[Federal Register Volume 83, Number 84 (Tuesday, May 1, 2018)]
[Notices]
[Pages 19075-19076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09146]



[[Page 19075]]

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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 at (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: Government Performance and Results Act (GPRA) Client/
Participant Outcomes Measure--(OMB No. 0930-0208)--Revision

    SAMHSA is requesting approval to add 13 new questions to its 
existing CSAT Client-level GPRA instrument. Grantees will only be 
required to answer no more than four additional questions, per CSAT 
grant awarded, in addition to the other questions on the instrument. 
Currently, the information collected from this instrument is entered 
and stored in SAMSHA's Performance Accountability and Reporting System, 
which is a real-time, performance management system that captures 
information on the substance abuse treatment and mental health services 
delivered in the United States. Continued approval of this information 
collection will allow SAMHSA to continue to meet Government Performance 
and Results Modernization Act of 2010 reporting requirements that 
quantify the effects and accomplishments of its discretionary grant 
programs, which are consistent with OMB guidance.
    SAMHSA and its Centers will use the data for annual reporting 
required by GPRA and comparing baseline with discharge and follow-up 
data. GPRA requires that SAMHSA's fiscal year report include actual 
results of performance monitoring for the three preceding fiscal years. 
The additional information collected through this process will allow 
SAMHSA to: (1) Report results of these performance outcomes; (2) 
maintain consistency with SAMHSA-specific performance domains, and (3) 
assess the accountability and performance of its discretionary and 
formula grant programs.
    Proposed changes include the addition of 13 questions to the 
instrument. The proposed questions are:
    1. Behavioral Health Diagnoses--Please indicate patient's current 
behavioral health diagnoses using the International Statistical 
Classification of Diseases, 10th revision, Clinical Modification (ICD-
10-CM) codes listed below: (Select from list of Substance Use Disorder 
Diagnoses and Mental Health Diagnoses)
    2. [For grantee, at discharge and follow-up] Which of the following 
occurred for the client, as a result of receiving treatment?

a. Client was reunited with child (children)
b. Client avoided out of home placement for child (children)
c. None of the above

    3. [For grantee] Please indicate the following:

a. Was this client diagnosed with an opioid use disorder? (Yes/No)
    i. If yes, indicate which FDA-approved medication the client 
received for the treatment of opioid use disorder. (Methadone, 
Buprenorphine, Naltrexone, Extended-release naltrexone, Client did not 
receive an FDA-approved medication for opioid use disorder)
    1. If client received an FDA-approved medication for opioid use 
disorder, indicate the number of days the client received medication.
b. Was the client diagnosed with an alcohol use disorder? (Yes/No)
    i. If yes, indicate which FDA-approved medication the client 
received for alcohol use disorder. (Naltrexone, Extended-release 
Naltrexone, Disulfiram, Acamprosate, Client did not receive an FDA-
approved medication for alcohol use disorder)
    1. If client received an FDA-approved medication for alcohol use 
disorder, indicate the number of days the client received medication

    4. [For client] Did the [insert grantee name] help you obtain any 
of the following benefits?

a. Private health insurance
b. Medicaid
c. SSI/SSDI
d. TANF
e. SNAP

    5. [For client] Which of the following were achieved as a result of 
receiving services or supports from [insert grantee name]?

a. Enrolled in school
b. Enrolled in vocational training
c. Currently employed
d. Living in stable housing

    6. [For client] Please indicate the degree to which you agree or 
disagree with the following statement (Strongly Disagree, Disagree, 
Undecided, Agree, Strongly Agree).

a. Receiving treatment in a non-residential setting has enabled me to 
maintain parenting and family responsibilities while receiving 
treatment.

    7. [For client] Please indicate the degree to which you agree or 
disagree with the following statement (Strongly Disagree, Disagree, 
Undecided, Agree, Strongly Agree).

a. Receiving treatment in a residential setting with my child 
(children) enabled me to focus on my treatment without the distractions 
of parenting and family responsibilities.
b. As a result of treatment, I feel I now have the skills and supports 
to balance parenting and managing my recovery.

