[Federal Register Volume 76, Number 119 (Tuesday, June 21, 2011)]
[Notices]
[Pages 36135-36137]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-15384]



[[Page 36135]]

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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 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: National Child Traumatic Stress Initiative (NCTSI) 
Evaluation--(OMB No. 0930-0276)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA), Center for Mental Health Services (CMHS), will conduct the 
National Child Traumatic Stress Initiative (NCTSI) Evaluation. This 
evaluation serves multiple practical purposes: (1) To collect and 
analyze descriptive, outcome, and service experience information about 
the children and families served by the NCTSN; (2) to assess the 
NCTSN's impact on access to high-quality, trauma-informed care; (3) to 
evaluate NCTSN centers' training and consultation activity designed to 
promote evidence-based, trauma-informed services and the impact of such 
activity on child-serving systems; and (4) to assess the sustainability 
of the grant-funded activities to improve access to and quality of care 
for trauma-exposed children and their families beyond the grant period.
    Data will be collected from caregivers and youth served by NCTSN 
centers, NCTSN and non-NCTSN administrators, NCTSN trainers, service 
providers trained by NCTSN centers and other training participants, 
administrators of mental health and non-mental health professionals 
from state and national child-serving organizations, and administrators 
of affiliate centers. Data collection will take place in all Community 
Treatment and Services Programs (CTS) and Treatment and Service 
Adaptation Centers (TSA) active during the three-year approval period. 
Currently, there are 45 CTS centers and 17 TSA centers active (i.e., 62 
active centers). After the first year, in September 2011, the 15 
grantees funded in 2007 will reach the end of their data collection. At 
that point, additional centers may be funded or funded again. Because 
of this variability, the estimate of 62 centers is used to calculate 
burden.
    The NCTSI Evaluation is composed of four distinct study components, 
each of which involve data collection, which are described below.

Descriptive and Clinical Outcomes

    In order to describe the children served, their trauma histories 
and their clinical and functional outcomes, nine instruments will be 
used to collect data from children and adolescents who are receiving 
services in the NCTSN, and from caregivers of all children who are 
receiving NCTSN services. Data will be collected when the child/youth 
enters services and during subsequent follow-up sessions at three-month 
intervals over the course of one year. This study relies upon the use 
of data already being collected as a part of the Network's Core Data 
Set, and includes the following instruments:
     The Core Clinical Characteristics Form, which collects 
demographic, psychosocial and clinical information about the child 
being served including information about the child's domestic 
environment and insurance status, indicators of the severity of the 
child's problems, behaviors and symptoms, and use of non-Network 
services;
     The Trauma Information/Detail Form, which collects 
information on the history of trauma(s) experienced by the child being 
served in the NCTSN including the type of trauma experienced, the age 
at which the trauma was experienced, type of exposure, whether or not 
the trauma is chronic, and the setting and perpetrator(s) associated 
with the traumatic experience;
     The Child Behavior Checklist (CBCL) 1.5-5 and 6-18, which 
measure symptoms in such domains such as emotionally reactive, anxious/
depressed, somatic complaints, withdrawn, attention problems, 
aggressive behavior, sleep problems, rule-breaking behavior, social 
problems, thought problems, and withdrawn/depressed;
     The UCLA PTSD Short Form, which screens for exposure to 
traumatic events and for all DSM-IV PTSD symptoms in children who 
report traumatic stress experiences; and the
     The Trauma Symptoms Checklist for Children, which 
evaluates acute and chronic posttraumatic stress symptoms in children's 
responses to unspecified traumatic events across several symptom 
domains.
     The Trauma Symptoms Checklist for Young Children (TSCYC), 
which is a 90-item caretaker-report instrument developed for the 
assessment of trauma-related symptoms in children ages 3 to 12.
     The Parenting Stress Index Short Form (PSI-SF), which 
yields a total stress score from three scales: parental distress, 
parent-child dysfunctional interaction, and difficult child. The PSI-SF 
was developed from factor analysis of the PSI-Full-Length Version.
     The Children's Depression Inventory-2 Short (CDI-2S), 
which is a comprehensive multi-rater assessment of depressive symptoms 
in youth aged 7 to 17 years. Depressive symptomatology is quantified by 
the CDI 2 based on reports from children/adolescents, teachers and 
parents.
     The Global Appraisal of Individual Needs Modified Shore 
Screener (GAIN-MSS), which is designed primarily as a screener in 
general populations, ages 12 and older, to quickly and accurately 
identify clients who have 1 or more behavioral health disorders (e.g., 
internalizing or externalizing psychiatric disorders, substance use 
disorders, or crime/violence problems).
    Approximately 6,000 youth and 9,700 caregivers will participate in 
the descriptive and clinical outcomes study over the clearance period.

