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[Federal Register Volume 89, Number 241 (Monday, December 16, 2024)]
[Notices]
[Pages 101613-101614]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-29515]

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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) 276-0361.

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-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) as optional data 
fields to provide inclusive measures. These revisions align with both 
SAMHSA's efforts in enhancing behavioral health equities among diverse 
populations and the BG Reporting requirement (OMB No. 0930-0168). All 
SUPTRS BG tables which collect/report SOGI information have been 
updated.
     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 BG 
Reporting requirement (OMB No. 0930-0168). All MHBG tables and related 
URS tables which collect/report SOGI information have been updated.
     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

[[Page 101614]]

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:

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                                             Number of     Responses per       Total         Hours per     Total burden                     Total hour
            Type of activity                respondents     respondent       responses       response          hours         Wage rate         cost
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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
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Written comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
to www.reginfo.gov/public/do/PRAMain. Find this particular information 
collection by selecting ``Currently under 30-day Review--Open for 
Public Comments'' or by using the search function.

Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-29515 Filed 12-13-24; 8:45 am]
BILLING CODE 4162-20-P
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