[Federal Register Volume 74, Number 15 (Monday, January 26, 2009)]
[Notices]
[Pages 4442-4445]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-1633]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Agency Information Collection Activities: Proposed Collection; 
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 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 on (240) 276-1243.
    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.

[[Page 4443]]

Proposed 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), 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 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 
measure 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, which evaluates 
acute and chronic posttraumatic stress symptoms in children's responses 
to unspecified traumatic events across several symptom domains.

Approximately 2,500 youth and 3,300 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 3,300 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 17,550 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.

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/
decisionmaking, information sharing, coordination of activities, 
product development, product dissemination and adoption, and training 
and technical assistance). The survey is administered to 80 current or 
former project directors/principal investigators, and to 80 other 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, 
decisionmaking, 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

[[Page 4444]]

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 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 data will be collected from approximately 58,500 
providers over the next three years of the evaluation. This study 
utilizes a single instrument, the TIS Survey.

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 leaders (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 leader 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 leader 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/           3,300               5             0.3           5,445           1,815
 6\-18 (CBCL 1.5-\5/6\-18)......
Trauma Information/Detail Form..           3,300               5             0.2           3,630           1,210
Core Clinical Characteristics              3,300               5             0.4           6,600           2,200
 Form...........................
Youth Services Survey for                  3,300               1             0.1             264              88
 Families (YSS-F)...............
UCLA-PTSD Short Form (UCLA-PTSD)           3,300               5             0.2           2,805             935
Case Study Interviews...........              10               1             1.5              15               5
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                                                      Youth
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Trauma Symptoms Checklist for              2,508               5             0.3           4,138        1,379.33
 Children-Abbreviated (TSCC-A)..
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                                                Service Providers
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Provider Trauma-Informed Service          58,500               1             0.2          11,700           3,900
 Survey (TIS)...................
General Adoption Assessment               17,550               1             0.5           8,775           2,925
 Survey (GAAS) Providers........
Adoption and Implementation                  150               1             1.0             150              50
 Factors Interview (AIFI)
 Provider Assessment & Clinical
 Components.....................
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[[Page 4445]]

 
                                    Project Directors/Principal Investigators
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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...
Adoption and Implementation                   45               1             1.0              45              15
 Factors Interview (AIFI)
 Administrator Assessment &
 Clinical Components............
Network Survey..................              80               1             1.0              80           26.67
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                                               Other Network Staff
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Workgroup/Taskforce Coordinator               15               1             1.5            22.5             7.5
 Interview......................
Case Study Interviews...........              20               1             2.0              40           13.33
General Adoption Assessment                   44               3             0.5              66              22
 Survey (GAAS)..................
Adoption and Implementation                   30               1             1.0              30              10
 Factors Interview (AIFI).......
Network Survey..................              80               1             1.0              80           26.67
Child Trauma Partnership Tool                200               2             0.8             320          106.67
 (CTPT).........................
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                                     Non-Network Mental Health Professionals
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National Impact Survey..........           1,600               1             0.5             800          266.67
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                                   Non-Network Non-Mental Health Professionals
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National Impact Survey..........           1,600               2             0.5           1,600          533.33
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                                         Non-Network Product Developers
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Case Study Interviews...........              20               1             1.5              30              10
                                 -------------------------------------------------------------------------------
Total Summary...................          99,040              60  ..............  ..............          47,230
Total Annual Summary............          33,013              20  ..............  ..............          15,743
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    Send comments to Summer King, SAMHSA Reports Clearance Officer, 
Room 7-1044, 1 Choke Cherry Road, Rockville, MD 20850. Written comments 
should be received by March 27, 2009.

    Dated: January 16, 2009.
Elaine Parry,
Director, Office of Program Services.
[FR Doc. E9-1633 Filed 1-23-09; 8:45 am]
BILLING CODE 4162-20-P