[Federal Register Volume 76, Number 6 (Monday, January 10, 2011)]
[Notices]
[Pages 1446-1448]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-209]


-----------------------------------------------------------------------

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

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA), Center for Substance Abuse Services (CSAT) has implemented 
the Assertive Adolescent and Family Treatment (AAFT) program to promote 
the adoption of evidence-based practices by community providers in the

[[Page 1447]]

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 and other appropriate adults 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 as faithfully as 
possible by grantees, CSAT has provided, through Chestnut Health 
Systems, a well-thought-out 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 a data collection document, the Annual 
Program 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 Annual Program 
Survey 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--in October/November 
of each project year. The survey has three versions 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, CSAT is 
only able to estimate the total number of respondents for each category 
based on initial grantee proposals. CSAT expects 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
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                               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 ($)
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                           CY 2010-12 Annual Reporting Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
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       1,092.00
 Supervisor/Clinician.....................
AAFT Implementation Survey--Evaluator/Data              28               1              28            0.75          21                 15         315.00
 Manager..................................
                                           -------------------------------------------------------------------------------------------------------------
    Annual Total..........................             105  ..............             105  ..............          78.75  ..............       2,194.50
--------------------------------------------------------------------------------------------------------------------------------------------------------
\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.

    Written comments and recommendations concerning the proposed 
information collection should be sent by February 9, 2011 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.


[[Page 1448]]


    Dated: January 3, 2011.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-209 Filed 1-7-11; 8:45 am]
BILLING CODE 4162-20-P