[Federal Register Volume 74, Number 52 (Thursday, March 19, 2009)]
[Notices]
[Pages 11741-11744]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-5976]


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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: Cross-Site Evaluation of the National Child Traumatic Stress 
Initiative (NCTSI)--(OMB No. 0930-0276)--Revision

    The Substance Abuse and Mental Health Services Administration's 
(SAMHSA's), Center for Mental Health Services (CMHS) will conduct the 
Cross-Site Evaluation of the National Child Traumatic Stress Initiative 
(NCTSI). The data collected will describe the children and families 
served by the National Child Traumatic Stress Network (NCTSN) and their 
outcomes, assess the development and dissemination of effective 
treatments and services, evaluate intra-network collaboration, and 
assess the Network's impact beyond the NCTSN.
    Data will be collected from caregivers, youth, NCTSN staff (e.g., 
project directors, researchers, and providers), mental health providers 
outside of the NCTSN, and non-mental health service providers who 
provide services to children outside of the NCTSN. Data collection will 
take place in all Community Treatment and Services Programs (CTS) and 
Treatment and Service Adaptation Centers (TSA) active during the three-
year approval period, and 2 National Centers for Child Traumatic Stress 
(NCCTS). Currently, there are 37 CTS centers and 13 TSA centers active, 
though this number could drop to 18 CTS centers and 5 TSA

[[Page 11742]]

centers in 2009 depending on the number of new centers funded in that 
year. Throughout, burden estimates are calculated for an average of 44 
centers in each year.
    The Cross-site Evaluation is composed of eight distinct study 
components, seven of which involve data collection and are described 
below.

Descriptive and Clinical Outcomes

    In order to describe the children served, their trauma histories 
and their clinical and functional outcomes, five instruments will be 
used to collect data from youth ages 7-18 who are receiving services in 
the NCTSN, and from caregivers of all children who are receiving NCTSN 
services. Data will be collected when the child/youth enters services 
and during subsequent follow-up sessions at three-month intervals over 
the course of one year. This study relies upon the use of data already 
being collected as a part of the Network's Core Data Set, and includes 
the following five instruments:
    <bullet> The Core Clinical Characteristics Form, which collects 
demographic, psychosocial and clinical information about the child 
being served including information about the child's domestic 
environment and insurance status, indicators of the severity of the 
child's problems, behaviors and symptoms, and use of non-Network 
services;
    <bullet> The Trauma Information/Detail Form, which collects 
information on the history of trauma(s) experienced by the child being 
served in the NCTSN including the type of trauma experienced, the age 
at which the trauma was experienced, type of exposure, whether or not 
the trauma is chronic, and the setting and perpetrator(s) associated 
with the traumatic experience;
    <bullet> The Child Behavior Checklist (CBCL) 1.5-5 and 6-18, which 
measures symptoms in such domains such as emotionally reactive, 
anxious/depressed, somatic complaints, withdrawn, attention problems, 
aggressive behavior, sleep problems, rule-breaking behavior, social 
problems, thought problems, and withdrawn/depressed;
    <bullet> The UCLA PTSD Short Form, which screens for exposure to 
traumatic events and for all DSM-IV PTSD symptoms in children who 
report traumatic stress experiences; and the
    <bullet> Trauma Symptoms Checklist for Children-Abbreviated (TSCC-
A), which evaluates acute and chronic posttraumatic stress symptoms in 
children's responses to unspecified traumatic events across several 
symptom domains.
    Approximately 1,900 youth and 2,500 caregivers will participate in 
the descriptive and clinical outcomes study, with caregivers responding 
to four instruments, and youth responding to one.

Consumer Satisfaction

    In order to assess the level of satisfaction with services received 
by NCTSN centers, caregivers participating in the descriptive and 
clinical outcomes study are also given the opportunity to report 
satisfaction using the Youth Services Survey for Families (YSS-F) 
instrument. Caregivers complete this survey, via mail or phone, once 
upon completion of services, or after six months of services, whichever 
comes first. The survey assesses perceptions of service across five 
domains: access, participation in treatment, cultural sensitivity, 
satisfaction, and outcomes. Approximately 2,500 caregivers will 
participate in the consumer satisfaction study. This study utilizes a 
single instrument, the YSS-F.

