Skip to Content

Notice

Agency Information Collection Activities: Proposed Collection; Comment Request

Document Details

Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble

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: National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase V (OMB No. 0930-0280)—Revision

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), is responsible for the National Evaluation of the comprehensive Community Mental Health Services for Children and Their Families Program, which collects data on child mental health outcomes, family life, and service system development and performance. Data will be collected on 30 service systems and roughly 8,810 children and families.

The data collection for this evaluation will be conducted for a three-year period. The core of service system data will be collected twice (every 18 to 24 months) during the three-year evaluation period. A sustainability survey will be conducted in selected years. Service delivery and system variables of interest include the following: maturity of system of care development; adherence to the system of care program model; services received by youth and their families, and the costs of those services; and consumer service experience.

The length of time that individual families will participate in the study ranges from 18 to 36 months depending on when they enter the evaluation. Child and family outcomes of interest will be collected at intake and during subsequent follow-up interviews at six-month intervals. Client service experience information is collected at these follow-up interviews. Measures included in an outcome interview are determined by the type of assessment (intake or follow-up), child's age, and whether the respondent is the caregiver or a youth.

The outcome measures include the following: Child symptomatology and functioning, family functioning, material resources, and caregiver strain. The caregiver interview package includes the Caregiver Information Questionnaire, Child Behavior Checklist, Behavioral and Emotional Rating Scale (BERS), Education Questionnaire, Columbia Impairment Questionnaire, Living Situations Questionnaire, Family Life Questionnaire, and Caregiver Strain Questionnaire at intake, and also Start Printed Page 15731includes the Multi-service Sector Contacts Form, Culturally Competence and Service Provision Questionnaire and the Youth Services Survey (a national outcome measurement tool) at follow-up assessments. Caregivers of children under age 6 complete the Vineland Screener to assess development, and do not complete the BERS. The Youth Interview package includes the Youth Information Questionnaire, Revised Children's Manifest Anxiety Scale, Reynolds Depression Scale, BERS (youth version), Delinquency Survey, Substance Use Survey, GAIN-Quick: Substance Dependence Scale, and Youth Services Survey (youth version).

The evaluation also includes three special studies: (1) An evidence-based practices study that examines the effects of various factors on the implementation and use of evidence-based treatments and approaches in system of care communities; (2) A cultural and linguistic competence study that examines the extent to which the cultural and linguistic characteristics of communities influence program implementation and provider adaptation of evidence-based treatments, and provider service delivery decisions based on provider culture and language; and (3) An evaluation of the communities' use of reports produced by the national evaluation for continuous quality improvement. The national evaluation measures address the national outcome measures for mental health programs as currently established by SAMHSA.

Table 1 summarizes which national evaluation components are unchanged from the original 2006 submission and which are new or changed.

Table 1—Study Component and Instrument Revisions for Phase V Re-Submission

New or changed for 2009 resubmissionNo changeNature of change
System of Care Assessment
Site Visit TablesX
Interview ProtocolsX
Inter-Agency Collaboration Scale (IACS)X
Longitudinal Child and Family Outcome Study
Caregiver Information Questionnaire (CIQ-I)XQuestion 39a skip pattern revised Question 39d list of medications updated.
Caregiver Information Questionnaire (CIQ-F)XQuestion 39a skip pattern revised Question 39d list of medications updated.
Caregiver Strain Questionnaire (CGSQ)X
Child Behavior Checklist (CBCL)/Child Behavior Checklist 11/2-5 (CBCL 11/2-5)X
Education Questionnaire—Revised (EQ-R)XSlight wording change to interviewer note and the term “day care” changed to “childcare”.
Living Situations Questionnaire (LSQ)X
Family Life Questionnaire (FLQ)X
Behavioral and Emotional Rating Scale—Second Edition—Parent Rating Scale (BERS-2C)X
Columbia Impairment Scale (CIS)X
Vineland Screener (VS)X
Delinquency Survey—Revised (DS-R)X
Behavioral and Emotional Rating Scale—Second Edition, Youth Rating Scale (BERS-2Y)X
Gain-Quick Substance Related Issues (Gain Quick-R)X
Substance Use Survey—Revised (SUS-R)X
Revised Children's Manifest Anxiety Scales (RCMAS)X
Reynolds Adolescent Depression Scale—Second Edition (RADS-2)X
Youth Information Questionnaire (YIQ-I)X
Youth Information Questionnaire (YIQ-F)X
Service Experience Study
Multi-Sector Service Contacts Questionnaire—Revised (MSSC-R)XSlight modification to Card 4 and Cards 6 and 7 are new.
Evidence-Based Practices Experience Measure (EBPEM)X
Cultural Competence and Service Provision Questionnaire (CCSP)X
Youth Services Survey for Families (YSS-F)X
Youth Services Survey (YSS)X
Services and Costs Study
Flex Funds Data DictionaryXNew.
Services and Costs Data DictionaryXNew.
Sustainability Study
Sustainability SurveyX
Start Printed Page 15732
Continuous Quality Improvement (CQI) Initiative Evaluation
CQI Initiative SurveyXNew.
CQI Initiative Interview GuideXNew.
Evidence-Based Practices Study
System-level Implementation Factors Discussion GuideXNew.
Service-level Implementation Factors Discussion GuideXNew.
Consumer-level Implementation Factors Discussion GuideXNew.
Cultural and Linguistic Competence Study
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group Guide—Staff and PartnersXNew.
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group Guide—CaregiversXNew.
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group Guide—YouthXNew.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—Staff and PartnersXNew.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—CaregiversXNew.
CCIOSAS—Participants in Self-Assessments Focus Group Guide—YouthXNew.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—Staff and PartnersXNew.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—CaregiversXNew.
CCIOSAS—Users of Self-Assessment Findings Focus Group Guide—YouthXNew.
CCIOSAS—Telephone Interview—Staff and PartnersXNew.
CCEBPS—Managers of EBP Process Focus Group GuideXNew.
CCEBPS—Providers of EBP Focus Group GuideXNew.
CCEBPS—Family Focus Group GuideXNew.
CCEBPS—Youth Focus Group GuideXNew.
CCEBPS—Telephone InterviewXNew.

