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Agency Information Collection Activities: Submission for OMB Review; Comment Request

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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) 276-1243.

Project: National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program: Phase VI-NEW

The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services is responsible for the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program (Children's Mental Health Initiative—CMHI) that will collect data on child mental health outcomes, family life, and service system development and performance. Data will be collected on 26 service systems, and approximately 5,541 children and families.

Data collection for this evaluation will be conducted over a five-year period. Child and family outcomes of interest will be collected at intake and during subsequent follow-up sessions at six-month intervals. The length of time that individual families will participate in the study ranges from 12 to 24 months depending upon when they enter the evaluation. The outcome measures include the following: Child symptomatology and functioning, family functioning, satisfaction, and caregiver strain. The core of service system data will be collected every 18-24 months throughout the 5-year evaluation period, with a sustainability survey conducted in years 3 and 5. Service utilization and cost data will be tracked and submitted to the national evaluation every six months using two tools, the Flex Fund Tool and the Services and Costs Data Tool, to estimate average cost of treatment per child, distribution of costs, and allocation of costs across service categories. Service delivery and system variables of interest include the following: Maturity of system of care development in funded system of care communities, adherence to the system of care program model, and client service experience. We will also conduct a comprehensive evaluation of the CMHI's data driven technical assistance; this component of the evaluation will employ a mixed-methods approach, combining qualitative and quantitative data to provide a comprehensive assessment of the continuous quality improvement (CQI) process in funded system of care communities. Specifically, data will be gathered through three complementary activities: A baseline survey of key constituents in all funded communities; a subsequent monitoring survey administered every two years to the same constituents; and biennial case studies of four selected communities.

In addition, the evaluation will include three special studies: (1) The sector specific assessment and quasi-experimental comparison study will examine in more detail the outcomes and service experience of children from multiple child-serving sectors and, through child-level matching, compare these outcomes with those not receiving system of care services; (2) The Alumni Network Study will examine the effectiveness of the system of care Alumni Network Web site by evaluating end-user satisfaction and usability of the Web site and will also assess the collaboration between communities via a Web-based Networking and Collaboration Survey that will measure the nature and extent of the interaction between communities; (3) The Study of State Strategies for Sustainability will examine the state's role in sustaining communities after federal funding ceases and describe effective strategies for sustaining funded systems of care. A short version of the sustainability survey developed for this evaluation will be used to gather this information.

Internet-based technology such as Web-based surveys and data entry and management tools will be used in this evaluation. The measures of the national evaluation address the national outcome measures for mental health programs as currently established by SAMHSA.

The average annual respondent burden 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 to complete each response, and the total average annual burden for each category of respondent, and for all categories of respondents combined.Start Printed Page 38198

Phase VI Estimate of Respondent Burden

[Note: Total burden is annualized over a 5-year period]