Access to High Quality, Trauma-informed Services

    The NCTSI mission is to expand access to high quality, trauma-
informed services for trauma-exposed children and adolescents and their 
families nationwide. This component of the evaluation is designed to 
assess NCTSI program progress in achieving this mission by collecting 
and analyzing data from a variety of sources addressing the question of 
whether access to high quality, trauma-informed services has improved 
and for which

[[Page 36136]]

demographic groups. Instruments used as a part of this study component 
include:
     Evidence-based Practice (EBP) and Trauma-informed Systems 
Change Survey (ETSC), which assesses the extent to which NCTSN training 
and other dissemination activities have enhanced the knowledge base and 
use of trauma-informed services (TIS) within child-serving agencies, 
centers and organizations that are not a part of the NCTSN but rather 
have received training from the NCTSN as well as to assess the extent 
to which such services are evidence-based. The survey branches into two 
versions adapted for project directors/administrators and human service 
providers (e.g., mental health providers, child welfare case workers, 
teachers, primary care health care providers and others), allowing for 
questions tailored to the professional orientation and activities of 
each group. The ETSC survey will be used to assess the extent to which 
NCTSN training and dissemination activities have improved access to 
high quality, trauma-informed services for trauma-exposed children and 
their families that are served through such child-serving systems.
     The National Impact Survey, which assesses the extent to 
which the NCTSN has impacted the knowledge and awareness, policies, 
planning, programs, and practices related to trauma-informed care among 
state and national child-serving organizations external to the NCTSN 
centers.
     The Online Performance Monitoring Report (OPMR), which is 
primarily a mechanism for SAMHSA to monitor centers' progress towards 
achieving stated goals and a fulfillment of SAMHSA requirements for 
accountability and performance monitoring. In addition, this form will 
also serve as an important data source informing several components of 
the NCTSI evaluation.
    Approximately 496 service providers and 186 administrators from 
NCTSN centers and organizations or agencies trained by NCTSN centers 
will participate in the ETSC survey. Approximately 4,000 individuals 
will be participating in the National Impact Survey, while 
approximately 62 individuals will participate in the OPMR.

Training, Evidence-Based Practices (EBPs), and Family/Consumer 
Partnerships

    A major goal of the NCTSN is to enhance the capacity of 
administrators and service providers from agencies, centers and 
organizations associated with child-serving systems (including mental 
health, child welfare, juvenile justice, education and primary care) to 
use trauma-informed services (TIS) with trauma-exposed children and 
their families. NCTSN centers promote the use of TIS within child-
serving systems to increase public awareness and knowledge about trauma 
exposure, trauma impact, and the range of trauma-informed assessments 
and services that are available. For this component, the ETSC Survey 
will be used to assess whether agencies, schools, and organizations 
that are a part of child-serving systems trained by the NCTSN have 
become more evidence-based and trauma-informed. Two additional forms 
will be used including:
     The Training Summary Form (TSF), which will be completed 
by trainers and will collect information on the number of participants 
trained, the type of training (including the trauma types addressed in 
the training), and the topics emphasized in the training.
     The Training Sign-In Sheet (TSIS), which will be completed 
by this participants of NCTSN-sponsored trainings. Participants will 
provide their names; agency, organization or center for which they 
work; their roles; and contact information including e-mail addresses. 
In addition, they will be asked to indicate whether the evaluation may 
contact them for participation.
    Approximately 124 trainers will complete and submit the TSF, while 
approximately 12,400 trainees will complete the TSIS.

