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 Department of Health and Human Services Substance Abuse and Mental Health Services Administration
 
 
 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]
Instrument
Respondent
Number of
                             respondents
Total average number of
                             responses per respondent
Hours per
                             response
Total burden hours
5-Year average annual burden hours**System of Care Assessment**Interview Guide A. Core Agency Representative
Key site informants
1
                             828
3
1.00
2,484
497Interview Guide B. Project DirectorInterview Guide C. Family Representative/Representative of Family/Advocacy OrganizationsInterview Guide D. Program EvaluatorInterview Guide E. Intake WorkerInterview Guide F. Care Coordinator( print page 40201)Interview Guide G. Direct Service Delivery StaffInterview Guide H. Care Review ParticipantInterview Guide I. Caregiver of Child or Youth Served by the ProgramInterview Guide L. Direct Service Staff from Other Public Child-Serving AgenciesInterview Guide M. Care Record/Chart ReviewInterview Guide N. Other StaffInterview Guide O. Debriefing DocumentInterview Guide P. Youth RespondentInterview Guide Q. Youth CoordinatorInterview Guide R. Cultural and Linguistic Competence CoordinatorInterview Guide S. Social Marketing Communications Manager**Child and Family Outcome Study**Caregiver Information Questionnaire, Revised: Caregiver—Intake (CIQ-RC-I)
Caregiver
2
                             7,550
1
0.37
2,768
554Caregiver Information Questionnaire, Revised: Staff as Caregiver—Intake (CIQ-RS-I)
Staff as CaregiverCaregiver Information Questionnaire, Revised: Caregiver—Follow-Up (CIQ-RC-F)
Caregiver
7,550
3
                             4
0.28
8,557
1,711Caregiver Information Questionnaire, Revised: Staff as Caregiver—Follow-Up (CIQ-RS-F)
Staff as CaregiverCaregiver Strain Questionnaire (CGSQ)
Caregiver
7,550
5
0.17
6,304
1,261Child Behavior Checklist 1
                            1/2
                            -5 (CBCL 1
                            1/2
                            -5)
Caregiver
7,550
5
0.33
12,571
2,514Child Behavior Checklist 6-18 (CBCL 6-18)Education Questionnaire, Revision 2 (EQ-R2)
Caregiver
7,550
5
0.33
12,571
2,514Living Situations Questionnaire (LSQ)
Caregiver
7,550
5
0.08
3,133
627Behavioral and Emotional Rating Scale—Second Edition, Parent Rating Scale (BERS-2C)
Caregiver
4
                             6,675
5
0.17
5,574
1,115Columbia Impairment Scale (CIS)
Caregiver
5
                             7,282
5
0.08
3,022
604Parenting Stress Index (PSI)
Caregiver
6
                             2,862
5
0.08
1,193
239Devereux Early Childhood Assessment for Infants (DECA 1-18M)
Caregiver
7
                             2,176
5
0.08
907
181( print page 40202)Devereux Early Childhood Assessment for Toddlers (DECA 18-36M)Devereux Early Childhood Assessment (DECA 2-5Y)Preschool Behavioral and Emotional Rating (PreBERS)
Caregiver
2,176
5
0.10
1,088
218Delinquency Survey, Revised (DS-R)
Youth
8
                             4,896
5
0.13
3,264
653Behavioral and Emotional Rating Scale—Second Edition, Youth Rating Scale (BERS-2Y)
Youth
4,896
5
0.17
4,088
818Gain Quick—R: Substance Problem Scale (GAIN)
Youth
4,896
5
0.08
2,032
406Substance Use Survey, Revised (SUS-R)
Youth
4,896
5
0.10
2,448
490Revised Children's Manifest Anxiety Scales (RCMAS)
Youth
4,896
5
0.05
1,224
245Reynolds Adolescent Depression Scale—Second Edition (RADS-2)
Youth
4,896
