[Federal Register Volume 82, Number 44 (Wednesday, March 8, 2017)]
[Notices]
[Pages 12979-12981]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04488]


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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: 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

[[Page 12980]]

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

                                        Table 1--Estimated Annual Burden
----------------------------------------------------------------------------------------------------------------
                                                                                                         Total
  Instrument/data collection                        Number of    Responses      Total      Hours per    annual
           activity                 Respondent     respondents      per       number of    response     burden
                                                                 respondent   responses                  hours
----------------------------------------------------------------------------------------------------------------
                                            Implementation Assessment
----------------------------------------------------------------------------------------------------------------
Key Partner Interviews........  Project Director.           84            2          168         1.5         252
                                Family                      54            2          108         1.5         162
                                 Organization
                                 Representative
                                Youth                       54            2          108         1.5         162
                                 Organization
                                 Representative
                                MH Agency                   54            2          108         1.5         162
                                 Director
                                Core Agency                162            2          324        0.75         243
                                 Partners \b\
                                Quality Monitor             54            2          108        0.33          36
SOCESS........................  Project Director.           84            4          336         0.5         168
                                Family                     108            4          432         0.5         216
                                 Organization
                                 Representative
                                Youth                      108            4          432         0.5         216
                                 Organization
                                 Representative
                                Core Agency                432            4        1,728         0.5         864
                                 Partners
                                Practitioners              690            4        2,760         0.5       1,380
----------------------------------------------------------------------------------------------------------------
                                             Network Analysis Survey
----------------------------------------------------------------------------------------------------------------
Network Analysis Survey.......  Key Agency                 690            2        1,380         0.5         690
                                 Partners.
----------------------------------------------------------------------------------------------------------------
                                   Financial Mapping and Benchmark Components
----------------------------------------------------------------------------------------------------------------
Financial Mapping Interview...  Financial                  108            2          216        0.75         162
                                 administrators
                                 at: Medicaid
                                 Agencies & MH
                                 Authorities.
                                Financial                  108            2          216         0.5         108
                                 administrators
                                 at: Trade
                                 associations &
                                 Family
                                 organizations
                                Tribal Financial             9            2           18        0.75          14
                                 Administrators
Benchmark Tool................  Payment personnel           12            2           24          40         960
                                 at Medicaid
                                 Agencies & MH
                                 Authorities.
Financial Plan Interviews.....  Financial                   54            3          162         0.6          97
                                 Planning
                                 Directors.
----------------------------------------------------------------------------------------------------------------
                                       Child and Family Outcome Component
----------------------------------------------------------------------------------------------------------------
Administrative Measures.......  Caregivers of            4,136            1        4,136        0.05         207
                                 clients age 0-17
                                 \c\.
                                Clients age 11-26        1,685            1        1,685        0.05          84
Client Functioning............  Caregivers of            4,136            3       12,408        0.15       1,861
                                 clients age 0-17
                                 \c\.
                                Clients age 11-26          970            3        2,910        0.15         437
                                 \d\
Caregiver Strain Questionnaire  Caregivers of            4,136            3       12,408        0.15       1,861
                                 clients age 0-17
                                 \c\.
Columbia Impairment Scale.....  Caregivers of            2,859            3        8,577        0.08         686
                                 clients age 5-17
                                 \e\.
                                Clients age 11-26        2,655            3        7,965        0.08         637
                                 \d\
Pediatric Symptom Checklist-17  Caregivers of            2,859            3        8,577        0.05         429
                                 clients age 5-17
                                 \e\.
                                Clients age 11-26        2,655            3        7,965        0.05         398
                                 \d\
----------------------------------------------------------------------------------------------------------------
                                                New Tools in 2015
----------------------------------------------------------------------------------------------------------------
Brief Infant and Toddler        Caregivers of            1,277            3        3,831        0.08         306
 Emotional Assessment (BITSEA).  children and
                                 youth 0 to 5
                                 years of age \f\.
Baby Pediatric Symptom          Caregivers of              638            3        1,914        0.05          96
 Checklist (BPSC).               children and
                                 youth for ages 1
                                 month to 18
                                 months \f\.
Preschool Pediatric Symptom     Caregivers of              639            3        1,917        0.05          96
 Checklist (PPSC).               children and
                                 youth for ages
                                 18 months to 66
                                 months \f\.
                                                  --------------------------------------------------------------
Total Annual Burden:
    All.......................  All \g\..........       12,107  ...........       36,354  ..........      12,990
----------------------------------------------------------------------------------------------------------------
\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.


[[Page 12981]]


                                     Table 2--Total Estimated Annual Burden
----------------------------------------------------------------------------------------------------------------
                                                                     Number of     Total number   Average annual
               Instrument/data collection activity                  respondents    of responses   burden (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
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by April 7, 2017 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: 
[email protected]. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2017-04488 Filed 3-7-17; 8:45 am]
BILLING CODE 4162-20-P