[Federal Register Volume 72, Number 60 (Thursday, March 29, 2007)]
[Notices]
[Pages 14825-14827]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-5796]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
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 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 SAMHSA Reports 
Clearance Officer on (240) 276-1243.
    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 the 
respondents, including through the use of automated collection 
techniques or other forms of information technology.

Proposed Project: Community Mental Health Services Block Grant 
Application Guidance and Instruction, FY 2008-2010 (OMB No. 0930-
0168)--Revisions

    Sections 1911 through 1920 of the Public Health Service Act (42 
U.S.C. 300x through 300x-9) provide for annual allotments to assist 
States to establish or expand an organized, community-based system of 
care for adults with serious mental illnesses and children with serious 
emotional disturbances. Under these provisions of the law, States may 
receive allotments only after an application is submitted and approved 
by the Secretary of the Department of Health and Human Services.
    For the FY 2008-2010 Community Mental Health Services Block Grant 
application cycle, SAMHSA will provide States guidance and instructions 
to guide development of comprehensive State applications/plans and 
implementation reports. Proposed revisions to the guidance include: (1) 
The integration of mental health transformation as a guiding principle 
in the development of State mental health plans. State plans for FY 
2008-2010 will describe State mental health transformation efforts and 
activities within the context of the five (5) legislative criteria, 
identify mental health transformation activities funded by the MHBG and 
other State funding sources, identify activities of the State mental 
health planning council that contribute to and support State 
transformation efforts, include one State transformation performance 
indicator in the plan, and include a description of the services 
provided to older adults under criterion 4 of the State's plan. (2) The 
introduction of the Web Block Grant Application System (WebBGAS). 
WebBGAS enables States to submit applications/plans, and implementation 
reports electronically thus reducing the burden of paperwork required 
for submission, revision, and reporting purposes. In FY 2008, all 
States and Territories will be encouraged to submit State plans using 
WebBGAS. Other advantages to using WebBGAS include:
    <bullet> Eliminating redundancy in data entry by pre-populating the 
States' previous year data in the current year's plans and 
implementation reports.
    <bullet> Standardizing Mental Health Block Grant data for reporting 
and quantitative analysis.
    <bullet> Allowing the States' mental health planning councils to 
have access to state plans and implementation reports throughout the FY 
as a means to enable councils to meet their Federal mandate of 
reviewing the plans and providing recommendations to the State.
    <bullet> Adhering to the Federal government's e-governments and e-
grants initiatives, where applicable.
    (3) A requirement for States to report nine CMHS National Outcome 
Measures (NOMS) for mental health. All nine measures are derived from 
tables in the Uniform Reporting System (URS) which was developed in 
collaboration with the States. Four (4) of the nine measures were 
established, in concert with OMB PART, to support the long-term goals 
of the Mental Health Block Grant program and SAMHSA's Government 
Results and Performance Act (GPRA) measures. The nine CMHS measures 
are:
    <bullet> Increased access to services.
    <bullet> Reduced utilization of psychiatric inpatient beds for 30 
and 180 days.
    <bullet> Number of evidenced-based practices and number of persons 
served in these programs.
    <bullet> Client perception of care.
    <bullet> Increased/retained employment or returned to/stayed in 
school.
    <bullet> Decreased criminal justice involvement.
    <bullet> Increased stability in housing.
    <bullet> Increased social supports and social connectedness, and
    <bullet> Improved level of functioning.
    Two of the NOMS, Increased Social Supports and Social 
Connectedness, and Improved Functioning, are currently under 
development at SAMHSA. States that are unable to report data on these 
or other indicators will be required to describe their current 
reporting capacity and efforts underway to make collection of the data 
possible. (4) Revisions to tables in the Uniform Reporting System 
(URS). Since FY 2001, States have reported annual data on the public 
mental health system to the MHBG Program through 21 tables in the URS. 
For the past three years, CMHS worked collaboratively with States, 
using the Data Infrastructure Grant (DIG) process, to refine the data 
and make reporting more meaningful to both States and CMHS. This effort 
resulted in a list of revisions to the basic and developmental tables 
in the FY 2005-2007 MHBG guidance. The revisions to the URS tables are 
described below:

[[Page 14826]]