Adoption of Methods and Practices

    This study is designed to evaluate the extent to which trauma-
related practices, knowledge, methods, and products, particularly 
products created or disseminated by the NCTSN, are being adopted by 
Network centers and non-Network partners, and involves data collection 
using two distinct instruments. The General Adoption and Assessment 
Survey (GAAS) is used to ascertain the degree to which the various 
products and practices developed by network members are being adopted 
by each of the grantee sites. Question areas include the experience and 
role of the respondent; which products are being adopted; the stage of 
adoption process; the fidelity of the adoption implementation; the 
methods employed to bring the product into use; the facilitators of the 
adoption process; and the barriers to adoption. The GAAS will be 
administered to approximately 14,040 service providers, 44 project 
directors, and 44 researchers/evaluators once per year throughout the 
course of the evaluation. The Adoption and Implementation Factors 
Interview (AIFI) is a follow-up interview on product adoption that will 
be conducted with 150 network providers, 45 project directors/principal 
investigators, and 30 researchers/evaluators. The AIFI obtains 
information leading to an assessment of successful adoption and 
implementation processes and an understanding of the characteristics of 
the centers that result in adoption of network supported methods and 
practices. This study utilizes two instruments, the GAAS and the AIFI. 
Three versions of the GAAS will be utilized: The General Adoption 
Assessment Survey (GAAS) Providers, the General Adoption Assessment 
Survey (GAAS) Administrators, and the General Adoption Assessment 
Survey (GAAS) Evaluators. Three versions of the AIFI will be 
administered: Adoption and Implementation Factors Interview (AIFI) 
Provider Assessment & Clinical Components, Adoption and Implementation 
Factors Interview (AIFI) Administrator Assessment & Clinical 
Components, and the Adoption and Implementation Factors Interview 
(AIFI).

Network Collaboration

    The network collaboration study also utilizes two separate data 
collection activities. The Network Survey utilizes network analysis 
techniques to measure the extent to which each NCTSN center interacts 
with every other center on selected key Network activities (governance/
decision-making, information sharing, coordination of activities, 
product development, product dissemination and adoption, and training 
and technical assistance). The survey is administered to 84 current or 
former project directors/principal investigators, and to 44 other 
current NCTSN staff members. The Child Trauma Partnership Tool assesses 
the activities and impact of the NCTSN collaboration structures (Work 
Groups, Committees, Consortia) in terms of membership activities, 
vision, formalization, leadership, management, communication, decision-
making, resource allocation, understanding/valuing, and 
accomplishments. It is administered approximately 200 NCTSN staff 
members who make up the formal Network workgroups. The two surveys 
associated with this data collection, the Network Survey and the Child 
Trauma Partnership Tool, will be administered in alternating years of 
the evaluation.

Provider Knowledge and Use of Trauma-informed Services

    This study assesses the extent to which funded Network centers 
enhance the trauma-informed service knowledge base and use among 
service providers affiliated with the Network through training and 
outreach activities. The Provider Trauma-informed Services (TIS) 
Survey, which collects data on respondent characteristics, knowledge 
acquisition, predicted knowledge utilization, and overall training 
satisfaction, is administered to providers following Network center-
sponsored training events. TIS Survey

[[Page 11743]]

data will be collected from approximately 29,250 providers over the 
next three years of the evaluation. In addition, center trainers 
complete one TIS Training Summary Form, summarizing the content of the 
training, for every training event (approximately 1,463 over the next 
three years). This study utilizes two instruments, the TIS Survey and 
the TIS Training Summary Form.

Product Development and Dissemination

    This study identifies and describes the products developed and 
disseminated to Network and non-Network partners. Three methods of data 
collection are used in this study: The Product/Innovation Development 
and Dissemination Survey (PDDS), telephone interviews with existing 
NCTSN collaborative workgroup/taskforce coordinators (chairpersons), 
and case studies. The PDDS is included and completed as part of 
centers' quarterly progress reports, and is gathered quarterly from 44 
project directors/principal investigators. More detailed information on 
product development and dissemination will be collected as a part of 10 
case studies (5 in each alternating year) to be conducted in the next 
three years of the evaluation (with 10 caregivers, 20 researchers/
evaluators from the network, and 20 non-network product developers). 
These case studies each focus on the development and dissemination of 
specific Network products/innovations, and include as respondents key 
informants who are knowledgeable about the development and 
dissemination of each of these products. In addition, interviews will 
be conducted with approximately 15 workgroup leaders. The workgroup/
taskforce coordinator telephone interviews examine the role and impact 
of the Network's collaborative workgroups in the development and 
dissemination of products and innovations, and occur in alternating 
years, opposite the case studies. This study utilizes the three 
instruments discussed above: The PDDS, the case study interview guide, 
and the workgroup/taskforce coordinator interview guide.

