[Federal Register Volume 74, Number 153 (Tuesday, August 11, 2009)]
[Notices]
[Pages 40200-40204]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-19228]



[[Page 40200]]

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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: National Evaluation of the Comprehensive Community Mental 
Health Services for Children and Their Families Program: Phase VI--NEW

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center of Mental Health Services is responsible for the 
national evaluation of the Comprehensive Community Mental Health 
Services for Children and Their Families Program (Children's Mental 
Health Initiative--CMHI) that will collect data on child mental health 
outcomes, family life, and service system development and performance. 
Data will be collected on 26 service systems, and approximately 5,541 
children and families.
    Data collection for this evaluation will be conducted over a five-
year period. Child and family outcomes of interest will be collected at 
intake and during subsequent follow-up sessions at six-month intervals. 
The length of time that individual families will participate in the 
study ranges from 12 to 24 months depending upon when they enter the 
evaluation. The outcome measures include the following: Child 
symptomatology and functioning, family functioning, satisfaction, and 
caregiver strain. The core of service system data will be collected 
every 18-24 months throughout the 5-year evaluation period, with a 
sustainability survey conducted in years 3 and 5. Service utilization 
and cost data will be tracked and submitted to the national evaluation 
every six months using two tools: The Flex Fund Tool and the Services 
and Costs Data Tool to estimate average cost of treatment per child, 
distribution of costs, and allocation of costs across service 
categories. Service delivery and system variables of interest include 
the following: Maturity of system of care development in funded system 
of care communities, adherence to the system of care program model, and 
client service experience. We will also conduct a comprehensive 
evaluation of the CMHI's data driven technical assistance; this 
component of the evaluation will employ a mixed-methods approach, 
combining qualitative and quantitative data to provide a comprehensive 
assessment of the continuous quality improvement (CQI) process in 
funded system of care communities. Specifically, data will be gathered 
through three complementary activities: A baseline survey of key 
constituents in all funded communities; a subsequent monitoring survey 
administered every two years to the same constituents; and biennial 
case studies of four selected communities.
    In addition, the evaluation will include three special studies: (1) 
The sector specific assessment and quasi-experimental comparison study 
will examine in more detail the outcomes and service experience of 
children from multiple child-serving sectors and, through child-level 
matching, compare these outcomes with those not receiving system of 
care services; (2) The Alumni Network Study will examine the 
effectiveness of the system of care Alumni Network web site by 
evaluating end-user satisfaction and usability of the web site and will 
also assess the collaboration between communities via a Web-based 
Networking and Collaboration Survey that will measure the nature and 
extent of the interaction between communities; (3) The Study of State 
Strategies for Sustainability will examine the state's role in 
sustaining communities after federal funding ceases and describe 
effective strategies for sustaining funded systems of care. A short 
version of the sustainability survey developed for this evaluation will 
be used to gather this information.
    Internet-based technology such as Web-based surveys and data entry 
and management tools will be used in this evaluation. The measures of 
the national evaluation address the national outcome measures for 
mental health programs as currently established by SAMHSA.
    The average annual respondent burden is estimated below. The 
estimate reflects the average number of respondents in each respondent 
category, the average number of responses per respondent per year, the 
average length of time it will take to complete each response, and the 
total average annual burden for each category of respondent, and for 
all categories of respondents combined.

                                                         Phase VI Estimate of Respondent Burden
                                                 [Note: Total burden is annualized over a 5-year period]
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                                                                                           Total average
                                                                             Number of       number of       Hours per     Total burden   5-Year average
                Instrument                           Respondent             respondents    responses per     response          hours       annual burden
                                                                                            respondent                                         hours
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                                                                System of Care Assessment
--------------------------------------------------------------------------------------------------------------------------------------------------------
Interview Guide A. Core Agency              Key site informants.........         \1\ 828               3            1.00           2,484             497
 Representative.
Interview Guide B. Project Director.......
Interview Guide C. Family Representative/
 Representative of Family/Advocacy
 Organizations.
Interview Guide D. Program Evaluator......
Interview Guide E. Intake Worker..........
Interview Guide F. Care Coordinator.......

