[Federal Register Volume 89, Number 198 (Friday, October 11, 2024)]
[Notices]
[Pages 82616-82618]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-23611]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: 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) 276-0361.
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: Treatment Episode Data Set (TEDS) (OMB No. 0930-
0335)--Revision
The Center for Behavioral Health Statistics and Quality (CBHSQ) at
the Substance Abuse and Mental Health Services Administration (SAMHSA)
is requesting an extension with changes to the combined data collection
of the Treatment Episode Data Set (TEDS), the Mental Health Client
Level Data (MH-CLD), and the Mental Health Treatment Episode Data Set
(MH-TEDS) (OMB No. 0930-0335), which expires on December 31, 2024.
TEDS collects episode-level data on clients aged 12 and older
receiving substance use treatment services from publicly funded
facilities. MH-CLD collects demographic, clinical, and National Outcome
Measures data on clients receiving mental health and support services
funded or operated by the State Mental Health Agencies (SMHAs). MH-TEDS
is an alternative reporting method to MH-CLD. It collects episode-level
data on clients receiving mental health treatment services from
publicly funded facilities. MH-TEDS data can be converted to MH-CLD
format.
Under section 505 of the Public Health Service Act (42 U.S.C.
290aa-4), CBHSQ is authorized to collect annual data on the national
incidence and prevalence of the various forms of mental illness and
substance abuse. CBHSQ is also authorized to collect data on the number
and variety of public and nonprofit private mental health and substance
use treatment programs and the number and demographic characteristics
of individuals receiving treatment through such programs. In addition,
States, receiving fundings from SAMHSA's Community Mental Health
Services Block Grant (MHBG) and Substance Use Prevention, Treatment,
and Recovery Services Block Grant (SUPTRS BG) (formally known as the
Substance Abuse Prevention and Treatment Block Grant (SABG), utilize
TEDS and MH-CLD/MH-TEDS data to meet the block grant reporting mandate
and requirement.
SAMHSA is requesting OMB approval of revisions to the TEDS/MH-CLD/
MH-
[[Page 82617]]
TEDS data collections, to include changes to the following instruments:
Proposed changes to TEDS/MH-TEDS:
Add a combined TEDS/MH-TEDS State Crosswalk to map the
data elements, codes, and categories in the state system to the
appropriate TEDS/MH-TEDS data elements, codes, and categories; to
obtain contextual information, including state data collection protocol
and reporting capabilities and data footnotes; and to collect
information on the state TEDS/MH-TEDS reporting characteristics,
framework, and scope.
Add Fentanyl and Xylazine in the list of Detailed Drug
Code to improve the comprehensiveness and greater details of the
substance recorded.
Remove the term ``Crack'' from the existing option of
``Cocaine/Crack'' under the ``Substance Use'' data field.
Revise existing ``Gender'' data field to ``Sex'' and add
``Sexual Orientation'' and ``Gender Identity'' (SOGI) under the SuDS
section to provide inclusive measures. This revision aligns with both
SAMHSA's efforts in enhancing behavioral health equities among diverse
populations and the latest OMB approved BG Reporting requirement (OMB
No. 0930-0168). All SUPTRS BG tables which collect/report gender and
sexual orientation information have been updated and OMB approved.
Revise terms with negative connotations to non-
stigmatizing terms. Examples include changing the word ``abuse'' to
``use,'' ``detoxification'' to ``withdrawal management,'' and
``Medication-Assisted Opioid Therapy'' to ``Medications for Opioid Use
Disorder.'' These revisions align with the current edition of The
Diagnostic and Statistical Manual of Mental Disorders (5th ed.,
American Psychiatric Association, 2013), and the White House Office of
National Drug Control Policy 2017 Memo on ``Changing Federal
Terminology regarding Substance Use and Substance Use Disorders.''
Original ``TEDS and MH-TEDS/MH-CLD Admission and Update/
Discharge Data Elements'' form with combined TEDS/MH-TEDS and MH-CLD
data elements is separated into two documents to be more user friendly
and improve clarity. Data elements are reorganized in the order of the
code number to facilitate clearer mapping. Other minor modifications
are made to enhance language consistency and clarity. For example, all
``SABG'' are updated to ``SUPTRS BG.''
Proposed changes to MH-CLD:
Add the MH-CLD State Crosswalk to map the data elements,
codes, and categories in the state system to the appropriate MH-CLD
data elements, codes, and categories; to obtain contextual information,
including state data collection protocol and reporting capabilities,
and data footnotes; and to collect information the state MH-CLD
reporting characteristics, framework, and scope.
Revise existing ``Gender'' data field to ``Sex'' and add
SOGI as optional reporting data fields to provide inclusive measures.
These revisions align with both SAMHSA's efforts in enhancing
behavioral health equities among diverse populations and the latest OMB
approved BG Reporting requirement (OMB No. 0930-0168). All MHBG tables
and related URS tables which collect/report gender and sexual
orientation information have been updated and OMB approved.
Add a new ``School attendance status at admission or start
of the reporting period'' as a required data field to assess the
changes and outcomes of clients receiving mental health treatment and
support services through SMHAs.
Add optional reporting tables for Type of Funding Support,
Mental Health Block Grant-Funded Services, and Veteran Status.
Replace existing data elements ``Substance Use Problem''
and ``Substance Abuse Diagnosis'' with non-stigmatizing terms of
``Substance Use Disorder'' and ``Substance Use Diagnosis'' to help
reduce stigma and support treatment for substance use disorders. These
revisions align with the current edition of The Diagnostic and
Statistical Manual of Mental Disorders (5th ed., American Psychiatric
Association, 2013), where ``abuse'' has been replaced by ``use.'' These
revisions also align with the White House Office of National Drug
Control Policy 2017 Memo on ``Changing Federal Terminology regarding
Substance Use and Substance Use Disorders.''
Data Elements are reorganized in the order of the code
number to facilitate clearer mapping. Make minor modifications to MH-
CLD data elements to enhance language consistency and clarity.
The estimated annual burden for the TEDS/MH-CLD/MH-TEDS activities
is as follows:
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Number of Responses per Total Hours per Total burden
Type of activity respondents respondent responses response hours Wage rate Total hour cost
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TEDS Admission Data................... 52 4 208 55 11,440 $30.28 $346,403
TEDS Discharge/Update Data............ 52 4 208 55 11,440 30.28 346,403
TEDS State Data Crosswalk............. 52 1 52 12 624 53.21 33,203
MH-CLD BCI Data....................... 35 1 35 105 3,675 30.28 111,279
MH-CLD SHR Data....................... 34 1 34 35 1,190 30.28 36,033
MH-CLD State Data Crosswalk........... 35 1 35 24 840 53.21 44,696
MH-TEDS Admissions Data............... 19 4 76 55 4,180 30.28 126,570
MH-TEDS Discharge/Update Data......... 19 4 76 55 4,180 30.28 126,570
MH-TEDS State Data Crosswalk.......... 19 1 19 40 760 53.21 40,440
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State Total....................... .............. .............. .............. .............. 38,329 .............. 1,211,597
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[[Page 82618]]
Send comments to SAMHSA Reports Clearance Officer, 5600 Fisher
Lane, Room 15E57A, Rockville, MD 20852 or email a copy to
[email protected]. Written comments should be received by
December 10, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-23611 Filed 10-10-24; 8:45 am]
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