[Federal Register Volume 81, Number 246 (Thursday, December 22, 2016)]
[Notices]
[Pages 93946-93948]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-30809]


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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: Children's Mental Health Initiative National 
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 Children's Mental Health Initiative (CMHI) 
National Evaluation.
    Evaluation Plan and Data Collection Activities. The purpose of the 
Children's Mental Health Initiative (CMHI) National Evaluation is to 
assess the success of the CMHI grants in expanding and sustaining 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 CMHI grant 
activities, this longitudinal, multi-level evaluation will measure 
activities and performance of grantees essential to building and 
sustaining effective Systems of Care (SOC)'s.
    Data collection activities will occur through four evaluation 
components. Each component includes data collection activities and 
analyses involving similar topics. Each component has one or more 
instruments that will be used to address various aspects. The four 
components with their corresponding data collection activities are as 
follows:
    (1) The Implementation Assessment is designed using a strategic 
framework that provides five analytic dimensions: (1) Policies, (2) 
services/supports, (3) financing, (4) training/workforce, and (5) 
strategic communications. These dimensions cut across the State System, 
Local System and Service Delivery levels and together link to a range 
of proximal and distal outcomes. The evaluation will identify and 
assess the mechanisms and strategies employed to implement and expand 
systems of care, and explore the impact on system performance and child 
and family outcomes. Evaluation activities are framed by the five 
strategic areas to examine whether specific mechanisms and strategies 
lead to proximal and distal outcomes. System of care principles are 
woven throughout the framework at both the State and Local levels. Data 
collection activities include: (A) Key Partner Interviews with high-
level administrators, youth and family representatives, and child 
agencies to organize qualitative data collection into these five areas 
and to allow within and across grantee evaluation of the implementation 
and impact of activities in these areas; and (B) the System of Care 
Expansion and Sustainability Survey (SOCESS), a self-report survey 
administered to representatives from grantee organizations, family and 
youth organizations, child-serving sectors, advocacy organizations for 
diverse populations, provider organizations, and financial officers, 
among others. The SOCESS is designed to capture self-report 
implementation data in the five analytic dimensions adopted by the 2015 
CMHI National Evaluation.
    (2) The Network and Geographic Analysis Component will use Network 
Analysis Surveys to determine the depth and breadth of the SOC 
collaboration across agencies and organization. Geographic Information 
Systems (GIS) will measure the geographic coverage and spread of the 
SOC, including reaching underserved areas and populations. 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.
    (3) The Financial Component involves the review of implementation 
grantees' progress in developing financial sustainability and expansion 
plans. The Financial Mapping Interview and Financing Plan Survey and 
Interviews will be conducted with financial administrators of Medicaid 
Agencies, Mental Health Authorities, mental health provider trade 
associations, and family organizations. The Financial Plan Interview 
will focus on how the financial planning process supported or hindered 
attainment of sustainable financing. The Benchmarking Analysis 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 for youth age five and older: (A) A shortened version of the 
Caregiver Strain Questionnaire, (B) the Columbia Impairment Scale, (C) 
the Pediatric Symptom Checklist-17, and (D) background information 
gathered through SAMHSA National Outcomes Measures (NOMS). Data for 
youth age 0-4 will be collected using the: (A) Baby Pediatric Symptom 
Checklist; (B) Brief Infant and Toddler Emotional Assessment; (C) Pre-
School Pediatric Symptom Checklist and d) background information from 
the NOMS.
    Estimated Burden. Data will be collected from 69 grantee sites. 
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

[[Page 93947]]

the estimated annual burden estimate by instrument and respondent. 
Burden is summarized in Table 2.