    8. [For grantee] Please indicate which type of funding was/will be 
used to pay for the SBIRT services provided to this client. (check all 
that apply):

a. Current SAMHSA grant funding
b. Other federal grant funding
c. State funding
d. Client's private insurance
e. Medicaid/Medicare
f. Other (Specify)

    9. [For grantee at baseline] If client screened positive for 
substance misuse or a substance use disorder, was the client assigned 
to the following types of services?

1. Brief Intervention (Yes/No)
2. Brief Treatment (Yes/No)
3. Referral to Treatment (Yes/No)

    [For grantee at follow-up and discharge] Did the client receive the 
following types of services?

1. Brief Intervention (Yes/No)
2. Brief Treatment (Yes/No)

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3. Referral to Treatment (Yes/No)

    10. [For grantee] Did this client get screened and referred to 
treatment for an opioid use disorder or an alcohol use disorder? Yes/No

a. If yes, did they receive an FDA-approved medication for the 
treatment of opioid use disorder or alcohol use disorder? Yes/No
    i. If yes, specify the FDA-approved medication (methadone, 
buprenorphine, naltrexone, extended-release naltrexone) for opioid use 
disorder.
    ii. If yes, specify the FDA-approved medication (naltrexone, 
extended-release naltrexone, disulfiram, acamprosate) for alcohol use 
disorder.

    11. [For client] Did the program provide the following: (Asked of 
client at follow up)

a. HIV test--Yes/No
    i. If yes, the result was--Positive/Negative/Indeterminate/Don't 
know
    ii. If the result was Positive were you connected to treatment 
services--Yes/No
b. Hepatitis B (HBV) test--Yes/No
    i. If yes, the result was--Positive/Negative/Indeterminate/Don't 
know
    ii. If the result was Positive were you connected to treatment 
services--Yes/No
c. Hepatitis C (HCV) test--Yes/No
    i. If yes, the result was--Positive/Negative/Indeterminate/Don't 
know
    ii. If the result was Positive were you connected to treatment 
services--Yes/No

    12. [For client] Indicate the degree to which you agree or disagree 
with each of the following statements by using: Strongly Disagree, 
Disagree, Neutral, Agree, Strongly Agree, Not Applicable

a. The use of technology accessed through (insert grantee or program 
name) helped me
    i. Communicate with my provider
    ii. Reduce my substance use
    iii. Manage my mental health symptoms
    iv. Support my recovery

    13. [For client] To what extent has this program improved your 
quality of life? (To a Great Extent, Somewhat, Very Little, Not at All)

                                  Table 1--Estimates of Annualized Hour Burden
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                                     Number of    Responses  per   Total  number   Burden  hours   Total  burden
           SAMHSA tool              respondents      respondent    of  responses   per response        hours
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Baseline Interview Includes              179,668               1         179,668            0.60         107,801
 SBIRT Brief TX, Referral to TX,
 and Program-specific questions.
Follow-Up Interview with Program-        143,734               1         143,734            0.60          86,240
 specific questions \1\.........
Discharge Interview with Program-         93,427               1          93,427            0.60          56,056
 specific questions \2\.........
SBIRT Program--Screening Only...         594,192               1         594,192            0.13          77,245
SBIRT Program--Brief                     111,411               1         111,411             .20          22,282
 Intervention Only Baseline.....
SBIRT Program--Brief                      89,129               1          89,129             .20          17,826
 Intervention Only Follow-Up \1\
SBIRT Program--Brief                      57,934               1          57,934             .20          11,587
 Intervention Only Discharge \2\
                                 -------------------------------------------------------------------------------
    CSAT Total..................         885,271  ..............       1,269,495  ..............         379,037
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Note: Numbers may not add to the totals due to rounding and some individual participants completing more than
  one form.
\1\ It is estimated that 80% of baseline clients will complete this interview.
\2\ It is estimated that 52% of baseline clients will complete this interview.

    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 July 2, 2018.

Summer King,
Statistician.
[FR Doc. 2018-09146 Filed 4-30-18; 8:45 am]
BILLING CODE 4162-20-P