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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. Proposed Project: National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase IV—(OMB No. 0930-0257)—Revision The Substance Abuse and Mental Health Services Administration (SAMHSA), Center of Mental Health is responsible for the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program that will collect data on child mental health outcomes, family life, and service system development and performance. The national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program will collect data on child mental health outcomes, family life, and service system development and performance. Data will be collected on 27 service systems, and roughly 5922 children and families. Data collection for this evaluation is conducted over a five-year period. The core of service system data will be collected every 18 months throughout the 5-year evaluation period, with a sustainability survey conducted in selected years. Service delivery and system variables of interest include the following: Maturity of system of care development, adherence to the system of care program model, and client service experience. The length of time that individual families will participate in the study ranges from 18 to 36 months depending on when they enter the evaluation. Child and family outcomes of interest will be collected at intake and during subsequent follow-up sessions at six-month intervals. The outcome measures include the following: child symptomatology and functioning, family functioning, material resources, and caregiver strain. Time-limited studies addressing the cultural competence of services and the role of primary care providers in systems of care will be conducted at selected points during the evaluation period. Internet-based technology will be used for collecting data via Web-based surveys and for data entry and management. The average annual respondent burden is estimated below for the final three years of data collection. 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 for each response, and the total average annual burden for each category of respondent, and for all categories of respondents combined. This revision to the currently approved information collection activities includes: (1) The addition of a Primary Care Study and (2) the addition of a Treatment Effectiveness Study. The Primary Care Study seeks to investigate the role of primary health care practitioners (PCPs) in systems of care and to further understand the impact of services provided within primary care on child and family outcomes. One goal of this study is to identify strategies that help primary care and mental health care providers to work together effectively. Another is to identify ways to integrate PCPs into systems of care. The treatment effectiveness study will examine the relative impact of community-based treatments focused within system of care sites. This study will focus on a community-based practice that has not accumulated research evidence, but rather through community-based implementation has accumulated practice-based evidence. Instrument
Respondent
Number of respondents
Total average number of responses per respondent
Hours per response
Total burden hours**System of Care Assessment**Interview Guides and Data Collection Forms
Key site informants
1
                             648
2
1.000
1296Interagency Collaboration Scale (IACS)
Key site informants
648
2
0.133
173Caregiver Information Questionnaire (CIQ-IC)
Caregiver
3
                             5,922
1
0.283
1676Caregiver Information Questionnaire Followup (CIQ-FC)
Caregiver
5,922
3
0.200
3553( print page 17171)Caregiver Strain Questionnaire (CGSQ)
Caregiver
5,922
5
                             4
0.167
3956Child Behavior Checklist (CBCL)/ Child Behavior Checklist 1
                            1/2
                            -5 (CBCL 1
                            1/2
                            -5)
Caregiver
5,922
4
0.333
7888Education Questionnaire—Revised (EQ-R)
Caregiver
5,922
4
0.100
2369Living Situations Questionnaire (LSQ)
Caregiver
5,922
4
0.083
1966The Family Life Questionnaire (FLQ)
Caregiver
5,922
4
0.050
1184Behavioral and Emotional Rating Scale—Second Edition, Parent Rating Scale (BERS-2C)
Caregiver
6
                             5,626
4
0.167
3758Columbia Impairment Scale (CIS)
Caregiver
5,922
4
0.083
1966The Vineland Screener (VS)
Caregiver
7
                             2,369
4
0.250
2369Delinquency Survey—Revised (DS)
Youth
8
                             3,553
4
0.167
2374Behavioral and Emotional Rating Scale—Second Edition, Youth Rating Scale (BERS-2)
Youth
3,553
4
0.167
2374GAIN Quick—R: Substance Problem Scale (GAIN)
Youth
3,553
4
0.083
1180Substance Use Survey—Revised (SUS)
Youth
3,553
4
0.100
1421Revised Children's Manifest Anxiety Scales (RCMAS)
Youth
3,553
4
0.050
711Reynolds Adolescent Depression Scale—Second Edition (RADS-2)
Youth
3,553
4
0.050
711Youth information Questionnaire—Baseline (YIQ-I)
Youth
3,553
1
0.167
593Youth information Questionnaire—Follow-up (YIQ-F)
Youth
3,553
3
0.167
1780**Service Experience Study**Multi-Sector Service Contacts—Revised (MSSC-RC)
Caregiver
5,992
10
                             3
0.250
4442Cultural Competence and Service Provision Questionnaire (CCSP)
Caregiver
5,992
3
0.167
2967Youth Services Survey (YSS—F)
Caregiver
5,922
3
0.117
2079Cultural Competence Practices Study (Focus Groups—F)
Caregiver
36
1
1.500
54Youth Services Survey (YSS—Y)
Youth
3,553
4
0.083
1180Cultural Competence Practices Study (Focus Groups—Y)
Youth
36
1
1.500
54Cultural Competence Practices Study (Focus Groups—P)
Provider
60
1
1.500
90**Treatment Effectiveness Study**Diagnostic Interview Schedule for Children (DISC—Predictive Scales)
Caregiver
262
1
1.000
262Conflict Behavior Questionnaire (CBQ)
Caregiver
240
4
.167
160Family Assessment Measure (FAM)
Caregiver
240
4
.250
240Therapeutic Alliance Scale—caregiver (TAS)
Caregiver
240
3
.167
120Ohio Scales (caregiver)
Caregiver
240
4
.250
240Therapy Adherence Form—Revised
Caregiver
240
1
.167
40Therapeutic Alliance Scales—youth (TAS-Y)
Youth
192
4
.167
128Ohio Scales—youth
Youth
192
4
.250
192Evidence-Based Practices Provider Attitudes Scale
Provider
50
1
.083
4**Family Education and Support Study**Beck Depression Inventory (BDI)
Caregiver
300
3
.117
105Parenting Sense of Competence Scale (PSOC)
Caregiver
300
3
.167
150Alabama Parenting Questionnaire (APQ)
Caregiver
300
3
.117
105Duke Social Support Scale
Caregiver
300
3
.067
60Vanderbilt Mental Health Services Self-Efficacy Questionnaire
Caregiver
300
3
.050
45FES—Focus groups
Caregiver
54
1
1.500
81FES—Focus groups
Provider
54
1
1.500
81FES—Interview
Provider/Administrator
12
1
1.000
12**Primary Care Provider Study**Primary Care Provider Survey
Provider
540
1
.500
270**Sustainability Study**Sustainability Survey—Caregiver
Caregiver 12
27
2
0.500
27Sustainability Survey—Provider
Provider/Administrator 12
81
2
0.500
81
 