Sustainability

    Assessing the sustainability of the progress made by the NCTSN and 
its partners is a key evaluation priority identified by stakeholders 
advising on the redesign of the NCTSI Evaluation. Therefore, while this 
issue was not addressed as part of the previous evaluation design, it 
has been included as a new area of importance for future NCTSI 
evaluation. This component of the evaluation focuses on understanding 
the degree to which NCTSI grant activities continue after funding has 
ended and the factors associated with the continuation of--or lapse 
in--grant activities such as the implementation of evidence-based 
practices or approaches to strengthen trauma-informed service 
provision. This component collects sustainability data as part of the 
OPMR in the case of funded centers and, in the case of affiliate 
centers (centers that no longer receive SAMHSA funding but have 
continued involvement with the NCTSN and are defined by SAMHSA as 
affiliates), the following survey will be implemented:
     Sustainability Survey for Affiliate Centers, which 
assesses sustainability of NCTSI grant activities by collecting data on 
domains including grant history, funding sources and fiscal strategies, 
program mission, infrastructure, service delivery and continuation of 
practices and programs. Approximately 45 administrators of affiliate 
centers are expected to participate in this survey.
    The revision to the currently approved information collection 
activities includes the extension of NCTSI Evaluation information 
collection activities for an additional three years. This revision also 
addresses the following programmatic changes:
     The number of centers for which burden was calculated is 
62, which represents the number of currently active grantees (the 
number of centers at the time of the previous submission was 44).
     As a result of efforts to address updated evaluation 
priorities, reduce redundancy and consolidate multiple data collection 
efforts focused on national monitoring and evaluating of the NCTSI 
program, the request discontinues ten surveys, forms or interviews that 
are currently OMB-approved.
     In place of the ten surveys, forms or interviews that are 
currently OMB-approved that are being discontinued, and as part of the 
redesigned evaluation, three new data collection efforts will be 
implemented, including:
    [cir] Online Performance Monitoring Report Form (OPMR).
    [cir] Evidence-based Practice and Trauma-informed System Change 
Survey (ETSC).
    [cir] Sustainability Survey for affiliate centers.
     This request also enhances the existing Core Data Set by 
revising the Core Clinical Characteristics Forms and adding new 
instruments to address existing gaps in knowledge including:
    [cir] Trauma Symptom Checklist for Young Children (TSCYC).
    [cir] Parenting Stress Index Short Form (PSI-SF).
    [cir] Children's Depression Inventory-2 Short (CDI-2S).
    [cir] Global Appraisal of Needs Modified Short Screener (GAIN-MSS).
     A Training Sign-in Sheet (TSIS) has been developed for use 
at each training event sponsored by NCTSN centers. The purpose of the 
form is to collect brief information about NCTSN training participants.
    The average annual respondent burden is estimated below.

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                                                                 Average                                3-Year
                                                                number of                  Total      average of
                   Instrument                      Number of    responses    Hours per     burden       annual
                                                  respondents      per       response      hours        burden
                                                                respondent                              hours
----------------------------------------------------------------------------------------------------------------
                                       Caregivers Served by NCTSN Centers
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Child Behavior Checklist 1.5-5/6-18 (CBCL 1.5-5/    9,729 \1\        4 \2\        0.33       12,842        4,281
 6-18)..........................................
Trauma Information/Detail Form..................        9,729            4        0.22        8,562        2,854
Core Clinical Characteristics Form..............        9,729            4        0.5        19,458        6,486
UCLA-PTSD Short Form (UCLA-PTSD)................    7,394 \4\            4        0.17        5,028        1,676
Trauma Symptoms Checklist for Young Children        2,724 \5\            4        0.33        3,596        1,199
 (TSCYC)........................................
Parenting Stress Index Short Form (PSI-SF)......    2,919 \6\            4        0.08          934          311
----------------------------------------------------------------------------------------------------------------
                                          Youth Served by NCTSN Centers
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Trauma Symptoms Checklist for Children-             6,129 \7\            4        0.33        8,090        2,697
 Abbreviated (TSCC-A)...........................
Children's Depression Inventory-2 Short (CDI-2S)    2,140 \9\            4        0.08          685          228
Global Appraisal of Individual Needs Modified      3,989 \10\            4        0.08        1,276          425
 Shore Screener (GAIN-MSS)......................
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                          Funded NCTSN Center Project Directors or Other Administrators
----------------------------------------------------------------------------------------------------------------
Online Performance Monitoring Report (OPMR).....           62           12        0.60          446          149
Sustainability Survey for Currently--Funded                62            3        0.28           52           17
 Centers........................................
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                                       NCTSN and Non-NCTSN Administrators
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Evidence-based Practice (EBP) and Trauma             186 \12\            2        0.30          112           37
 Informed Systems Change Survey (ETSC)--
 Administrator Version..........................
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                                                 NCTSN Trainers
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Training Summary Form...........................     124 \13\            5        0.2           124           41
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                                   Service Providers Trained by NCTSN Centers
----------------------------------------------------------------------------------------------------------------
Evidence-based Practice (EBP) and Trauma             496 \14\            3        0.3           446          149
 Informed Systems Change Survey (ETSC)--Provider
 Version........................................
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                                              Training Participants
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Training Sign-In Sheet (TSIS)...................  12,400 \15\            1         .02          248           83
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      Mental Health and Non-Mental Health Professionals from State and National Child Serving Organizations
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National Impact Survey..........................        4,000            1        0.5         2,000          667
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                                         Affiliate Center Administrators
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Sustainability Survey-- Affiliate Centers.......           45            3         .28           38           19
                                                 ---------------------------------------------------------------
Total summary...................................       71,857           66  ..........  ...........       21,319
Total annual summary............................       23,952           22  ..........  ...........        7,106
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 8-1099, One Choke Cherry Road, Rockville, MD 20857 OR e-mail a 
copy to [email protected]. Written comments should be received 
within 60 days of this notice

    Dated: June 15, 2011.
Elaine Parry
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-15384 Filed 6-20-11; 8:45 am]
BILLING CODE 4162-20-P