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[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:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                           Number of     Responses per       Total         Hours per     Total burden
           Type of activity               respondents     respondent       responses       response          hours         Wage rate     Total hour cost
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
                                       -----------------------------------------------------------------------------------------------------------------
    State Total.......................  ..............  ..............  ..............  ..............          38,329  ..............         1,211,597
--------------------------------------------------------------------------------------------------------------------------------------------------------

[[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]
BILLING CODE 4162-20-P
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