All child focused tools are completed by the mother of project staff, with the exception of CRAFFT. For fathers and partners, data will
  be collected at two points (intake and discharge).
\2\ Based on 8% of 880 minor children ages 11 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\3\ Based on 16% of 880 minor children ages 12-35 months at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\4\ Based on 440 mothers having 2 minor children at intake and/or delivery.
\5\ Based on 44% of 880 minor children ages 2 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\6\ Based on 95% of 880 minor children ages 1 month to 12 years (n=836). For simplicity, this calculation assumes that 95% of mothers have two children
  in this age group and complete the tool for each child at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\7\ Based on 37% of 880 minor children ages 3 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\8\ Based on 33% of 880 minor children ages 3 to 12 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\9\ Based on 1 staff member at each of the 11 programs completing the tool for 80 children at discharge.
\10\ Based on 31% of 880 minor children ages 0-3 months at intake or delivery.
\11\ Based on 80 minor children per site ages 0 to 17 at intake, 3 months, 6 months, discharge, and 6-months post-discharge.
\12\ Based on 1 staff member at each of the 11 programs completing items for 40 women at intake, 6 months, discharge, and 6-months post-discharge.

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\13\ Based on 2 focus groups with 8 mothers at each site.


                                Table A-2--Summary Total Annual Respondent Burden
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                                     Number of     Responses per       Total         Hours per      Total hour
           Respondent               respondents     respondent       responses       response         burden
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Mothers.........................             440  ..............          19,756  ..............           6,700
Family Members..................             110  ..............             220  ..............              37
Children (11-17 yrs)............              70  ..............             350  ..............              28
Medical Staff...................              11  ..............             550  ..............              91
Project Staff...................              11  ..............           7,480  ..............           1,416
Project Director................              11  ..............              22  ..............              22
Clinical Director/Supervisor....              22  ..............              22  ..............              44
Counselor.......................              33  ..............              33  ..............              33
Program Director................              11  ..............              11  ..............              33
                                 -------------------------------------------------------------------------------
    Total.......................             719  ..............          28,444  ..............           8,404
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    Note: Total number of respondents represents the number of each 
type of respondent that will be completing at least one tool across 
eleven sites over one year of data collection. The number of 
respondents (719) reported on this table differs from Table A-1 
total number of respondents (4,701) which reflects completion of all 
tools across eleven sites over one year of data collection.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, 1 Choke Cherry Road, Rockville, MD 20850. Written comments 
should be received within 60 days of this notice.

    Dated: June 22, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-15722 Filed 6-28-10; 8:45 am]
BILLING CODE 4162-20-P