Agency Information Collection Activities: Proposed Collection; Comment Request
Federal Register, Volume 81 Issue 246 (Thursday, December 22, 2016)
Federal Register Volume 81, Number 246 (Thursday, December 22, 2016)
Notices
Pages 93946-93948
From the Federal Register Online via the Government Publishing Office www.gpo.gov
FR Doc No: 2016-30809
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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 (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 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.
Proposed Project: Children's Mental Health Initiative National 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 Children's Mental Health Initiative (CMHI) National Evaluation.
Evaluation Plan and Data Collection Activities. The purpose of the Children's Mental Health Initiative (CMHI) National Evaluation is to assess the success of the CMHI grants in expanding and sustaining 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 CMHI grant activities, this longitudinal, multi-level evaluation will measure activities and performance of grantees essential to building and sustaining effective Systems of Care (SOC)'s.
Data collection activities will occur through four evaluation components. Each component includes data collection activities and analyses involving similar topics. Each component has one or more instruments that will be used to address various aspects. The four components with their corresponding data collection activities are as follows:
(1) The Implementation Assessment is designed using a strategic framework that provides five analytic dimensions: (1) Policies, (2) services/supports, (3) financing, (4) training/workforce, and (5) strategic communications. These dimensions cut across the State System, Local System and Service Delivery levels and together link to a range of proximal and distal outcomes. The evaluation will identify and assess the mechanisms and strategies employed to implement and expand systems of care, and explore the impact on system performance and child and family outcomes. Evaluation activities are framed by the five strategic areas to examine whether specific mechanisms and strategies lead to proximal and distal outcomes. System of care principles are woven throughout the framework at both the State and Local levels. Data collection activities include: (A) Key Partner Interviews with high-
level administrators, youth and family representatives, and child agencies to organize qualitative data collection into these five areas and to allow within and across grantee evaluation of the implementation and impact of activities in these areas; and (B) the System of Care Expansion and Sustainability Survey (SOCESS), a self-report survey administered to representatives from grantee organizations, family and youth organizations, child-serving sectors, advocacy organizations for diverse populations, provider organizations, and financial officers, among others. The SOCESS is designed to capture self-report implementation data in the five analytic dimensions adopted by the 2015 CMHI National Evaluation.
(2) The Network and Geographic Analysis Component will use Network Analysis Surveys to determine the depth and breadth of the SOC collaboration across agencies and organization. Geographic Information Systems (GIS) will measure the geographic coverage and spread of the SOC, including reaching underserved areas and populations. 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 Component involves the review of implementation grantees' progress in developing financial sustainability and expansion plans. The Financial Mapping Interview and Financing Plan Survey and Interviews will be conducted with financial administrators of Medicaid Agencies, Mental Health Authorities, mental health provider trade associations, and family organizations. The Financial Plan Interview will focus on how the financial planning process supported or hindered attainment of sustainable financing. The Benchmarking Analysis 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 for youth age five and older: (A) A shortened version of the Caregiver Strain Questionnaire, (B) the Columbia Impairment Scale, (C) the Pediatric Symptom Checklist-17, and (D) background information gathered through SAMHSA National Outcomes Measures (NOMS). Data for youth age 0-4 will be collected using the: (A) Baby Pediatric Symptom Checklist; (B) Brief Infant and Toddler Emotional Assessment; (C) Pre-
School Pediatric Symptom Checklist and d) background information from the NOMS.
Estimated Burden. Data will be collected from 69 grantee sites. 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
Page 93947
the estimated annual burden estimate by instrument and respondent. Burden is summarized in Table 2.
Table 1--Estimated Annual Burden
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Number of Responses per Total number Hours per Total annual
Instrument/data collection activity Respondent respondents respondent of responses response burden hours
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Implementation Assessment
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Key Partner Interviews.................... Project Director............ 84 2 168 1.5 252
Family Organization 54 2 108 1.5 162
Representative.
Youth Organization 54 2 108 1.5 162
Representative.
MH Agency Director.......... 54 2 108 1.5 162
Core Agency Partners \b\.... 162 2 324 0.75 243
Quality Monitor............. 54 2 108 0.33 36
SOCESS.................................... Project Director............ 84 4 336 0.5 168
Family Organization 108 4 432 0.5 216
Representative.
