[Federal Register Volume 79, Number 191 (Thursday, October 2, 2014)]
[Notices]
[Pages 59498-59500]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-23454]


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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 (SAMHSA) 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 System of Care Expansion Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS) is requesting 
approval from the Office of Management and Budget (OMB) for the new 
collection of data for the National System of Care (SOC) Expansion 
Evaluation.
    Evaluation Plan and Data Collection Activities. The purpose of the 
National SOC Expansion Evaluation is to assess the success of the SOC 
expansion planning and implementation grants in expanding the reach of 
SOC values, principles, and practices. These include maximizing system-
level coordination and planning, offering a comprehensive array of 
services, and prioritizing family and youth involvement. In order to 
obtain a clear picture of SOC expansion grant activities, this 
longitudinal, multi-level evaluation will measure activities and 
performance of grantees at three levels essential to building and 
sustaining effective SOCs. The three levels are: jurisdiction, local 
system, and child and family levels.
    Data collection activities will occur through four evaluation 
components. Each component includes data collection activities and 
analyses involving similar topics. Each component has multiple 
instruments that will be used to address various aspects. Thus, there 
are a total of eight new instruments that will be used to conduct this 
evaluation. All four evaluation components involve collecting data from 
implementation grantees, but only the Implementation assessment 
includes data collection from planning grantees as well.
    The four studies with their corresponding data collection 
activities are as follows:
    (1) The Implementation assessment will document the development and 
expansion of SOCs. Data collection activities include: (a) Stakeholder 
Interviews with high-level administrators, youth and family 
representatives, and child agencies to describe the early 
implementation and expansion efforts of planning and implementation 
grants, (b) the web-based Self-Assessment of Implementation Survey to 
assess SOC implementation and expansion at the jurisdictional level 
over time, and (c) the SOC Expansion Assessment (SOCEA) administered to 
local providers, managers, clients, and their caregivers to measure SOC 
expansion strategies and processes implemented related to direct 
service delivery at the local system level. Implementation grantees 
will participate in all three of the Implementation assessment data 
collection activities. Planning grantee participation will be limited 
to the Stakeholder Interview and the Self-Assessment of Implementation 
Survey.
    (2) The Network Analysis will use Network Analysis Surveys to 
determine the depth and breadth of the SOC collaboration across 
agencies and organization. Separate network analysis surveys will be 
administered at the jurisdiction and local service system levels. The 
Geographic Information System (GIS) Component will measure the 
geographic coverage and spread of the SOC, including reaching 
underserved areas and populations. At the jurisdictional and local 
service system levels, the GIS component will use office and business 
addresses of attendees to key planning, implementation and expansion 
events. At the child/youth and family level, Census block groups 
(derived from home addresses) will be used to depict the geographic 
spread of populations served by SOCs.

[[Page 59499]]

    (3) The Financial Mapping Component involves the review of 
implementation grantees' progress in developing financial 
sustainability and expansion plans. The Financial Mapping Interview 
will be conducted with financial administrators of Medicaid Agencies, 
Mental Health Authorities, mental health provider trade associations, 
and family organizations. The Benchmark Component will compare relative 
rates of access, utilization, and costs for children's mental health 
services using the Benchmarking Tool and administrative data requested 
from financial administrators and personnel working with Medicaid 
Agency and Mental Health Authority reporting and payment systems.
    (4) The Child and Family Outcome Component will collect 
longitudinal data on child clinical and functional outcomes, family 
outcomes, and child and family background. Data will be collected at 
intake, 6-months, and 12-months post service entry (as long as the 
child/youth is still receiving services). Data will also be collected 
at discharge if the child/youth leaves services before the 12-month 
data collection point. Data will be collected using the following 
scales: (a) A shortened version of the Caregiver Strain Questionnaire, 
(b) the Columbia Impairment Scale, (c) the Pediatric Symptom Checklist-
17, (d) Family/Living Situation items, and (e) background information 
gathered through the Common Data Platform (CDP). Although OMB approval 
for the CPD has been sought separately under an unrelated contract, 
this data collection will include both youth age 11 to 17 and their 
caregivers whereas CDP includes only one of these respondents (i.e., 
youth or caregiver).
    Estimated Burden. Data will be collected from approximately 56 
planning and 107 implementation grants, 214 local systems within the 
implementation grant jurisdictions. Data collection for this evaluation 
will be conducted over a 4-year period.
    The average annual respondent burden estimate reflects the average 
number of respondents in each respondent category, the average number 
of responses per respondent per year, the average length of time it 
will take to complete each response, and the total average annual 
burden for each category of respondent for all categories of 
respondents combined. Table 1 shows the estimated annual burden 
estimate by instrument and respondent. Burden is summarized in Table 2.

