[Federal Register Volume 83, Number 87 (Friday, May 4, 2018)]
[Notices]
[Pages 19792-19794]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09423]


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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: Mental Health Client/Participant Outcome Measures

(OMB No. 0930-0285)--Revision

    SAMHSA is requesting approval to add 13 questions to its existing 
Adult Client-level Instrument, and five questions to its Child/
Caregiver Client-level Instrument for Center for Mental Health Services 
(CMHS) grantees. These additional questions are related to specific 
outcomes for each grant program. Grantees will be required to answer no 
more than four of the new questions per CMHS grant awarded, in addition 
to existing questions. Currently, the information collected from these 
instruments is entered and stored in SAMHSA'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 (GPRMA) 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 collected for annual 
reporting required by required by GPRMA and to describe and understand 
changes in outcomes from baseline, to follow-up, to discharge. SAMHSA's 
report for each fiscal year will include actual results of performance 
monitoring for the three preceding fiscal years. Information collected 
through this request will allow SAMHSA to report on the results of 
these performance outcomes as well as be consistent with SAMHSA-
specific performance domains, and to assess the accountability and 
performance of its discretionary and formula grant programs. The 
additional information collected through this request will allow SAMHSA 
to improve its ability to assess the impact of its programs on key 
outcomes of interest and to gather vital diagnostic information about 
clients served by CMHS discretionary grant programs.
    Changes have been made to add a total of 13 questions to its 
existing Adult Client-level Instrument, and five questions to its 
Child/Caregiver Client-level Instrument. The 13 questions that have 
been added to the Adult Instrument are:
    1. Behavioral Health Diagnoses--Please indicate patient's current 
behavioral health diagnoses using the International 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 client] In the past 30 days, how often have you taken all 
of your psychiatric medication(s) as prescribed to you? (Always, 
Usually, Sometimes, Rarely, Never).
    3. [For grantee] In the past 30 days, how compliant has the client 
been with their treatment? (Not compliant, Minimally compliant, 
Moderately compliant, Highly compliant, Fully compliant).
    4. [For grantee] Did the client screen positive for a mental health 
or co-occurring disorder?
    a. Mental health disorder (Client screened positive, Client 
screened negative, Client was not screened).
    b. Co-occurring disorder (Client screened positive, Client screened 
negative, Client was not screened).
    i. If client screened positive, was the client referred to the 
following types of services?
    1. Mental health services (Yes/No).
    2. Co-occurring services (Yes/No).
    ii. If client was referred to services, did they receive the 
following services?
    1. Mental health services (Yes/No/Don't know).
    2. Co-occurring services (Yes/No/Don't know).
    5. [For client] Please indicate the degree to which you agree or 
disagree with the following statement: Receiving community-based 
services through the [insert grantee name] program has helped me to 
avoid further contact with the police and the criminal justice system. 
(Strongly agree to Strongly disagree).
    6. [For client] In the past 30 days, how many times have you:
    a. Been to the emergency room for a physical health care problem?
    b. Been hospitalized for a physical health care problem? (Report 
number of nights hospitalized).
    7. [For grantee at follow-up and discharge] Please indicate which 
type of funding source(s) was (were) used to pay for the services 
provided to this client since their last interview.
    8. [For client] Did the [insert grantee name] help you obtain any 
of the following benefits?

[[Page 19793]]

