[Federal Register Volume 80, Number 244 (Monday, December 21, 2015)]
[Notices]
[Pages 79349-79351]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31951]


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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: Community Support Evaluation (CSE)--New

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS), is requesting 
clearance for the new data collection associated with the CSE. The CSE 
is a multicomponent evaluation of two SAMHSA programs--Behavioral 
Health Treatment Court Collaborative (BHTCC) and Transforming Lives 
through Supported Employment (SE). SE intends to promote recovery for 
individuals with serious mental illness, substance

[[Page 79350]]

use, and co-occurring mental and substance use disorders. The programs 
are rooted in the belief that recovery is a holistic process bolstered 
by trauma-informed care and individual- and community-level support.
    The purpose of the CSE is to (1) describe and assess BHTCC and SE 
grantee activities and procedures, including the intermediate or direct 
effects of the programs on participants; (2) document the application 
and sanctioned adaptations of BHTCC programs in the justice system and 
of the SE Program; and (3) design and implement plans to disseminate 
knowledge about how to replicate effective projects in other States, 
territories, tribal nations, and communities. Findings will inform 
current grantees, policymakers, and the field about ways to transform 
the behavioral health system to cultivate resiliency and recovery, 
actively collaborate with and engage, and improve service delivery for 
individuals with serious mental, substance, and co-occurring disorders 
who are in recovery.
    Eight data collection activities compose the CSE--five for 
administration with BHTCC program grantees and three to be conducted 
with SE program grantees.

BHTCC Study Instruments

    Biannual Program Inventory (BPI)-BHTCC: The BPI-BHTCC is a Web-
based survey that will capture infrastructure development and direct 
services that are part of the BHTCC programs. Data include the types of 
planning, infrastructure, and collaboration grantees are implementing; 
trainings conducted; and direct services offered as part of the 
program. The BPI will be completed by grantee evaluation staff twice 
yearly (April and October) over the grant period.
    System-Level Assessment (SLA) Key Informant Interviews (KIIs): The 
SLA KIIs will be conducted with five stakeholders from each BHTCC 
grantee to assess collaboration strategies to expand or better serve 
participants; processes for recruiting, screening, and retaining 
participants; practices to ensure treatment adherence and criminal 
justice compliance; and involvement of consumers in program planning 
and implementation. Data include implementation processes/outcomes; 
service infrastructure, capacity, entry, and delivery processes; 
management structure; reward and sanction models; trauma-informed 
practices; collaboration among BHTCC participants; and facilitators and 
barriers to collaboration. There are three versions of the SLA KIIs: 
(1) Court personnel (administrators, coordinators, judges, attorneys), 
(2) service provider (case managers, BHTCC peer specialists), and (3) 
consumer (clients, family members). Grantee staff will assist with 
respondent recruitment by collecting consent to contact from potential 
participants and forwarding the forms to the CSE team. The SLA KIIs 
will be conducted in grant years two and four via telephone or Skype. 
The SLA KIIs will cover the same information across years; however, the 
Year 4 SLA KIIs also will ask for specific plans for future 
implementation.
    Concept Mapping: A total of four concept mapping exercises will be 
conducted--one local and three cross-site concept maps will be created. 
All concept mapping exercises will be coordinated at the local level 
with assistance from the CSE team. Beginning in Year two, each grantee 
will identify and recruit up to 20 stakeholders (BHTCC peers, 
consumers, family members of consumers, and court personnel) to 
participate in the first exercise. Concept mapping will be conducted 
via a Web-based program; accommodations will be made for respondents 
who do not have access to computers via telephone or paper/pencil.
    [ssquf] Exercise 1--Local Concept Maps: Between Years two and 
three, each BHTCC grantee will generate a local concept map identifying 
the priority supports for recovery. The exercise will take place in two 
parts. First, participants will be asked to brainstorm as many 
responses as they wish to a focus prompt about system-level change 
(e.g., one way that this BHTCC collaborative provides support to 
consumers is . . .). At a later date, local staff will ask participants 
to sort and rate the full list of responses from the brainstorming 
activity in ``any way that makes sense'' to them. Respondents will 
sort/rate the responses--once for importance and once for frequency--
into groups and name them. The resulting information will be entered 
into Concept System software to generate a local map identifying the 
most important aspects of the grantee program that support recovery.
    [ssquf] Exercise 2--Keys to Recovery (KTR) Map 1: In Year four, up 
to 20 stakeholders from each BHTCC grantees will participate in a 
second sorting/rating of local concept mapping information. Grantee 
staff will develop a list of the most common brainstormed responses to 
the original local concept mapping exercise. The information will be 
used to generate a cross-site map on the basis of input from the 17 
BHTCC sites.
    [ssquf] Exercises 3 and 4--Keys to Recovery Maps 2 and 3: In Year 
four, two groups of up to five BHTCC grantees with a particular court 
structure or program focus (e.g., veterans' court and other BHTCC types 
of court models, such as key recovery supports addressing a specific 
aspect or type of severe mental illness) will participate in two 
concept mapping exercises to generate KTR maps. The program focus will 
be determined after the initial site-specific maps have been analyzed. 
Up to 20 stakeholders from each participating grantee will engage in 
brainstorming and sorting/rating activities. Respondents will 
participate via Web, telephone, or paper/pencil.
    18-Month Client Level Abstraction Tool: The 18-Month Tool is an 
Excel-based tool that collects existing data on long-term client 
outcomes on recidivism. Data include (1) rearrest dates (from the 
National Crime Information Center database), (2) recommitment dates 
(from State departments of corrections and local/county jails and 
corrections), (3) revocation dates (from State and local corrections), 
and (4) risk assessment quantitative score. Grantee staff will complete 
the tool at 18 months from the baseline period for any client enrolled 
in the BHTCC program. Beginning in year two, grantees will upload all 
extracted data on a quarterly basis. In their final upload (last month 
of grant activity), grantees will include data for all clients not 
currently submitted including those enrolled less than 18 months. The 
18-Month Tool will be completed by BHTCC grantee evaluation staff using 
existing sources. In addition, court staff (e.g., court clerks) from 
two BHTCC comparison courts will complete the tool for non-BHTCC 
participants as part of a comparison study.
    Comparison Study Client Level Abstraction Tool: The Comparison 
Study Tool is an Excel-based tool that collects existing data on 
comparison cases (individuals who are not participating in the BHTCC 
program but are comparable in program eligibility) at baseline and six 
months. Baseline data include demographics and status of screening for 
co-occurring disorders, employment, and probation/parole. Data 
abstracted through the six-month tool include employment status, 
probation/parole status, services received (e.g., case management, 
treatment, medical care, after care, peer-to-peer recovery support, and 
education) and number of days services were received. Respondents will 
include court staff