InstrumentRespondentNumber of respondentsTotal average number of responses per respondentHours per responseTotal burden hours5-year average annual burden hours
System of Care Assessment
Interview Guide A. Core Agency RepresentativeKey site informants1 59831.001,794359
Interview Guide B. Project Director
Interview Guide C. Family Representative/Representative of Family/Advocacy Organizations
Interview Guide D. Program Evaluator
Interview Guide E. Intake Worker
Interview Guide F. Care Coordinator
Interview Guide G. Direct Service Delivery Staff
Interview Guide H. Care Review Participant
Interview Guide I. Caregiver of Child or Youth Served by the Program
Interview Guide L. Direct Service Staff from Other Public Child-Serving Agencies
Interview Guide M. Care Record/Chart Review
Interview Guide N. Other Staff
Interview Guide O. Debriefing Document
Interview Guide P. Youth Respondent
Interview Guide Q. Youth Coordinator
Interview Guide R. Cultural and Linguistic Competence Coordinator
Interview Guide S. Social Marketing Communications Manager
Child and Family Outcome Study
Caregiver Information Questionnaire, Revised: Caregiver—Intake (CIQ-RC-I)Caregiver2 5,54110.372,032406
Caregiver Information Questionnaire, Revised: Staff as Caregiver—Intake (CIQ-RS-I)Staff as Caregiver
Caregiver Information Questionnaire, Revised: Caregiver—Follow-Up (CIQ-RC-F)Caregiver5,5413 40.286,2801,256
Caregiver Information Questionnaire, Revised: Staff as Caregiver—Follow-Up (CIQ-RS-F)Staff as Caregiver
Caregiver Strain Questionnaire (CGSQ)Caregiver5,54150.174,627925
Child Behavior Checklist 11/2-5 (CBCL 11/2-5)Caregiver5,54150.339,2261,845
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Child Behavior Checklist 6-18 (CBCL 6-18)
Education Questionnaire, Revision 2 (EQ-R2)Caregiver5,54150.339,2261,845
Living Situations Questionnaire (LSQ)Caregiver5,54150.082,300460
Behavioral and Emotional Rating Scale—Second Edition, Parent Rating Scale (BERS-2C)Caregiver4 4,90950.174,099820
Columbia Impairment Scale (CIS)Caregiver5 5,34850.082,219444
Parenting Stress Index (PSI)Caregiver6 2,03050.08846169
Devereux Early Childhood Assessment for Infants (DECA 1-18M)Caregiver7 1,52850.08637127
Devereux Early Childhood Assessment for Toddlers (DECA 18-36M)
Devereux Early Childhood Assessment (DECA 2-5Y)
Preschool Behavioral and Emotional Rating (PreBERS)Caregiver1,52850.10764153
Delinquency Survey, Revised (DS-R)Youth8 3,62450.132,416483
Behavioral and Emotional Rating Scale—Second Edition, Youth Rating Scale (BERS-2Y)Youth3,62450.173,026605
Gain Quick-R: Substance Problem Scale (GAIN)Youth3,62450.081,504301
Substance Use Survey, Revised (SUS-R)Youth3,62450.101,812362
Revised Children's Manifest Anxiety Scales (RCMAS)Youth3,62450.05906181
Reynolds Adolescent Depression Scale—Second Edition (RADS-2)Youth3,62450.05906181
Youth Information Questionnaire, Revised—Intake (YIQ-R-I)Youth3,62410.25906181
Youth Information Questionnaire, Revised—Follow-Up (YIQ-R-F)Youth3,62440.253,624725
Service Experience Study
Multi-Sector Service Contacts, Revised: Caregiver—Intake (MSSC-RC-I)Caregiver5,54110.251,385277
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Multi-Sector Service Contacts, Revised: Staff as Caregiver—Intake (MSSC-RS-I)Staff as Caregiver
Multi-Sector Service Contacts, Revised: Caregiver—Follow-Up (MSSC-RC-F)Caregiver5,54140.255,5411,108
Multi-Sector Service Contacts, Revised: Staff as Caregiver—Follow-Up (MSSC-RS-F)Staff as Caregiver
Cultural Competence and Service Provision Questionnaire, Revised (CCSP-R)Caregiver5,5419 40.132,955591
Youth Services Survey for Families (YSS-F)Caregiver5,54140.122,593519
Youth Services Survey (YSS)Youth3,62440.081,203241
Comparison and Sector Study: Juvenile Justice
Court Representative Questionnaire (CRQ)Court representatives10 21250.50530106
Electronic Data Transfer of Juvenile Justice RecordsKey site personnel21250.03357
Comparison and Sector Study: Education
Teacher Questionnaire (TQ)Teacher21250.50530106
School Administrator Questionnaire (SAQ)School administrators21250.50530106
Electronic Data Transfer of Education RecordsKey site personnel21250.03357
Comparison and Sector Study: Child Welfare
Child Welfare Sector Study Questionnaire—Intake (CWSQ-I)Care coordinators21210.5010621
Child Welfare Sector Study Questionnaire—Follow-Up (CWSQ-F)Care coordinators21240.5042485
Electronic Data Transfer of Child Welfare RecordsKey site personnel21250.03357
Sustainability Study
