[Federal Register Volume 79, Number 248 (Monday, December 29, 2014)]
[Notices]
[Pages 78095-78098]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-30288]


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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. 35). To request a copy of these

[[Page 78096]]

documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.

Project: National System of Care Expansion Evaluation--NEW

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), Center for Mental Health Services (CMHS) is requesting 
approval from the Office of Management and Budget (OMB) for the new 
collection of data for the National System of Care (SOC) Expansion 
Evaluation.
    Evaluation Plan and Data Collection Activities. The purpose of the 
National SOC Expansion Evaluation is to assess the success of the SOC 
expansion planning and implementation grants in expanding the reach of 
SOC values, principles, and practices. These include maximizing system-
level coordination and planning, offering a comprehensive array of 
services, and prioritizing family and youth involvement. In order to 
obtain a clear picture of SOC expansion grant activities, this 
longitudinal, multi-level evaluation will measure activities and 
performance of grantees at three levels essential to building and 
sustaining effective SOCs. The three levels are: jurisdiction, local 
system, and child and family levels.
    Data collection activities will occur through four evaluation 
components. Each component includes data collection activities and 
analyses involving similar topics. Each component has multiple 
instruments that will be used to address various aspects. Thus, there 
are a total of eight new instruments that will be used to conduct this 
evaluation. All four evaluation components involve collecting data from 
implementation grantees, but only the Implementation assessment 
includes data collection from planning grantees as well.
    The four studies with their corresponding data collection 
activities are as follows:
    (1) The Implementation assessment will document the development and 
expansion of SOCs. Data collection activities include: (a) Stakeholder 
Interviews with high-level administrators, youth and family 
representatives, and child agencies to describe the early 
implementation and expansion efforts of planning and implementation 
grants, (b) the web-based Self-Assessment of Implementation Survey 
(SAIS) to assess SOC implementation and expansion at the jurisdictional 
level over time, and (c) the SOC Expansion Assessment (SOCEA) 
administered to local providers, managers, clients, and their 
caregivers to measure SOC expansion strategies and processes 
implemented related to direct service delivery at the local system 
level. Implementation grantees will participate in all three of the 
Implementation assessment data collection activities. Planning grantee 
participation will be limited to the Stakeholder Interview and the 
Self-Assessment of Implementation Survey.
    (2) The Network Analysis will use Network Analysis Surveys to 
determine the depth and breadth of the SOC collaboration across 
agencies and organization. Separate network analysis surveys will be 
administered at the jurisdiction and local service system levels. The 
Geographic Information System (GIS) Component will measure the 
geographic coverage and spread of the SOC, including reaching 
underserved areas and populations. At the jurisdictional and local 
service system levels, the GIS component will use office and business 
addresses of attendees to key planning, implementation and expansion 
events. At the child/youth and family level, Census block groups 
(derived from home addresses) will be used to depict the geographic 
spread of populations served by SOCs.
    (3) The Financial Mapping Component involves the review of 
implementation grantees' progress in developing financial 
sustainability and expansion plans. The Financial Mapping Interview 
will be conducted with financial administrators of Medicaid Agencies, 
Mental Health Authorities, mental health provider trade associations, 
and family organizations. The Benchmark Component will compare relative 
rates of access, utilization, and costs for children's mental health 
services using the Benchmarking Tool and administrative data requested 
from financial administrators and personnel working with Medicaid 
Agency and Mental Health Authority reporting and payment systems.
    (4) The Child and Family Outcome Component will collect 
longitudinal data on child clinical and functional outcomes, family 
outcomes, and child and family background. Data will be collected at 
intake, 6-months, and 12-months post service entry (as long as the 
child/youth is still receiving services). Data will also be collected 
at discharge if the child/youth leaves services before the 12-month 
data collection point. Data will be collected using the following 
scales: (a) A shortened version of the Caregiver Strain Questionnaire, 
(b) the Columbia Impairment Scale, (c) the Pediatric Symptom Checklist-
17, (d) Family/Living Situation items, and (e) background information 
gathered through the Common Data Platform (CDP). Although OMB approval 
for the CPD has been sought separately under an unrelated contract, 
this data collection will include both youth age 11 to 17 and their 
caregivers whereas CDP includes only one of these respondents (i.e., 
youth or caregiver).
    Estimated Burden. Data will be collected from approximately 51 
planning and 106 implementation grant jurisdictions and local systems. 
Data collection for this evaluation will be conducted over a 4-year 
period.
    The average annual respondent burden 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 to complete each response, and the total average annual 
burden for each category of respondent for all categories of 
respondents combined. Table 1 shows the estimated annual burden 
estimate by instrument and respondent. Burden is summarized in Table 2.

                                                        Table 1--Estimated Average Annual Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Number of     Responses per   Total number      Hours per     Total annual
  Instrument/Data collection activity               Respondent              respondents     respondent     of  responses     response      burden hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Implementation Assessment
--------------------------------------------------------------------------------------------------------------------------------------------------------
Stakeholder Interviews \a\.............  Project Director...............              57               1              57             1.6              90
                                         Family Organization                          57               1              57             1.6              90
                                          Representative.
                                         Youth Organization                           57               1              57             1.6              90
                                          Representative.
                                         Core Agency Partners \b\.......             287               1             287             1.3             358
SAIS \a\...............................  Grant leadership...............           1,540            1.93           2,970            0.82           2,426

[[Page 78097]]