Youth Organization 108 4 432 0.5 216
Representative.
Core Agency Partners........ 432 4 1,728 0.5 864
Practitioners............... 690 4 2,760 0.5 1,380
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Network Analysis Survey
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Network Analysis Survey................... Key Agency Partners......... 690 2 1,380 0.5 690
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Financial Mapping and Benchmark Components
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Financial Mapping Interview............... Financial administrators at: 108 2 216 0.75 162
Medicaid Agencies & MH
Authorities
Financial administrators at: 108 2 216 0.5 108
Trade associations & Family
organizations.
Tribal Financial 9 2 18 0.75 14
Administrators.
Benchmark Tool............................ Payment personnel at 12 2 24 40 960
Medicaid Agencies & MH
Authorities.
Financial Plan Interviews................. Financial Planning Directors 54 3 162 0.6 97
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Child and Family Outcome Component
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Administrative Measures................... Caregivers of clients age 0- 4,136 1 4,136 0.05 207
17 \c\.
Clients age 11-26........... 1,685 1 1,685 0.05 84
Client Functioning........................ Caregivers of clients age 0- 4,136 3 12,408 0.15 1,861
17 \c\.
Clients age 11-26 \d\....... 970 3 2,910 0.15 437
Caregiver Strain Questionnaire............ Caregivers of clients age 0- 4,136 3 12,408 0.15 1,861
17 \c\.
Columbia Impairment Scale................. Caregivers of clients age 5- 2,859 3 8,577 0.08 686
17 \e\.
Clients age 11-26 \d\....... 2,655 3 7,965 0.08 637
Pediatric Symptom Checklist-17............ Caregivers of clients age 5- 2,859 3 8,577 0.05 429
17 \e\.
Clients age 11-26 \d\....... 2,655 3 7,965 0.05 398
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New Tools in 2015
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Brief Infant and Toddler Emotional Caregivers of children and 1,277 3 3,831 0.08 306
Assessment (BITSEA). youth 0 to 5 years of age
\f\.
Baby Pediatric Symptom Checklist (BPSC)... Caregivers of children and 638 3 1,914 0.05 96
youth for ages 1 month to
18 months \f\.
Preschool Pediatric Symptom Checklist Caregivers of children and 639 3 1,917 0.05 96
(PPSC). youth for ages 18 months to
66 months \f\.
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Total Annual Burden
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All................................... All \g\..................... 12,107 .............. 36,354 .............. 12,990
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\a\ Based on the average hourly wages for Community and Social Service Specialists, All Other (21-1099; $22.47) and Social Workers (21-1020; $29.83)
from the May 2015 National Industry-Specific Occupational Employment and Wage Estimates, 621330--Offices of Mental Health Practitioners; the Federal
minimum wage of $7.25; and an estimated average hourly wage of $11.60 for a family of four living 25% below poverty level.
\b\ Core agency partners include (1) representatives from MH, child welfare, and juvenile justice and (2) CMHI quality monitors.
\c\ Assumes 81% of clients will be age 0 to 17.
\d\ Assumes 52% of clients will be age 11 to 26.
\e\ Assumes 56% of clients will be age 5 to 17.
\f\ Assumes 25% of clients will be age 0 to 5, with 12.5% of clients age 0 to 2.5, and 12.5% age 2.6 to 5).
\g\ Sums shown indicate unduplicated respondents and responses per respondent.
Table 2--Total Estimated Annual Burden
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Average
Instrument/data collection activity Number of Total number annual burden
respondents of responses (hours)
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Key Partner Interview........................................... 462 924 339
SOCESS.......................................................... 1,422 5,688 948
Network Analysis Survey......................................... 690 1,380 230
Financial Mapping Interview..................................... 225 450 95
Benchmark Tool.................................................. 12 24 320
Financial Planning.............................................. 54 162 32
Child and family instruments.................................... 9,242 27,726 2,366
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Total....................................................... 12,107 36,354 4,330
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Send comments to Summer King, SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-B, Rockville, Maryland 20857, OR email a copy to summer.king@samhsa.hhs.gov. Written comments should be received by February 21, 2017.
Summer King,
Statistician.
FR Doc. 2016-30809 Filed 12-21-16; 8:45 am
BILLING CODE 4162-20-P