                                                        Table 1--Estimated Average Annual Burden
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                                                                                                                                                Total
                                                                                      Number of     Responses      Total        Hours per       annual
      Instrument/ data collection activity                   Respondent              respondents       per       number of      response        burden
                                                                                                   respondent    responses                      hours
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                                                                Implementation Assessment
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Stakeholder Interview \a\......................  Project Director.................            54          1              54           1.3             72
                                                 Family Organization                          54          1              54           1.3             72
                                                  Representative.
                                                 Youth Organization Representative            54          1              54           1.2             64
                                                 Core Agency Partners \b\.........           272          1             272           1.0            272
SAIS \a\.......................................  Grant leadership.................           815          1.89        1,540           0.82         1,258
SOCEA..........................................  Project Director &                          214          1             290           1.5            435
                                                  Representatives from Family &
                                                  Youth Organizations.
                                                 Core Agency Rep, Service                    870          1             870           1            1,077
                                                  Providers.
                                                 Care Coordinators................           193          1             193           1.7            329
                                                 Caregivers.......................           193          1             193           0.75           214
                                                 Clients 11-21....................           193          1             193           0.5             97
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                                                                 Network Analysis Survey
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Jurisdiction...................................  Grant leadership.................           357          1             357           0.4            149
Local system...................................  Local providers of direct                   713          1             713           0.4            297
                                                  services.
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                                             GIS Component: Group Collaborative Events for GIS Analysis Form
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Jurisdiction...................................  Grant administrator/Project                 107          4             428           0.25           107
                                                  Director.
Local system...................................  Local administrator/Project                 214          4             856           0.25           214
                                                  Director.
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                                                       Financial Mapping and Benchmark Components
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Financial Mapping Interview....................  Financial administrators at:                 99          1              99           2.0            221
                                                  Medicaid Agencies & MH
                                                  Authorities.
                                                 Financial administrators at:                 33          1              33           1.5             53
                                                  Trade associations & Family
                                                  organizations.
Benchmark Tool.................................  Payment/reporting personnel at:..            24          1              24          40.0            960
                                                 Medicaid Agencies & MH
                                                  Authorities.
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                                                           Child and Family Outcome Component
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Background Information (CDP) \c\...............  Caregivers of clients age 11-17           1,283      \e\ 2.12        2,720           0.37           998
                                                  \d\.
                                                 Clients age 11-17................         1,283          2.12        2,720           0.37           998
Family/Living Information......................  Caregivers of clients age 5-17            6,454          2.12       13,683            .05           684
                                                  \f\.
                                                 Clients age 18-21 \g\............         1,322          2.12        2,802            .05           140
Caregiver Strain Questionnaire--Short Form.....  Caregivers of clients age 5-17...         6,454          2.12       13,683           0.12         1,642
Columbia Impairment Scale......................  Caregivers of clients age 5-17...         6,454          2.12       13,683           0.08         1,095

[[Page 59500]]

 
                                                 Clients age 11-21 \h\............         3,888          2.12        8,243           0.08           659
Pediatric Symptom Checklist--17................  Caregivers of clients age 5-17...         6,454          2.12       13,683           0.05           684
                                                 Clients age 11-21................         3,888          2.12        8,243           0.05           412
Client record review...........................  Site staff.......................            56        407          22,794           0.21         4,787
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                                                                   Total Annual Burden
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All............................................  All..............................        14,423  ............      108,477  ..............       17,989
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\a\ Burden includes planning and implementation grantees.
\b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors.
\c\ OMB clearance sought for CDP is limited to the added burden for a second respondent (Caregiver OR Client age 11 to 17). For clients age 11 to 17,
  CDP only collects information from either Caregivers OR youth. In addition, clearance is requested for the burden only as OMB approval of CDP has been
  sought separately.
\d\ Assumes 33% of clients will be age 11 to 17 and that the additional CDP interview for clients age 11 to 17 and their caregiver will be evenly split
  between clients and caregivers. Evaluation design requires all participating clients age 5 to 17 to have a caregiver participating in the evaluation.
\e\ Accounts for attrition.
\f\ Assumes 83% of clients will be age 5 to 17.
\g\ Assumes 17% of clients will be age 18 to 21.
\h\ Assumes 50% of clients will be age 11 to 21.


                                     Table 2--Total Estimated Annual Burden
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                                                                                                      Average
               Instrument/data collection activity                   Number of     Total  number  annual  burden
                                                                    respondents    of  responses      (hours)
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Stakeholder Interview...........................................             435             435             479
SAIS............................................................             815           1,540           1,258
SOCEA...........................................................           1,284           1,740           2,151
Network analysis survey.........................................           1,070           1,070             446
GIS.............................................................             321           1,284             321
Financial mapping interview.....................................             132             132             274
Benchmark Tool..................................................              24              24             960
Child and family tools (respondent & staff burden)..............          10,342         102,253          12,100
                                                                 -----------------------------------------------
    Total.......................................................          14,423         108,477          17,989
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Send comments to Summer King, SAMHSA Reports Clearance Officer, Room 2-
1057, One Choke Cherry Road, Rockville, MD 20857 or email her a copy at 
[email protected]. Written comments should be received by 
December 1, 2014.

Summer King,
Statistician.
[FR Doc. 2014-23454 Filed 10-1-14; 8:45 am]
BILLING CODE 4162-20-P