[Federal Register Volume 84, Number 21 (Thursday, January 31, 2019)]
[Notices]
[Pages 788-790]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-00421]
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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: Data Resource Toolkit Protocol for the Crisis Counseling
Assistance and Training Program (OMB No. 0930-0270)--Reinstatement
The SAMHSA Center for Mental Health Services (CMHS) as part of an
interagency agreement with the Federal Emergency Management Agency
(FEMA) provides a toolkit to be used for the purposes of collecting
data on the Crisis Counseling Assistance and Training Program (CCP).
The CCP provides supplemental funding to states and territories for
individual and community crisis intervention services after a
presidentially declared disaster.
The CCP has provided disaster mental health services to millions of
disaster survivors since its inception, and, with more than 30 years of
accumulated expertise, it has become an important model for federal
response to a variety of catastrophic events. Recent CCP grants include
programs in Puerto Rico, the U.S. Virgin Islands, Florida, Texas,
Tennessee, California, Missouri, Louisiana, and West Virginia. These
grants have helped survivors after disasters including Hurricanes
Harvey, Maria, and Irma in 2017; wildfires, severe storms, flooding,
and tornadoes in 2016 and 2017; and landslides and mudslides in 2016.
CCPs address the short-term mental health needs of communities
primarily through (a) outreach and public education, (b) individual and
group counseling, and (c) referral. Outreach and public education serve
primarily to normalize reactions and to engage people who may need
further care. Crisis counseling assists survivors in coping with
current stress and symptoms to return to pre-disaster functioning.
Crisis counseling relies largely on ``active listening,'' and
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crisis counselors also provide psycho-education (especially about the
nature of responses to trauma) and help clients build coping skills.
Crisis counselors typically work with a single client once or a few
times. Because crisis counseling is time-limited, referral is the third
important function of CCPs. Counselors are expected to refer a survivor
to formal treatment if he or she has developed a mental and/or
substance use disorder or is having difficulty in coping with his or
her disaster reactions.
Data about services delivered and users of services will be
collected throughout the program period. The data will be collected via
the use of a toolkit that relies on standardized forms. At the program
level, the data will be entered quickly and easily into a cumulative
database mainly through mobile data entry or paper forms (depending on
resource availability) to yield summary tables for quarterly and final
reports for the program. Mobile data entry allows for the data to be
uploaded and linked to a national database that houses data collected
across CCPs. This database provides SAMHSA/CMHS and FEMA with a way of
producing summary reports of services provided across all programs
funded.
The components of the toolkit are listed and described below:
Encounter logs. These forms document all services
provided. The CCP requires crisis counselors to complete these logs.
There are three types of encounter logs: (1) Individual/Family Crisis
Counseling Services Encounter Log, (2) Group Encounter Log, and (3)
Weekly Tally Sheet.
[cir] Individual/Family Crisis Counseling Services Encounter Log.
Crisis counseling is defined as an interaction that lasts at least 15
minutes and involves participant disclosure. This form is completed by
the crisis counselor for each service recipient, defined as the person
or people who actively participated in the session (that is, by
participating in conversation), not someone who is merely present. The
same form may be completed with other family or household members who
are actively engaged in the visit. Information collected includes
demographics, service characteristics, risk factors, event reactions,
and referral data.
[cir] Group Encounter Log. This form is used to collect data on
either a group crisis counseling encounter or a group public education
encounter. The crisis counselor indicates in a checkbox at the top the
class of activities (that is, counseling or education). Information
collected includes service characteristics, group identity and
characteristics, and group activities.
[cir] Weekly Tally Sheet. This form documents brief educational and
supportive encounters not captured on any other form. Information
collected includes service characteristics, daily tallies, and weekly
totals for brief educational or supportive contacts and for material
distribution with no or minimal interaction.
Assessment and Referral Tools. These tools--one for adults
and one for children and youth--provide descriptive information about
intensive users of services, defined as all individuals receiving a
third individual crisis counseling visit or those who are continuing to
experience severe distress that may be affecting their ability to
perform daily activities. This tool will typically be used beginning 3
months after the disaster and will be completed by the crisis
counselor.
Participant Feedback Survey. These surveys are completed
by and collected from a sample of service recipients, not every
recipient. Sampling is done on a biannual basis at 6 months and 1 year
after the disaster. Information collected includes satisfaction with
services, perceived improvements in coping and functioning, types of
exposure, and event reactions.
Service Provider Feedback Form. These surveys are
completed by and collected from the CCP service providers anonymously
at 6-months and 1-year after the disaster. The survey will be coded on
several program-level as well as worker-level variables. However, the
program itself will be identified and shared with program management
only if the number of individual workers who completed the survey was
greater than 10.
There are no changes to the Individual Encounter Log, Group
Encounter Log, Weekly Tally, and the Assessment and Referral Tools
since the last approval. Revisions include the addition of a gross
annual household income question to the Participant Feedback Survey
form. For the Service Provider Feedback Form, questions about different
types of CCP training and their usefulness were updated to improve
capturing training feedback. CMHS also added a new section to mobile
technology and data entry, and the questions in this section were
updated from the previous form where they were listed under a different
section. Finally, CMHS has added questions related to the counselors'
income and personal experience(s) with the disaster, as they are
typically members of the affected community prior to employment by the
CCP, and program leadership is responsible for monitoring the
counselors' stress levels.
In Table 1 are the estimates of the annualized burden hours.
Table 1--Annualized Hour Burden Estimates
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Number of Responses per Hours per Total hour
Form respondents respondent response burden
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Individual/Family Crisis Counseling Services 600 196 0.08 9,408
Encounter Log.................................
Group Encounter Log............................ 100 33 0.05 165
Weekly Tally Sheet............................. 600 52 0.15 4,680
Assessment and Referral Tools.................. 600 14 0.17 1,428
Participant Feedback Form...................... 1,000 1 0.25 250
Service Provider Feedback Form................. 100 1 0.41 41
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Total...................................... 3,000 ............... .............. 15,972
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Written comments and recommendations concerning the proposed
information collection should be sent by March 4, 2019 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
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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. 2019-00421 Filed 1-30-19; 8:45 am]
BILLING CODE 4162-20-P