Internet-based technology will be used for data entry and management, and for collecting data using Web-based surveys. The average annual respondent burden, with detail provided about burden contributed by specific measures, is estimated below. The 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 for each response, and the total average annual burden for each category of respondent and for all categories of respondents combined.

Note:

Total burden is annualized over a 3-year period.

Table 2—Detailed Estimate of Respondent Burden

InstrumentRespondentNumber of respondentsTotal average number of responses per respondentHours per responseTotal burden hours3-year average annual burden hours
System of Care Assessment
Interview Guides and Data Collection FormsKey site informants1 63011.00630210
Interagency Collaboration Scale (IACS)Key site informants63010.138227
Longitudinal Child and Family Outcome Study
Caregiver Information Questionnaire (CIQ-IC)Caregiver2 8,81010.2832,493831
Caregiver Information Questionnaire Followup (CIQ-FC)Caregiver8,81020.2003,5241,175
Caregiver Strain Questionnaire (CGSQ)Caregiver8,8103 30.1674,4141,471
Child Behavior Checklist (CBCL)/Child Behavior Checklist 11/2-5 (CBCL 11/2-5)Caregiver8,81030.3338,8012,934
Education Questionnaire—Revised (EQ-R)Caregiver8,81030.3338,8012,934
Living Situations Questionnaire (LSQ)Caregiver8,81030.0832,194731
Start Printed Page 15733
The Family Life Questionnaire (FLQ)Caregiver8,81030.0501,322441
Behavioral and Emotional Rating Scale—Second Edition, Parent Rating Scale (BERS-2C)Caregiver4 7,48830.1674,1931,398
Columbia Impairment Scale (CIS)Caregiver5 8,36930.0832,084695
The Vineland Screener (VS)Caregiver6 1,32130.250330110
Delinquency Survey—Revised (DS-R)Youth7 5,28630.1672,648883
Behavioral and Emotional Rating Scale—Second Edition, Youth Rating Scale (BERS-2Y)Youth5,28630.1672,648883
Gain-Quick Substance Related Issues (Gain Quick-R)Youth5,28630.0831,316439
Substance Use Survey—Revised (SUS-R)Youth5,28630.1001,586529
Revised Children's Manifest Anxiety Scales (RCMAS)Youth5,28630.050793264
Reynolds Adolescent Depression Scale—Second Edition (RADS-2)Youth5,28630.050793264
Youth information Questionnaire—Baseline (YIQ-I)Youth5,28610.167883294
Youth information Questionnaire—Follow-up (YIQ-F)Youth5,28620.1671,766589
Service Experience Study
Multi-Sector Service Contacts—Revised (MSSC-R)Caregiver8,8108 20.2504,4051,468
Evidence-Based Practice Measure (EBPEM)Caregiver8,81020.1672,943981
Cultural Competence and Service Provision Questionnaire (CCSP)Caregiver8,81020.1672,943981
Youth Services Survey—Family (YSS-F)Caregiver8,81020.1172,062687
Youth Services Survey (YSS)Youth5,28620.083877292
Services and Costs Study
Flex Funds Data DictionaryLocal staff compiling/entering data9 2,67010 3.03321873
Services and Costs Data DictionaryLocal staff compiling/entering data11 10,68012 100.03329,0739,691
Sustainability Study
Sustainability SurveyCaregiver13 5220.757826
Sustainability SurveyProvider/Administrator15620.7523478
Continuous Quality Improvement (CQI) Initiative Evaluation
CQI Initiative SurveyKey community staff15010.57525
CQI Initiative Interview GuideKey community staff5011.05017
Evidence-Based Practices Study
System-level Implementation Factors Discussion GuideSOC leadership team member9010.756823
Service-level Implementation Factors Discussion GuideProvider6010.754515
Consumer-level Implementation Factors Discussion GuideCaregivers3010.5155
Cultural and Linguistic Competence Study
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group GuideProvider4011.04013
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group GuideAdministrators/Managers2011.53010
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group GuideCaregivers401.753010
CCIOSAS—Beneficiaries of Self-Assessment Findings Focus Group GuideYouth401.753010
CCIOSAS—Participants in Self-Assessments Focus Group GuideProvider4011.04013
Start Printed Page 15734
CCIOSAS—Participants in Self-Assessments Focus Group GuideAdministrators/Managers2011.53010
CCIOSAS—Participants in Self-Assessments Focus Group GuideCaregivers161.75124
CCIOSAS—Participants in Self-Assessments Focus Group GuideYouth161.75124
CCIOSAS—Users of Self-Assessment Findings Focus Group GuideProvider4011.04013
CCIOSAS—Users of Self-Assessment Findings Focus Group GuideAdministrators/Managers2011.53010
CCIOSAS—Users of Self-Assessment Findings Focus Group GuideCaregivers161.75124
CCIOSAS—Users of Self-Assessment Findings Focus Group GuideYouth161.75124
CCIOSAS—Telephone InterviewProviders211.020.67
CCIOSAS—Telephone InterviewAdministrators/Managers311.031
CCEBPS—Managers of EBP/PBE Interventions Focus Group GuideProviders1611.0165
CCEBPS—Managers of EBP/PBE Interventions Focus Group GuideAdministrators/Managers2011.53010
CCEBPS—Providers of EBP/PBE Interventions Focus Group GuideProviders4011.04013
CCEBPS—Family Focus Group GuideCaregivers401.753010
CCEBPS—Youth Focus Group GuideYouth401.753010
CCEBPS—Telephone Interview GuideProviders211.020.67
CCEBPS—Telephone Interview GuideAdministrators/Managers311.031