[[Page 79351]]

(e.g., court clerks) at comparison courts who have regular interaction 
with clients during their involvement in the justice system. 
Respondents will complete the tool on the basis of (1) court paperwork 
and (2) information discussed during regular court-related 
interactions.

SE Study Instruments

    Biannual Program Inventory-SE: The BPI-SE is a Web-based survey 
that captures the infrastructure development and direct services that 
are part of the SE programs. Data include the types of planning that SE 
grantees and local implementation sites are implementing and activities 
and infrastructure developed as part of the project. The BPI is 
administered twice yearly (April and October) over the grant period and 
will be completed by SE grantee program staff.
    Scalability/Sustainability Assessment (SSA) KIIs: The SSA KIIs will 
be conducted with various stakeholders to assess local SE program 
resources, infrastructure, outcomes, sustainability, and scalability 
from stakeholders. Data include changes in outcomes, workforce 
development, State-level collaboration, partnerships and policies, and 
scalability and sustainability. There are two versions of the SSA 
KIIs--each is tailored to the intended audience: (1) State-level 
administrator (project directors, agency directors, SECC members) and 
(2) local, pilot-level service provider (local service provider). The 
SSA KIIs will be conducted remotely by telephone and/or Skype 
technology in years two and four of the evaluation with five 
stakeholders from each SE grantee. The KIIs cover the same information 
across years; however, Year four KIIs will follow up on how the 
infrastructure and activities taking place in Year two come to 
fruition.
    Employment Needs Focus Groups (FGs): The employment needs FGs will 
be conducted to gather information about the needs and experiences of 
employment specialists, consumers, and employers as they relate to 
supported employment principles and program goals. Data include local 
program implementation, the adoption of policies and practices for 
sustainability and scalability, and recommendations for program 
improvement and implementation best practices. Employment Needs FGs 
will be conducted with employment specialists and employers (who have 
and have not participated in the program) virtually using a Web-based 
platform (such as JoinMe) in years two and four of grant funding. 
Specific topics are tailored to respondent type.
    [ssquf] Employment specialists will discuss training received and 
techniques used to engage employers, the needs and experiences of 
clients and employers, facilitators and barriers to program 
implementation, and program scalability and sustainability. The 
employment specialist FG will take 90 minutes.
    [ssquf] Employers (e.g., hiring managers, supervisors) will discuss 
experiences and satisfaction with the program, factors that facilitate 
and pose barriers to their participation, and program scalability and 
sustainability. The employer FG will take 60 minutes.
    The estimated response burden to collect this information 
associated with the CSE is as follows, annualized over the requested 
three-year clearance period, as presented below:

                        Total and Annualized Averages: Respondents, Responses, and Hours
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                                                                                    Burden per
           Instrument                Number of     Responses per   Total Number      response      Annual burden
                                    respondents     respondent     of responses       (hours)        (hours) *
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                                             BHTCC Study Instruments
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Biannual Program Inventory-BHTCC              17               2              34            0.75              26
System Level Assessment KIIs....              58               1              58            1                 58
18-Month Abstraction Tool.......              19               1              19            5.40           102.6
Comparison Study Abstraction                   2               1               2            7                 14
 Tool (BL)......................
Comparison Study Tool (6 Mo)....               2               1               2            7                 14
Concept Mapping Brainstorm/Sort/             180               1             180            1                180
 Rate...........................
Concept Mapping Sort/Rate.......             115               1             115            0.5               58
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                                              SE Study Instruments
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Biannual Program Inventory-SE...               7               2              14            0.75              11
Sustainability/Scalability KIIs.              28               1              28            1                 28
Employer FG.....................              28               1              28            1                 28
Employment Specialist FG........              28               1              28            1.5               42
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    Total.......................             467  ..............             508  ..............             562
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* Rounded to the nearest whole number.

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 OR email a copy 
to [email protected]. Written comments should be received by 
February 19, 2016.

Summer King,
Statistician.
[FR Doc. 2015-31951 Filed 12-18-15; 8:45 am]
BILLING CODE 4162-20-P