[Federal Register Volume 83, Number 187 (Wednesday, September 26, 2018)]
[Notices]
[Pages 48643-48645]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-20887]


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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: Mental Health Client/Participant Outcome Measures

(OMB No. 0930-0285)--Revision

    SAMHSA is requesting approval to add 13 questions to its existing 
Adult Measure data collection tool, and seven questions to its Child/
Caregiver Measure data collection tool, for Center for Mental Health 
Services (CMHS) grantees. These additional questions are related to 
specific outcomes for specific grant programs. Grantees will be 
required to answer no more than four of the new questions, in addition 
to the existing questions on the data collection instruments. 
Currently, the information collected from this instrument is entered 
and stored on 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 GPRMA, 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 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 the 
existing Adult tool, and seven questions to the Child/Caregiver tool. 
Questions will be selected by SAMHSA based on the specific goals and 
characteristics of the grant program. The 13 questions added to the 
Adult tool 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.
    (2) [For client] In the past 30 days, how often have you taken all 
of your psychiatric medication(s) as prescribed to you?
    (3) [For grantee] In the past 30 days, how compliant has the client 
been with their treatment?
    (4) [For grantee] Did the client screen positive for a mental 
health or co-occurring disorder?
    a. Mental health disorder.
    b. Co-occurring disorder.
    (i) If client screened positive, was the client referred to the 
following types of services?
    (1) Mental health services.
    (2) Co-occurring services.
    (ii) If client was referred to services, did they receive the 
following services?
    (1) Mental health services.
    (2) Co-occurring services.
    (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.
    (6) [For client] In the past 30 days, how many times have you:
    (i) Been to the emergency room for a physical health care problem?
    (ii) Been hospitalized for a physical health care problem?
    (7) [For grantee] Please indicate which type of funding source(s) 
that was (were) used to pay for the services provided to this client 
since their last interview. (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): ______.
    (8) [For client] Did the program provide the following:

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    (a) HIV test?
    (i) If yes, what was the result?
    (ii) If result was positive, were you connected to treatment 
services?
    (b) Hepatitis B (HBV) test?
    (i) If yes, what was the result?
    (ii) If result was positive, were you connected to treatment 
services?
    (c) Hepatitis C (HCV) test?
    (i) If yes, what was the result?
    (ii) If result was positive, were you connected to treatment 
services?
    (9) [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?
    (10) [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?
    (11) [For grantee] Has the client experienced a first episode of 
psychosis (FEP) since their last interview?
    (i) If yes, please indicate the approximate date that the client 
initially experienced the FEP.
    (ii) If yes, was the client referred to FEP services?
    (iii) If yes, please indicate the first date that the client 
received FEP services/treatment.
    (12) [For client] How often does a member of your team interact 
with you?
    (13) [For client] If the client indicated that they were enrolled 
in school: During the past 30 days of school, how many days were you 
absent for any reason?
    The seven (7) questions being added to the Child/Caregiver tool 
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.
    (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] Please indicate which type of funding source(s) 
was (were) used to pay for the services provided to this client since 
their last interview.
    (a) Current SAMHSA grant funding.
    (b) Other federal grant funding.
    (c) State funding.
    (d) Client's private insurance.
    (e) Medicaid/Medicare.
    (f) Other (Specify): ______.
    (4) [For client] Please indicate your agreement with the following 
statement: 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 
statement: As a result of treatment and services received for trauma 
and/or loss experiences, my (my child's) problem behaviors/symptoms 
have decreased.
    (6) [For client] Please indicate your agreement with the following 
statement: As a result of treatment and services received, I (my child 
has) have shown improvement in daily life, such as in school or with 
family or friends.
    (7) [For grantee] Please provide the following health information:
    (a) Systolic blood pressure.
    (b) Diastolic blood pressure.
    (c) Weight.
    (d) Height.
    (e) Waist Circumference.
    SAMHSA is also seeking approval to increase the number of 
individuals reporting physical health information in the Adult tool. 
SAMHSA is requesting approval to extend the collection of some physical 
health indicators to an additional 5,000 adult clients in SAMHSA grant 
programs annually, including a sample of clients receiving services 
from SAMHSA's Certified Community Behavioral Health Clinic Expansion 
(CCBHC-E) grant program. SAMHSA is also requesting approval to increase 
the frequency of reporting of physical health data from annually or 
semi-annually, to quarterly to be consistent with current 
recommendations for metabolic monitoring.

                                  Table 1--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               46,121               1          46,121            0.67          30,901
 interview......................
Adult client-level 6-month                30,901               1          30,901            0.67          20,704
 reassessment interview.........
Adult client-level discharge              13,836               1          13,386            0.67           9,270
 interview......................
Child/Caregiver client-level              12,681               1          12,681            0.67           8,496
 baseline interview.............
Child/Caregiver client-level 6-            8,496               1           8,496            0.67           5,692
 month reassessment interview...
Child/Caregiver client-level               3,804               1           3,804            0.67           2,549
 discharge interview............
Section H Physical Health Data            20,000               1          20,000             .25           5,000
 Baseline.......................
Section H Physical Health Data            14,800               3          44,800             .25          11,100
 Follow-Up......................
Section H Physical Health Data            10,400               1          10,400             .25           2,600
 Discharge......................
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    Subtotal....................          58,802  ..............         190,639  ..............          96,312
Infrastructure development,                  982             4.0           3,928             2.0           7,856
 prevention, and mental health
 promotion quarterly record
 abstraction....................
                                 -------------------------------------------------------------------------------
        Total...................          59,784  ..............         194,567  ..............         104,168
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    Written comments and recommendations concerning the proposed 
information collection should be sent by October 26, 2018 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

[[Page 48645]]

Affairs, New Executive Office Building, Room 10102, Washington, DC 
20503.

Summer King,
Statistician.
[FR Doc. 2018-20887 Filed 9-25-18; 8:45 am]
 BILLING CODE 4162-20-P