[[Page 40201]]

 
Interview Guide G. Direct Service Delivery
 Staff.
Interview Guide H. Care Review Participant
Interview Guide I. Caregiver of Child or
 Youth Served by the Program.
Interview Guide L. Direct Service Staff
 from Other Public Child-Serving Agencies.
Interview Guide M. Care Record/Chart
 Review.
Interview Guide N. Other Staff............
Interview Guide O. Debriefing Document....
Interview Guide P. Youth Respondent.......
Interview Guide Q. Youth Coordinator......
Interview Guide R. Cultural and Linguistic
 Competence Coordinator.
Interview Guide S. Social Marketing
 Communications Manager.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                             Child and Family Outcome Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Caregiver Information Questionnaire,        Caregiver...................       \2\ 7,550               1            0.37           2,768             554
 Revised: Caregiver--Intake (CIQ-RC-I).
Caregiver Information Questionnaire,        Staff as Caregiver..........
 Revised: Staff as Caregiver--Intake (CIQ-
 RS-I).
Caregiver Information Questionnaire,        Caregiver...................           7,550           \3\ 4            0.28           8,557           1,711
 Revised: Caregiver--Follow-Up (CIQ-RC-F).
Caregiver Information Questionnaire,        Staff as Caregiver..........
 Revised: Staff as Caregiver--Follow-Up
 (CIQ-RS-F).
Caregiver Strain Questionnaire (CGSQ).....  Caregiver...................           7,550               5            0.17           6,304           1,261
Child Behavior Checklist 1\1/2\-5 (CBCL     Caregiver...................           7,550               5            0.33          12,571           2,514
 1\1/2\-5).
Child Behavior Checklist 6-18 (CBCL 6-18).
Education Questionnaire, Revision 2 (EQ-    Caregiver...................           7,550               5            0.33          12,571           2,514
 R2).
Living Situations Questionnaire (LSQ).....  Caregiver...................           7,550               5            0.08           3,133             627
Behavioral and Emotional Rating Scale--     Caregiver...................       \4\ 6,675               5            0.17           5,574           1,115
 Second Edition, Parent Rating Scale (BERS-
 2C).
Columbia Impairment Scale (CIS)...........  Caregiver...................       \5\ 7,282               5            0.08           3,022             604
Parenting Stress Index (PSI)..............  Caregiver...................       \6\ 2,862               5            0.08           1,193             239
Devereux Early Childhood Assessment for     Caregiver...................       \7\ 2,176               5            0.08             907             181
 Infants (DECA 1-18M).

[[Page 40202]]