Table 3—Summary Estimate of Respondent Burden

[Summary of annualized burden estimates for 3 years]

Number of distinct respondentsNumber of responses per respondentAverage burden per response (hours)Total annual burden (hours)
Caregivers8,8102.462.3651,147
Youth5,2862.560.9913,397
Community staff87072.220.8654,035
Total Summary14,9966.54118,579
Total Annual Average Summary4,9892.1839,526
1 An average of 21 stakeholders in up to 30 grant communities will complete the System of Care Assessment interview. These stakeholders will include site administrative staff, providers, agency representatives, family representatives, and youth.
2 Number of respondents across 30 grantees. Average based on a 5 percent attrition rate at each data collection point.
3 Average number of responses per respondent is a weighted average of the possible numbers of responses per respondent for communities beginning data collection in FY2007 and FY2008. The maximum numbers of responses per respondent are for 24 communities beginning data collection in FY2007, 1 follow-up data collection point remaining for children recruited in year 2 (of grant community funding), 3 for children recruited in year 3, 4 for children recruited in year 4, and 4 for children recruited in year 5. The maximum numbers of responses per respondent are, for 6 communities beginning data collection in FY2008, 3 follow-up data collection points remaining for children recruited in year 2 (of grant community funding), 5 for children recruited in year 3, 6 for children recruited in year 4, and 4 for children recruited in year 5.
4 Approximate number of caregivers with children over age 5, based on Phase V data submitted as of 12/08.
5 Approximate number of caregivers with children 3 and older, based on Phase V data submitted as of 12/08.
6 Approximate number of caregivers with children 5 or under, based on Phase V data submitted as of 12/08.
7 Based on Phase III and IV finding that approximately 60 percent of the children in the evaluation were 11 years old or older.
8 Respondents only complete Service Experience Study measures at follow-up points. See Footnote #3 for the explanation about the average number of responses per respondent.
9 Staff will enter data on flexible funds expenditures into a Web-based application or will recode existing data on flexible funds expenditures to match the Flex Funds Data Dictionary format. Each community will use flexible funds expenditures on average for approximately one-quarter of the estimated 356 children/youth enrolled, suggesting a total of 89 children/youth will receive services from flexible funds per community. Thus, there will be data entered for 89*30 = 2,670 children/youth using the Flex Funds Data Dictionary.
10 Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund benefits.
11 Staff will collect paper-based forms from agencies and enter them into a Web-based application or will extract data from agencies' existing data systems. Staff will recode data to match the Services and Costs Data Dictionary format. Service and costs records will be compiled for all 356*30=10,680 children/youth enrolled.
12 Assumes that each child/youth will have 100 service episodes, on average, during his/her time in a system of care.
13 This survey will be administered at 5 sites funded in 2006, 25 sites funded in 2005, 2 sites funded in 2000, and 20 sites funded in 1999.
Start Printed Page 15735

Send comments to Summer King, SAMHSA Reports Clearance Officer, Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 and e-mail her a copy at summer.king@samhsa.hhs.gov. Written comments should be received within 60 days of this notice.

Start Signature

Dated: April 1, 2009.

Elaine Parry,

Director, Office of Program Services.

End Signature End Preamble

[FR Doc. E9-7779 Filed 4-6-09; 8:45 am]

BILLING CODE 4162-20-P