National Impact

    This study examines the extent to which the existence of the NCTSN 
has impacted trauma-informed services information, knowledge, policy, 
and practices among mental health and non-mental health child-serving 
agencies external to the Network. The National Impact Survey collects 
data about these agencies' knowledge and awareness of childhood trauma 
and practices, about their knowledge and connections to the NCTSN 
centers, and about their policies, practices, and programs targeted to 
children and adolescents who have been exposed to traumatic 
experiences. The survey is administered to 1,600 mental health and 
1,600 non-mental health service providers from outside the NCTSN. These 
mental health agency and non-mental health agency data will be 
collected in alternating years over the course of the evaluation. This 
study includes a single instrument, the National Impact Survey.
    This revision to the currently approved information collection 
activities includes the extension of Cross-site Evaluation information 
collection activities for an additional three years beyond the initial 
three-year approval period. This revision also addresses the following 
programmatic changes:
    <bullet> The Trauma-informed Services Survey was shortened to 
reduce burden in response to NCTSN center feedback, removing four pages 
from the original 11 page survey. The dropped items focused primarily 
on the overall content of the training, including types of trauma 
addressed in the training and specific topics covered in the training.
    <bullet> The Product Development and Dissemination Survey data is 
now gathered from an existing quarterly report rather than from a 
stand-alone instrument,
    <bullet> GAAS provider respondents are now recruited from the pool 
of TIS Survey respondents who indicate a willingness to participate in 
future surveys. In the past, these respondents were recruited using a 
stand-alone invitation distributed at training events.
    The average annual respondent burden is estimated below.

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                                                    Total avg.
                                     Number of       number of       Hours per     Total burden     3 yr. avg.
           Instrument               respondents    responses per     response          hours       annual burden
                                                    respondent                                         hours
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                                                   Caregivers
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Child Behavior Checklist 1.5-5/6-          2,475               5             0.3           4,084           1,361
 18 (CBCL 1.5-5/6-18)...........
Trauma Information/Detail Form..           2,475               5             0.2           2,723             908
Core Clinical Characteristics              2,475               5             0.4           4,950           1,650
 Form...........................
Youth Services Survey for                  2,475               1             0.1             198              66
 Families (YSS-F)...............
UCLA-PTSD Short Form (UCLA-PTSD)           2,475               5             0.2           2,104             701
Case Study Interviews...........              10               1             1.5              15               5
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                                                      Youth
----------------------------------------------------------------------------------------------------------------
Trauma Symptoms Checklist for              1,881               5             0.3           3,104           1,035
 Children-Abbreviated (TSCC-A)..
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                                                Service Providers
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Provider Trauma-informed                  29,250               1             0.2           5,850           1,950
 Services Survey (TIS)..........
General Adoption Assessment               14,040               1             0.5           7,020           2,340
 Survey (GAAS) Providers........
Adoption and Implementation                  150               1             1.0             150              50
 Factors Interview (AIFI)
 Provider Assessment & Clinical
 Components.....................
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                                    Project Directors/Principal Investigators
----------------------------------------------------------------------------------------------------------------
Product/Innovations Development               44              12             1.0             528             176
 and Dissemination Survey (PDDS)
General Adoption Assessment                   44               3             0.5              66              22
 Survey (GAAS) Administrators...

[[Page 11744]]

 
Adoption and Implementation                   45               1             1.0              45              15
 Factors Interview (AIFI)
 Administrator Assessment &
 Clinical Components............
Network Survey..................              84               1             1.0              84              28
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                                               Other Network Staff
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TIS Training Summary Form.......           1,463               1              .1             122              41
Workgroup/Taskforce Coordinator               15               1             1.5              23               8
 Interview......................
Case Study Interviews...........              20               1             2.0              40              13
General Adoption Assessment                   44               3             0.5              66              22
 Survey (GAAS) Evaluators.......
Adoption and Implementation                   30               1             1.0              30              10
 Factors Interview (AIFI).......
Network Survey..................              44               1             1.0              44              15
Child Trauma Partnership Tool                200               2             0.8             320             107
 (CTPT).........................
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                                     Non-Network Mental Health Professionals
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National Impact Survey..........           1,600               1             0.5             800             267
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                                   Non-Network Non-Mental Health Professionals
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National Impact Survey..........           1,600               2             0.5           1,600            533.
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                                         Non-Network Product Developers
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Case Study Interviews...........              20               1             1.5              30              10
                                 -------------------------------------------------------------------------------
    Total Summary...............          62,959              61  ..............  ..............          33,996
                                 ===============================================================================
    Total Annual Summary........          20,986              20  ..............  ..............          11,333
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    Written comments and recommendations concerning the proposed 
information collection should be sent by April 20, 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: 202-395-6974.

    Dated: March 12, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-5976 Filed 3-18-09; 8:45 am]
BILLING CODE 4162-20-P