Sustainability Survey: Brief FormProject Director7920.17265
Sustainability SurveyProviders 1112620.7518938
Caregiver 114220.756313
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CQI Initiative Evaluation
CQI Baseline Survey, Web-BasedKey site personnel20810.5010421
CQI Monitoring Survey, Web-BasedKey site personnel20820.5020842
CQI Local Focus Group GuideKey site personnel3021.006012
CQI National Focus Group GuideNational TA providers2021.00408
Alumni Networking Study
Networking and Collaboration SurveyKey site personnel24820.5024850
Alumni Network Web Site Satisfaction SurveyKey site personnel, National TA providers, Branch staff45820.2522946
Services and Costs Study
Flex Funds Data Dictionary/ToolLocal programming staff compiling/entering administrative data on children/youth12 1,30613 30.0312926
Services and Costs Data Dictionary/Data Entry ApplicationLocal evaluator, staff at partner agencies, and programming staff compiling/entering service and cost records on children/youth5,54114 1000.0527,7055,541
Summary of Annualized Burden Estimates for 5 Years
Number of distinct respondentsNumber of responses per respondentAverage 5-year burden per response (hours)Total annual burden (hours)
Caregivers5,5410.92.210,959
Youth3,6240.91.03,261
Providers/Administrators59810.81.06,593
Total Summary9,7631320,812
1 An average of 23 stakeholders in up to 26 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 26 grantees (5223), in addition to 318 children/families from the comparison sample. Average based on a 5 percent attrition rate at each data collection point.
3 Number of responses per respondent is five over the course of the study (once every 6 months for 24 months, with one baseline/intake response, and 4 follow-up responses).
4 Approximate number of caregivers with children over age 5, based on Phase IV data submitted as of 12/08. Also includes 318 children/families from the comparison sample.
5 Approximate number of caregivers with children 3 and older, based on Phase IV data submitted as of 12/08. Also includes 318 children/families from the comparison sample.
6 Approximate number of caregivers with either: (1) children served at the roughly 7 early childhood-focused communities, for whom the instrument is required; or (2) children aged 0 to 12 at other communities, where the instrument is optional (we estimate that 1/3 of caregivers will be administered the instrument when it is optional). Estimates are based on Phase IV data submitted as of 12/08.
7 Approximate number of caregivers with either: (1) children served at the roughly 7 early childhood-focused communities, for whom the instrument is required; or (2) children aged 0 to 5 at other communities, where the instrument is optional (we estimate that 1/3 of caregivers will be administered the instrument when it is optional). Estimates are based on Phase IV data submitted as of 12/08.
8 Based on Phase IV finding that approximately 63 percent of the children in the evaluation were 11 years old or older. Also includes 318 children/families from the comparison sample.Start Printed Page 38202
9 With the exception of the MSSC-R, 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.
10 Approximate number of children/families in each sector, for the Sector and Comparison Study. This includes cases within the communities, as well as within the comparison sample.
11 For each community, 1 respondent will be a caregiver and 3 respondents will be administrators/providers.
12 Assumes that each community will use flexible funds expenditures on average for approximately one quarter of the children/youth enrolled.
13 Assumes that three expenditures, on average, will be spent on each child/youth receiving flexible fund benefits.
14 Assumes that each child/youth in system of care communities and in the comparison sample will have 100 service episodes, on average.

Written comments and recommendations concerning the proposed information collection should be sent by August 28, 2009 to: SAMHSA Desk Officer, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503; due to potential delays in OMB's receipt and processing of mail sent through the U.S. Postal Service, respondents are encouraged to submit comments by fax to: 202-395-6974.

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Dated: July 27, 2009.

Elaine Parry,

Director, Office of Program Services.

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[FR Doc. E9-18317 Filed 7-30-09; 8:45 am]

BILLING CODE 4162-20-P