[Federal Register Volume 75, Number 147 (Monday, August 2, 2010)]
[Notices]
[Pages 45124-45126]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-18877]


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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 of information; (c) ways to enhance the

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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: Program Evaluation for Assertive Adolescent & Family 
Treatment (AAFT) Program--NEW

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA) Center for Substance Abuse Treatment (CSAT) has implemented 
the Assertive Adolescent and Family Treatment (AAFT) program to promote 
the adoption of evidence-based practices by community providers in the 
area of adolescent substance use treatment. The AAFT program provides 
evidence-based substance use services to adolescents and their 
families, as well as to transition-age youth (TAY), caregivers, and 
their families/mentors. This program is based on evidence that 
families/caregivers are an integral part of the treatment process and 
their inclusion in services increases the likelihood of successful 
treatment and reintegration of adolescents/TAYs into their communities 
following treatment. AAFT requires grantees to implement the Adolescent 
Community Reinforcement Approach (A-CRA) coupled with Assertive 
Continuing Care (ACC) to provide treatment that is context-specific, 
family-centered, and community-based. Grantees are also required to use 
the Global Appraisal of Individual Needs (GAIN) as the common 
assessment instrument across programs to improve intake assessment, 
clinical interpretation, monitoring, and data management. The GAIN is 
used for diagnosis and to assist in placement, treatment planning, 
local evaluation, and continuous quality improvement for programs. In 
supporting AAFT and to ensure that each implementation activity 
required by AAFT is implemented well and with fidelity, CSAT has 
provided, through Chestnut Health Systems, a package of implementation 
supports, including manual-assisted training in and certification for 
clinical staff on A-CRA and ACC, training/certification in GAIN, 
monitoring/coaching/mentoring/support for clinicians and supervisors, 
implementation calls and monthly progress reports, and topical 
workgroups that share ideas and resources among grantees. The 
overarching objective of the multi-site, Assertive Adolescent and 
Family Treatment (AAFT) process and outcome evaluation is to assess and 
document the process of implementation in the 2009 cohort of AAFT 
grantees and to explore the role that implementation supports play in 
how well these programs evolve.
    CSAT is requesting approval from the Office of Management and 
Budget (OMB) to implement three versions of a data collection document, 
the AAFT Implementation Survey, to gather longitudinal data (end of 
each of 3 project years) from a range of grantee personnel to evaluate 
the implementation, expansion, and sustainability of adolescent 
substance use services developed under the AAFT program.
    The current proposal requests implementing the AAFT Implementation 
Surveys to collect information in the following areas:
    a. Attitudes toward evidence-based practices generally, and AAFT 
model components in particular (e.g., attitudes toward using a 
treatment manual, achieving certification);
    b. Grantee involvement with the implementation supports provided by 
Chestnut Health Systems and their reactions to those implementation 
supports;
    c. Perceived changes in clinical practice/behavior indicating 
movement toward full A-CRA/ACC implementation;
    d. Perceived barriers encountered in implementation and 
compensatory strategies;
    e. Report on project progress, including activities related to the 
AAFT program, changes to program plans, project accomplishments, and 
efforts to plan for sustainability of the program.
    This information would be collected annually, at the end of each 
project year. The surveys three versions are tailored to address the 
respondents' roles in the grant (Principal Investigator/Program 
Director, Clinical Supervisor/Clinician, and Evaluator/Data Manager). 
Staffing patterns at each grantee site vary greatly; therefore, the 
estimate includes the total number of respondents for each category 
based on initial grantee proposals. The goal is to conduct surveys with 
approximately 21 administrators, 56 clinical staff, and 28 evaluators/
data managers. The total number of respondents--105 individuals--
represent project staff at three distinct levels across 14 grantee 
sites.
    The burden estimate for completing the Annual Program Survey is as 
follows:

                                                         Annual Reporting Burden--Summary Table
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                                             Number of
        Data collection activity            respondents    Responses per       Total       Average hours    Total hour       Wage rate      Total hour
                                                \1\       respondent \2\     responses     per response       burden         (hourly)        cost ($)
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CY 2010-12 Annual Reporting Burden
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AAFT Implementation Survey--Principal                 21               1              21            0.75           15.75              50          787.50
 Investigator/Program Director..........
AAFT Implementation Survey--Clinical                  56               1              56            0.75              42              26         1092.00
 Supervisor/Clinician...................
AAFT Implementation Survey--Evaluator/                28               1              28            0.75              21              15          315.00
 Data Manager...........................
                                         ---------------------------------------------------------------------------------------------------------------
    Annual Total........................             105  ..............             105  ..............           78.75  ..............        2,194.50
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\1\ Represents project staff at three distinct levels--administrators, clinical staff, evaluators--across 14 grantee sites. Number of respondents is an
  average of respondents per role based on staffing patterns described in grantee proposals.
\2\ The AAFT Implementation Survey will be completed once by respondents at all 14 sites at the end of each project year.


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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
OAS, Room 7-1044, 1 Choke Cherry Road, Rockville, MD 20857. Written 
comments should be received by October 1, 2010.

    Dated: July 27, 2010.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. 2010-18877 Filed 7-30-10; 8:45 am]
BILLING CODE 4162-20-P