 
SOCEA..................................  Project Director &                          143               1             143             1.5             215
                                          Representatives from Family &
                                          Youth Organizations.
                                         Core Agency Rep, Service                    429               1             429             1.0             533
                                          Providers.
                                         Care Coordinators..............              95               1              95             1.7             162
                                         Caregivers.....................              95               1              95            0.75             106
                                         Clients 14-21..................              95               1              95             0.5              48
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Network Analysis Survey
--------------------------------------------------------------------------------------------------------------------------------------------------------
Jurisdiction...........................  Grant leadership...............             353               1             353             0.4             147
Local system...........................  Local providers of direct                   707               1             707             0.4             294
                                          services.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                             GIS Component: Group Collaborative Events for GIS Analysis Form
--------------------------------------------------------------------------------------------------------------------------------------------------------
Jurisdiction...........................  Grant administrator/Project                 106               4             424            0.25             106
                                          Director.
Local system...........................  Local administrator/Project                 106               4             424            0.25             106
                                          Director.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                       Financial Mapping and Benchmark Components
--------------------------------------------------------------------------------------------------------------------------------------------------------
Financial Mapping Interview............  Financial administrators at:                 97               1              97             2.0             217
                                          Medicaid Agencies & MH
                                          Authorities.
                                         Financial administrators at:                332               1             332             1.5              52
                                          Trade associations & Family
                                          organizations.
Benchmark Tool.........................  Payment/reporting personnel at:              24               1              24            40.0             960
                                          Medicaid Agencies & MH
                                          Authorities.
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                           Child and Family Outcome Component
--------------------------------------------------------------------------------------------------------------------------------------------------------
Background Information (CDP) \c\.......  Caregivers of clients age 11-17             631        \e\ 2.12           1,337            0.37             491
                                          \d\.
                                         Clients age 11-17..............             631            2.12           1,337            0.37             491
Family/Living Information..............  Caregivers of clients age 5-17            3,172            2.12           6,725             .05             336
                                          \f\.
                                         Clients age 18-21 \g\..........             650            2.12           1,377             .05              69
Caregiver Strain Questionnaire--Short    Caregivers of clients age 5-17.           3,172            2.12           6,725            0.12             807
 Form.
Columbia Impairment Scale..............  Caregivers of clients age 5-17.           3,172            2.12           6,725            0.08             538
                                         Clients age 11-21 \h\..........           1,911            2.12           4,051            0.08             324
Pediatric Symptom Checklist-17.........  Caregivers of clients age 5-17.           3,172            2.12           6,725            0.05             336
                                         Clients age 11-21..............           1,911            2.12           4,051            0.05             203
Client record review...................  Site staff.....................              28             407          11,261            0.21           2,365
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Total Annual Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
All....................................  All............................           9,365  ..............          56,664  ..............          11,958
--------------------------------------------------------------------------------------------------------------------------------------------------------
a. Burden includes planning and implementation grantees.
b. Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors.
c. OMB clearance sought for CDP is limited to the added burden for a second respondent (Caregiver OR Client age 11 to 17). For clients age 11 to 17, CDP
  only collects information from either Caregivers OR youth. In addition, clearance is requested for the burden only as OMB approval of CDP has been
  sought separately.
d. Assumes 33% of clients will be age 11 to 17 and that the additional CDP interview for clients age 11 to 17 and their caregiver will be evenly split
  between clients and caregivers. Evaluation design requires all participating clients age 5 to 17 to have a caregiver participating in the evaluation.
e. Accounts for attrition.
f. Assumes 83% of clients will be age 5 to 17.
g. Assumes 17% of clients will be age 18 to 21.
h. Assumes 50% of clients will be age 11 to 21.


                                     Table 2--Total Estimated Annual Burden
----------------------------------------------------------------------------------------------------------------
                                                                                                      Average
               Instrument/Data collection activity                   Number of     Total number   annual  burden
                                                                    respondents    of  responses      (hours)
----------------------------------------------------------------------------------------------------------------
Stakeholder Interviews..........................................             459             459             628

[[Page 78098]]

 
SAIS............................................................           1,540           2,970           2,426
SOCEA...........................................................             858             858           1,063
Network analysis survey.........................................           1,060           1,060             442
GIS.............................................................             212             848             212
Financial mapping interview.....................................             129             129             269
Benchmark Tool..................................................              24              24             960
Child and family tools (respondent & staff burden)..............           5,083          50,316           5,959
    Total.......................................................           9,365          56,664          11,958
----------------------------------------------------------------------------------------------------------------

    Written comments and recommendations concerning the proposed 
information collection should be sent by January 28, 2015 to the SAMHSA 
Desk Officer at the Office of Information and Regulatory Affairs, 
Office of Management and Budget (OMB). To ensure timely receipt of 
comments, and to avoid potential delays in OMB's receipt and processing 
of mail sent through the U.S. Postal Service, commenters are encouraged 
to submit their comments to OMB via email to: 
<a href="/cdn-cgi/l/email-protection#3877716a79676b4d5a55514b4b5157567857555a165d5748165f574e"><span class="__cf_email__" data-cfemail="57181e0516080422353a3e24243e383917383a357932382779303821">[email protected]</span></a>. Although commenters are encouraged to send 
their comments via email, commenters may also fax their comments to: 
202-395-7285. Commenters may also mail them to: Office of Management 
and Budget, Office of Information and Regulatory Affairs, New Executive 
Office Building, Room 10102, Washington, DC 20503.

Summer King,
Statistician.
[FR Doc. 2014-30288 Filed 12-24-14; 8:45 am]
BILLING CODE 4162-20-P


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