 
Devereux Early Childhood Assessment for
 Toddlers (DECA 18-36M).
Devereux Early Childhood Assessment (DECA
 2-5Y).
Preschool Behavioral and Emotional Rating   Caregiver...................           2,176               5            0.10           1,088             218
 (PreBERS).
Delinquency Survey, Revised (DS-R)........  Youth.......................       \8\ 4,896               5            0.13           3,264             653
Behavioral and Emotional Rating Scale--     Youth.......................           4,896               5            0.17           4,088             818
 Second Edition, Youth Rating Scale (BERS-
 2Y).
Gain Quick--R: Substance Problem Scale      Youth.......................           4,896               5            0.08           2,032             406
 (GAIN).
Substance Use Survey, Revised (SUS-R).....  Youth.......................           4,896               5            0.10           2,448             490
Revised Children's Manifest Anxiety Scales  Youth.......................           4,896               5            0.05           1,224             245
 (RCMAS).
Reynolds Adolescent Depression Scale--      Youth.......................           4,896               5            0.05           1,224             245
 Second Edition (RADS-2).
Youth Information Questionnaire, Revised--  Youth.......................           4,896               1            0.25           1,224             245
 Intake (YIQ-R-I).
Youth Information Questionnaire, Revised--  Youth.......................           4,896               4            0.25           4,896             979
 Follow-Up (YIQ-R-F).
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                                                                Service Experience Study
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Multi-Sector Service Contacts, Revised:     Caregiver...................           7,550               1            0.25           1,888             378
 Caregiver--Intake (MSSC-RC-I).
Multi-Sector Service Contacts, Revised:     Staff as Caregiver..........
 Staff as Caregiver--Intake (MSSC-RS-I).
Multi-Sector Service Contacts, Revised:     Caregiver...................           7,550               4            0.25           7,550           1,510
 Caregiver--Follow-Up (MSSC-RC-F).
Multi-Sector Service Contacts, Revised:     Staff as Caregiver..........
 Staff as Caregiver--Follow-Up (MSSC-RS-F).
Cultural Competence and Service Provision   Caregiver...................           7,550           \9\ 4            0.13           4,027             805
 Questionnaire, Revised (CCSP-R).
Youth Services Survey for Families (YSS-F)  Caregiver...................           7,550               4            0.12           3,533             707
Youth Services Survey (YSS)...............  Youth.......................           4,896               4            0.08           1,625             325
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                                                      Comparison and Sector Study: Juvenile Justice
--------------------------------------------------------------------------------------------------------------------------------------------------------
Court Representative Questionnaire (CRQ)..  Court representatives.......        \10\ 212               5            0.50             530             106
Electronic Data Transfer of Juvenile        Key site personnel..........             212               5            0.03              35               7
 Justice Records.
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                                                         Comparison and Sector Study: Education
--------------------------------------------------------------------------------------------------------------------------------------------------------
Teacher Questionnaire (TQ)................  Teacher.....................             212               5            0.50             530             106

[[Page 40203]]

 
School Administrator Questionnaire (SAQ)..  School administrators.......             212               5            0.50             530             106
Electronic Data Transfer of Education       Key site personnel..........             212               5            0.03              35               7
 Records.
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                                                       Comparison and Sector Study: Child Welfare
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Child Welfare Sector Study Questionnaire--  Care coordinators...........             212               1            0.50             106              21
 Intake (CWSQ-I).
Child Welfare Sector Study Questionnaire--  Care coordinators...........             212               4            0.50             424              85
 Follow-Up (CWSQ-F).
Electronic Data Transfer of Child Welfare   Key site personnel..........             212               5            0.03              35               7
 Records.
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                                                                  Sustainability Study
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sustainability Survey: Brief Form.........  Project Director............              79               2            0.17              26               5
Sustainability Survey.....................  Providers\11\...............             156               2            0.75             234              47
                                            Caregiver \11\..............              52               2            0.75              78              16
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                                                                CQI Initiative Evaluation
--------------------------------------------------------------------------------------------------------------------------------------------------------
CQI Baseline Survey, Web-Based............  Key site personnel..........             288               1            0.50             144              29
CQI Monitoring Survey, Web-Based..........  Key site personnel..........             288               2            0.50             288              58
CQI Local Focus Group Guide...............  Key site personnel..........              30               2            1.00              60              12
CQI National Focus Group Guide............  National TA providers.......              20               2            1.00              40               8
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                                                                 Alumni Networking Study
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Networking and Collaboration Survey.......  Key site personnel..........             302               2            0.50             302              60
Alumni Network Web Site Satisfaction        Key site personnel, National             512               2            0.25             256              51
 Survey.                                     TA providers, Branch staff.
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                                                                Services and Costs Study
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Flex Funds Data Dictionary/Tool...........  Local programming staff           \12\ 1,808          \13\ 3            0.03             179              36
                                             compiling/entering
                                             administrative data on
                                             children/youth.
Services and Costs Data Dictionary/Data     Local evaluator, staff at              7,550        \14\ 100            0.05          37,750           7,550
 Entry Application.                          partner agencies, and
                                             programming staff compiling/
                                             entering service and cost
                                             records on children/youth.
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                                                   Summary of Annualized Burden Estimates for 5 Years
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                 Number of distinct       Average annual   Total annual   Average 5-year   Total annual
                                                     respondents             number of       number of      burden per    burden (hours)
                                                                           responses per     responses       response          \15\
                                                                            respondent                        (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Caregivers................................  550.........................             0.9          78,572             2.2          14,953
Youth.....................................  4,896.......................             0.9          38,189             1.0           4,405
Providers/Administrators..................  828.........................            11.4         154,678             1.0           8,798
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[[Page 40204]]