 
 Number of distinct respondents
Number of responses per respondent
Average 3-year burden per response
                             (hours)
Total burden
                             (hours)**Summary of Annualized Burden Estimates for 3 Years**Caregivers
5,922
1.13
2.08
13,954Youth
3,553
1.19
1.00
4,220Provider/Administrators
648
.542
1.90
669Total Summary
10,123


18,844Total Annual Average Summary
3,374


6,2811
                         An average of 24 stakeholders in up to 27 grantee sites will complete the System of Care Assessment interview. These stakeholders will include site administrative staff, providers, agency representatives, family representatives, youth and youth coordinators.2
                         Assuming the average annual income across all types of staff/service providers/administrators is $40,000, the wage rate was estimated using the following formula: $40,000 (annual income)/2080 (hours worked per year) = $19.25 (dollars per hour).3
                         Number of respondents across 27 grantees. Average based on a 5 percent attrition rate at each data collection point. These data are collected as part of the grantees' routine intake processes. Hence, burden is calculated only for the subset of the Cross-Sectional Descriptive Study sample that also participates in the Child and Family Outcome Study.4
                         Given that 65 percent of the families in the Phase III evaluation sample fall at or below the 2005 DHHS National Poverty Level of $19,350 (based on family of four), the wage rate was estimated using the following formula: $19,350 (annual family income)/2080 (hours worked per year) = 9.30 (dollars per hour).5
                         Average number of responses per respondent based on 6 data collection points for children recruited in year 3, 4 for children recruited in year 4, 2 for children recruited in year 5 (of grantee funding).6
                         Estimated number of caregivers with children over age 5, based on Phase IV preliminary needs-assessment that 95 percent of children served will be over age 5.7
                         Estimated number of caregivers with children under age 12, based on Phase IV preliminary needs-assessment that 40 percent of children served will be under age 12.8
                         Based on Phase III finding that approximately 60 percent of the children in the evaluation were 11 years old or older.9
                         Based on the Federal minimum wage rate of $5.15 per hour.10
                         Respondents only complete Service Experience Study measures at follow-up points. Average number of follow-up responses per respondent based on 6 follow-up data collection points for children recruited in year 3, 4 for children recruited in year 4, and 2 for children recruited in year 5 (of grantee funding).11
                         Assuming the average annual income across all types of staff/service providers is $31,200, the wage rate was estimated using the following formula: $31,200 (annual income)/2080 (hours worked per year) = $15.00 (dollars per hour).12
                         25 respondents will be caregiver and 75 respondents will be administrators/providers.
 Written comments and recommendations concerning the proposed information collection should be sent May 7, 2007 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: 202-395-6974. Dated: April 3, 2007 Elaine Parry, Acting Director, Office of Program Services.


[FR Doc. E7-6481 Filed 4-5-07; 8:45 am] BILLING CODE 4162-20-P