    9. [For client] Did the program provide the following: (Asked of 
client at Follow-up).
    a. HIV test? (Yes/No).
    i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
    ii. If result was positive, were you connected to treatment 
services? (Yes/No).
    b. Hepatitis B (HBV) test? (Yes/No).
    i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
    ii. If result was positive, were you connected to treatment 
services? (Yes/No).
    c. Hepatitis C (HCV) test? (Yes/No).
    i. If yes, what was the result? (Positive/Negative/Indeterminate/
Don't know).
    ii. If result was positive, were you connected to treatment 
services? (Yes/No).
    10. [For client if HIV status is positive]:
    a. Did you receive a referral from [grantee] to medical care?
    b. Have you been prescribed an antiretroviral medication (ART)?
    i. For clients who report being prescribed an ART: In the past 30 
days, how often have you taken your ART as prescribed to you? (Always, 
Usually, Sometimes, Rarely, Never).
    11. [For Promoting Integration of Primary and Behavioral Health 
Care grantees only] Skip to Primary and Behavioral Health Care 
Integration Section H, which captures information on blood pressure, 
BMI, waist circumference, breath CO for smoking, glucose, cholesterol 
levels, and triglycerides for adults.
    12. [For client] Did the services you received from the program 
assist you in obtaining employment?
    13. [For client] Did the services you received from the program 
assist you in maintaining employment?
    The five questions that have been added to the Child/Caregiver 
Instrument are:
    1. Behavioral Health Diagnoses--Please indicate patient's current 
behavioral health diagnoses using the International 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 client] In the past 30 days:
    a. How many times have you thought about killing yourself?
    b. How many times did you attempt to kill yourself?
    3. [For grantee at follow-up and discharge] Please indicate which 
type of funding source(s) was (were) used to pay for the services 
provided to this client since their last interview.
    4. [For client] Please indicate your agreement with the following 
items: (Strongly disagree--Strongly agree): As a result of treatment 
and services received, my (my child's) trauma and/or loss experiences 
were identified and addressed.
    5. [For client] Please indicate your agreement with the following 
items: (Strongly disagree--Strongly agree): As a result of treatment 
and services received for trauma and/or loss experiences, my (my 
child's) problem behaviors/symptoms have decreased.
    Individual grantees will only be required to respond to a subset of 
these additional questions, with no grantee completing more than four 
new questions per CMHS grant awarded. Questions will be selected by 
SAMHSA based on the specific goals and characteristics of the grant 
program.
    SAMHSA is also seeking approval to increase the frequency of 
reporting for certain physical health indictors, from annually to semi-
annually. This data is currently being reported by Primary and 
Behavioral Health Care Integration (PBHCI) grantees in Section H of the 
Adult Services Instrument. Additionally, SAMHSA is requesting approval 
to extend the collection of these indicators to Promoting Integration 
of Primary and Behavioral Health Care (PIPBHC) grantees, who will also 
report the data on a semi-annual basis.

                                   Table1--Estimates of Annualized Hour Burden
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                                    Number of     Responses per        Total         Hours per      Total hour
          SAMHSA tool              respondents      respondent       responses       response         burden
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Adult client-level baseline              41,121                1          41,121            0.67          27,551
 interview.....................
Adult client-level 6-month               27,140                1          27,140            0.67          18,184
 reassessment interview \1\....
Adult client-level discharge             12,336                1          12,336            0.67           8,265
 interview \2\.................
Child/Caregiver client-level             12,681                1          12,681            0.67           8,496
 baseline interview............
Child/Caregiver client-level 6-           8,369                1           8,369            0.67           5,607
 month reassessment interview
 \1\...........................
Child/Caregiver client-level              3,804                1           3,804            0.67           2,549
 discharge interview \2\.......
PBHCI/PIPBHC Section H Form              14,800                1          14,800             .25           3,700
 Only Baseline.................
PBHCI/PIPBHC Section H Form              10,952                1          10,952             .25           2,738
 Only Follow-Up \3\............
PBHCI/PIPBHC Section H Form               7,696                1           7,696             .25           1,924
 Only Discharge \4\............
    Subtotal...................          53,802  ...............         138,899  ..............          79,014
Infrastructure development,                 982              4.0           3,928             2.0           7,856
 prevention, and mental health
 promotion quarterly record
 abstraction \5\...............
                                --------------------------------------------------------------------------------
    Total......................          54,784  ...............         142,827  ..............          86,870
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\1\ It is estimated that 30% of baseline clients will complete this interview.
\2\ It is estimated that 66% of baseline clients will complete this interview.
\3\ It is estimated that 74% of baseline clients will complete this interview.
\4\ It is estimated that 52% of baseline clients will complete this interview.
\5\ Grantees are required to report this information as a condition of their grant.
No attrition is estimated.


[[Page 19794]]

    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 3, 2018.

Summer King,
Statistician.
[FR Doc. 2018-09423 Filed 5-3-18; 8:45 am]
 BILLING CODE 4162-20-P