                                                            Table 1--Estimated Annual Burden
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                                                                             Number of     Responses per   Total number      Hours per     Total annual
    Instrument/data collection activity              Respondent             respondents     respondent     of responses      response      burden hours
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                                                                Implementation Assessment
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Key Partner Interviews....................  Project Director............              84               2             168             1.5             252
                                            Family Organization                       54               2             108             1.5             162
                                             Representative.
                                            Youth Organization                        54               2             108             1.5             162
                                             Representative.
                                            MH Agency Director..........              54               2             108             1.5             162
                                            Core Agency Partners \b\....             162               2             324            0.75             243
                                            Quality Monitor.............              54               2             108            0.33              36
SOCESS....................................  Project Director............              84               4             336             0.5             168
                                            Family Organization                      108               4             432             0.5             216
                                             Representative.
                                            Youth Organization                       108               4             432             0.5             216
                                             Representative.
                                            Core Agency Partners........             432               4           1,728             0.5             864
                                            Practitioners...............             690               4           2,760             0.5           1,380
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                                                                 Network Analysis Survey
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Network Analysis Survey...................  Key Agency Partners.........             690               2           1,380             0.5             690
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                                                       Financial Mapping and Benchmark Components
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Financial Mapping Interview...............  Financial administrators at:             108               2             216            0.75             162
                                             Medicaid Agencies & MH
                                             Authorities
                                            Financial administrators at:             108               2             216             0.5             108
                                             Trade associations & Family
                                             organizations.
                                            Tribal Financial                           9               2              18            0.75              14
                                             Administrators.
Benchmark Tool............................  Payment personnel at                      12               2              24              40             960
                                             Medicaid Agencies & MH
                                             Authorities.
Financial Plan Interviews.................  Financial Planning Directors              54               3             162             0.6              97
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                                                           Child and Family Outcome Component
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Administrative Measures...................  Caregivers of clients age 0-           4,136               1           4,136            0.05             207
                                             17 \c\.
                                            Clients age 11-26...........           1,685               1           1,685            0.05              84
Client Functioning........................  Caregivers of clients age 0-           4,136               3          12,408            0.15           1,861
                                             17 \c\.
                                            Clients age 11-26 \d\.......             970               3           2,910            0.15             437
Caregiver Strain Questionnaire............  Caregivers of clients age 0-           4,136               3          12,408            0.15           1,861
                                             17 \c\.
Columbia Impairment Scale.................  Caregivers of clients age 5-           2,859               3           8,577            0.08             686
                                             17 \e\.
                                            Clients age 11-26 \d\.......           2,655               3           7,965            0.08             637
Pediatric Symptom Checklist-17............  Caregivers of clients age 5-           2,859               3           8,577            0.05             429
                                             17 \e\.
                                            Clients age 11-26 \d\.......           2,655               3           7,965            0.05             398
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                                                                    New Tools in 2015
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Brief Infant and Toddler Emotional          Caregivers of children and             1,277               3           3,831            0.08             306
 Assessment (BITSEA).                        youth 0 to 5 years of age
                                             \f\.
Baby Pediatric Symptom Checklist (BPSC)...  Caregivers of children and               638               3           1,914            0.05              96
                                             youth for ages 1 month to
                                             18 months \f\.
Preschool Pediatric Symptom Checklist       Caregivers of children and               639               3           1,917            0.05              96
 (PPSC).                                     youth for ages 18 months to
                                             66 months \f\.
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[[Page 93948]]

 
                                                                   Total Annual Burden
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    All...................................  All \g\.....................          12,107  ..............          36,354  ..............          12,990
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\a\ Based on the average hourly wages for Community and Social Service Specialists, All Other (21-1099; $22.47) and Social Workers (21-1020; $29.83)
  from the May 2015 National Industry-Specific Occupational Employment and Wage Estimates, 621330--Offices of Mental Health Practitioners; the Federal
  minimum wage of $7.25; and an estimated average hourly wage of $11.60 for a family of four living 25% below poverty level.
\b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors.
\c\ Assumes 81% of clients will be age 0 to 17.
\d\ Assumes 52% of clients will be age 11 to 26.
\e\ Assumes 56% of clients will be age 5 to 17.
\f\ Assumes 25% of clients will be age 0 to 5, with 12.5% of clients age 0 to 2.5, and 12.5% age 2.6 to 5).
\g\ Sums shown indicate unduplicated respondents and responses per respondent.


                                     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)
----------------------------------------------------------------------------------------------------------------
Key Partner Interview...........................................             462             924             339
SOCESS..........................................................           1,422           5,688             948
Network Analysis Survey.........................................             690           1,380             230
Financial Mapping Interview.....................................             225             450              95
Benchmark Tool..................................................              12              24             320
Financial Planning..............................................              54             162              32
Child and family instruments....................................           9,242          27,726           2,366
                                                                 -----------------------------------------------
    Total.......................................................          12,107          36,354           4,330
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
5600 Fishers Lane, Room 15E57-B, Rockville, Maryland 20857, OR email a 
copy to [email protected]. Written comments should be received 
by February 21, 2017.

Summer King,
Statistician.
[FR Doc. 2016-30809 Filed 12-21-16; 8:45 am]
 BILLING CODE 4162-20-P