5
0.05
1,224
245Youth Information Questionnaire, Revised—Intake (YIQ-R-I)
Youth
4,896
1
0.25
1,224
245Youth Information Questionnaire, Revised—Follow-Up (YIQ-R-F)
Youth
4,896
4
0.25
4,896
979**Service Experience Study**Multi-Sector Service Contacts, Revised: Caregiver—Intake (MSSC-RC-I)
Caregiver
7,550
1
0.25
1,888
378Multi-Sector Service Contacts, Revised: Staff as Caregiver—Intake (MSSC-RS-I)
Staff as CaregiverMulti-Sector Service Contacts, Revised: Caregiver—Follow-Up (MSSC-RC-F)
Caregiver
7,550
4
0.25
7,550
1,510Multi-Sector Service Contacts, Revised: Staff as Caregiver—Follow-Up (MSSC-RS-F)
Staff as CaregiverCultural Competence and Service Provision Questionnaire, Revised (CCSP-R)
Caregiver
7,550
9
                             4
0.13
4,027
805Youth Services Survey for Families (YSS-F)
Caregiver
7,550
4
0.12
3,533
707Youth Services Survey (YSS)
Youth
4,896
4
0.08
1,625
325**Comparison and Sector Study: Juvenile Justice**Court Representative Questionnaire (CRQ)
Court representatives
10
                             212
5
0.50
530
106Electronic Data Transfer of Juvenile Justice Records
Key site personnel
212
5
0.03
35
7**Comparison and Sector Study: Education**Teacher Questionnaire (TQ)
Teacher
212
5
0.50
530
106( print page 40203)School Administrator Questionnaire (SAQ)
School administrators
212
5
0.50
530
106Electronic Data Transfer of Education Records
Key site personnel
212
5
0.03
35
7**Comparison and Sector Study: Child Welfare**Child Welfare Sector Study Questionnaire—Intake (CWSQ-I)
Care coordinators
212
1
0.50
106
21Child Welfare Sector Study Questionnaire—Follow-Up (CWSQ-F)
Care coordinators
212
4
0.50
424
85Electronic Data Transfer of Child Welfare Records
Key site personnel
212
5
0.03
35
7**Sustainability Study**Sustainability Survey: Brief Form
Project Director
79
2
0.17
26
5Sustainability Survey
Providers11
156
2
0.75
234
47Caregiver 11
52
2
0.75
78
16**CQI Initiative Evaluation**CQI Baseline Survey, Web-Based
Key site personnel
288
1
0.50
144
29CQI Monitoring Survey, Web-Based
Key site personnel
288
2
0.50
288
58CQI Local Focus Group Guide
Key site personnel
30
2
1.00
60
12CQI National Focus Group Guide
National TA providers
20
2
1.00
40
8**Alumni Networking Study**Networking and Collaboration Survey
Key site personnel
302
2
0.50
302
60Alumni Network Web Site Satisfaction Survey
Key site personnel, National TA providers, Branch staff
512
2
0.25
256
51**Services and Costs Study**Flex Funds Data Dictionary/Tool
Local programming staff compiling/entering administrative data on children/youth
12
                             1,808
13
                             3
0.03
179
36Services and Costs Data Dictionary/Data Entry Application
Local evaluator, staff at partner agencies, and programming staff compiling/entering service and cost records on children/youth
7,550
14
                             100
0.05
37,750
7,550**Summary of Annualized Burden Estimates for 5 Years**Number of distinct respondents
Average annual number of responses per respondent
Total annual number of responses
Average 5-year burden per response (hours)
Total annual burden (hours) 15Caregivers
550
0.9
78,572
2.2
14,953Youth
4,896
0.9
38,189
1.0
4,405Providers/Administrators
828
11.4
154,678
1.0
8,798( print page 40204)Total Summary
13,274

271,439

28,1561
                         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 #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 × Average Annual Number of Responses per Respondent × 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