                               Revisions to Tables in the Uniform Reporting System
----------------------------------------------------------------------------------------------------------------
                                                Table Description
-----------------------------------------------------------------------------------------------------------------
        Table No.                   Table name                    Change                  Proposed change
----------------------------------------------------------------------------------------------------------------
Table 1.................  Profile of State Population    No Change...............
                           by Diagnosis.
Table 2.................  Total Unduplicated Served by   Minor...................  Combine Age 0-3 with Age 4-
                           Age, Gender, & Race.                                     12.
Table 3.................  Total Served by Setting, by    No Change...............
                           Age & Gender.
Table 4.................  Employment...................  Minor...................  Add Optional Table 4a.
                                                                                    Reporting of Employment
                                                                                    Status by 5 Diagnostic
                                                                                    Groupings.
Table 5.................  Medicaid Status..............  No Change...............
Table 6.................  Profile of Client Flow and     Minor...................  Add Column for Length of Stay
                           Turnover.                                                for clients in facility more
                                                                                    than 1 year.
Table 7.................  State MH Expenditures and      No Change...............
                           Revenues.
Table 8.................  Profile of Community MHBG      No Change...............
                           Expenditures.
Table 9.................  Public Mental Health Service   Major...................  New table added, ``Social
                           System Inventory List                                    Connectedness and Improved
                           (Deleted in 2005).                                       Functioning'' for SAMHSA's
                                                                                    newest NOMS.
Table 10................  Profile of Agencies receiving  No Change...............
                           MHBG Funds.
Table 11................  Consumer Evaluation of Care*.  Minor...................  Add revisions to table and
                                                                                    questions to clarify the
                                                                                    survey instrument and
                                                                                    methodology used to collect
                                                                                    data for this domain if the
                                                                                    recommended survey was not
                                                                                    used.
Table 12................  State Mental Health Agency     No Change...............
                           Profile.
Table 13................  Untreated Prevalence of        No Change...............  Continue as developmental
                           Mental Illness.                                          until refined by DIG
                                                                                    Workgroup.
Table 14................  Adults with SMI & SED served   Minor...................  Combine Age 0-3 with Age 4-
                           by Age, gender, Race, &                                  12.
                           Ethnicity.
Table 15................  Living Situation Profile.....  No Change...............
Table 16................  EBPs.........................  Minor...................  Add two questions at the end
                                                                                    of each EBP: (1) Did the
                                                                                    State use the SAMHSA Toolkit
                                                                                    to guide implementation? (2)
                                                                                    Has staff been specifically
                                                                                    trained to implement the
                                                                                    EBP?
Table 17................  EBPs.........................  Minor...................  Add two questions at the end
                                                                                    of each EBP: (1) Did the
                                                                                    State use the SAMHSA Toolkit
                                                                                    to guide implementation? (2)
                                                                                    Has staff been specifically
                                                                                    trained to implement the
                                                                                    EBP?
Table 18................  Use of New Generation          No Change...............
                           Atypical Antipsychotics.
Table 19................  Outcomes: Criminal Justice &   Minor...................  Add new questions for two
                           School Attendance.                                       CMHS NOMS: Arrests, and
                                                                                    School Attendance.
Table 20................  30 and 180 day state hospital  Minor...................  Combine Age 0-3 with Age 4-
                           readmissions.                                            12.
Table 21................  30 and 180 day readmission to  Minor...................  Combine Age 0-3 with Age 4-
                           any psych bed.                                           12.
----------------------------------------------------------------------------------------------------------------

    The future of the SAMHSA/CMHS State mental health data reporting 
program continues to evolve with a related plan to implement a State 
Client Level Initiative project with a few States to test the 
feasibility of implementing client level reporting in the States. 
Activities of this pilot in the next three years will include: (1) 
Identifying and documenting the States' most promising approaches to 
the collection of client-level data; (2) developing recommendations for 
expanding client-level data collection systems to incorporate the NOMs; 
and (3) pilot testing the most promising approaches with other 
interested States to determine their feasibility.
    The following table summarizes the annual burden for the revised 
application.

----------------------------------------------------------------------------------------------------------------
                                                                                      Burden
               Part of application                   Number of      Responses/       response      Total burden
                                                     responses      respondent         (hrs)           hours
----------------------------------------------------------------------------------------------------------------
Plan--(Parts B and C)...........................              30               1             180           5,400
    1 year......................................  ..............  ..............  ..............  ..............
    2 year......................................               4               1             150             600
    3 year......................................              25               1             110           2,750
Implementation Report (Part D)..................              59               1              80           4,720
Data Tables (Part E)............................              59               1              40           2,360
                                                 ---------------------------------------------------------------
    Total.......................................              59  ..............  ..............          15,830
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[[Page 14827]]

    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857. Written 
comments should be received within 60 days of this notice.

    Dated: March 23, 2007.
Elaine Parry,
Acting Director, Office of Program Services.
 [FR Doc. E7-5796 Filed 3-28-07; 8:45 am]
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