 
    Total Summary.........................  13,274......................  ..............         271,439  ..............          28,156
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\1\ An average of 23 stakeholders in up to 26 grant communities will complete the System of Care Assessment interview. These stakeholders will include
  site administrative staff, providers, agency representatives, family representatives, and youth.
\2\ Number of respondents across 26 grantees (5223), in addition to 318 children/families from the comparison sample. Average based on a 5 percent
  attrition rate at each data collection point.
\3\ Number of responses per respondent is five over the course of the study (once every 6 months for 24 months, with one baseline/intake response, and 4
  follow-up responses).
\4\ Approximate number of caregivers with children over age 5, based on Phase IV data submitted as of 12/08. Also includes 318 children/families from
  the comparison sample.
\5\ Approximate number of caregivers with children 3 and older, based on Phase IV data submitted as of 12/08. Also includes 318 children/families from
  the comparison sample.
\6\ Approximate number of caregivers with either: (1) Children served at the roughly 7 early childhood-focused communities, for whom the instrument is
  required; or (2) children aged 0 to 12 at other communities, where the instrument is optional (we estimate that \1/3\ of caregivers will be
  administered the instrument when it is optional). Estimates are based on Phase IV data submitted as of 12/08.
\7\ Approximate number of caregivers with either: (1) Children served at the roughly 7 early childhood-focused communities, for whom the instrument is
  required; or (2) children aged 0 to 5 at other communities, where the instrument is optional (we estimate that \1/3\ of caregivers will be
  administered the instrument when it is optional). Estimates are based on Phase IV data submitted as of 12/08.
\8\ Based on Phase IV finding that approximately 63 percent of the children in the evaluation were 11 years old or older. Also includes 318 children/
  families from the comparison sample.
\9\ With the exception of the MSSC-R, respondents only complete Service Experience Study measures at follow-up points. See Footnote <greek-i>3 for the
  explanation about the average number of responses per respondent.
\10\ Approximate number of children/families in each sector, for the Sector and Comparison Study. This includes cases within the communities, as well as
  within the comparison sample.
\11\ For each community, 1 respondent will be a caregiver and 3 respondents will be administrators/providers.
\12\ Assumes that each community will use flexible funds expenditures on average for approximately one quarter of the children/youth enrolled.
\13\ Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund benefits.
\14\ Assumes that each child/youth in system of care communities and in the comparison sample will have 100 service episodes, on average.
\15\ Total Annual Burden (hours) is the product of Number of Distinct Respondents x Average Annual Number of Responses per Respondent x Average 5-Year
  Burden per Response (hours).

    Written comments and recommendations concerning the proposed 
information collection should be sent by September 10, 2009 to: SAMHSA 
Desk Officer, Human Resources and Housing Branch, Office of Management 
and Budget, New Executive Office Building, Room 10235, Washington, DC 
20503; due to potential delays in OMB's receipt and processing of mail 
sent through the U.S. Postal Service, respondents are encouraged to 
submit comments by fax to: 202-395-5806.

    Dated: August 5, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-19228 Filed 8-10-09; 8:45 am]
BILLING CODE 4162-20-P