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

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. Chapter 35). To request a copy of these documents, call the SAMHSA Reports Clearance Officer on (301) 443-7978.

National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program, Phase Four

—New—SAMHSA's Center for Mental Health Services (CMHS) is conducting Phase IV of this national evaluation project among grantees newly funded in FY 2002 and 2003. The national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program will collect data on child mental health outcomes, family life, and service system development and performance.

Data will be collected on 32 service systems, and approximately 7,868 children and families. Data collection for this evaluation will be conducted in each site over a five-year period. The core of service system data will be collected every 18 months throughout the 5-year evaluation period, with a sustainability survey 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, and client 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 sessions at six-month intervals. The outcome measures include the following: child symptomatology and functioning, family functioning, material resources, and caregiver strain. In addition, an evidence-based treatment study will examine the relative impact of evidence-based treatments focused on substance use prevention within two systems of care. Time-limited studies addressing the cultural competence of services and the role of primary care providers in systems of care will be conducted at selected points during the evaluation period. Internet-based technology will be used for collecting data via Web-based surveys and for data entry and management. The average annual respondent burden is estimated below.

Instrument and respondent

No. of respondents

Avg. # of responses per respondent

Hours per response

Total burden hours

6.5 yr. avg. annual burden hours

System of Care Assessment

Interview Guides and Data Collection Forms: Key site informants

672

3

1

2,016

310

Interagency Collaboration Scale: Key site informants

672

3

0.13

269

41

Cross-sectional Descriptive Study

Descriptive Interview Questionnaire: Caregiver

7,868

6

0.283

10,097

1,279

Child and Family Outcome Study

Caregiver Strain Questionnaire: Caregiver

7,868

6

0.167

7,884

1,213

Child Behavior Checklist: Caregiver

7,868

6

0.333

15,720

2,418

Education Questionnaire: Caregiver

7,868

6

0.1

4,721

726

Living Situations Questionnaire: Caregiver

7,868

6

0.083

3,934

605

The Family Life Questionnaire: Caregiver

7,868

6

0.050

2,360

363

Behavioral and Emotional Rating Scale: Caregiver

7,475

6

0.167

7,490

1,152

Columbia Impairment Scale: Caregiver

7,475

6

0.083

3,737

575

The Vineland Screener: Caregiver

393

6

0.25

590

91

Delinquency Survey: Youth

4,721

6

0.167

4,721

726

Behavioral and Emotional Rating Scale: Youth

4,721

6

0.167

4,721

726

Gain-quick Substance Related Issues: Youth

4,721

6

0.083

2,360

363

Substance Use Scale: Youth

4,721

6

0.100

2,832

436

Revised Children's Manifest Anxiety Scales: Youth

4,721

6

0.050

1,416

218

Reynolds Adolescent Depression Scale-Second Edition: Youth

4,721

6

0.050

1,416

218

Youth Information Questionnaire: Youth

4,721

6

0.167

4,721

629

Service Experience Study

Multi-Sector Service Contacts: Caregiver

7,868

5

0.333

13,113

2,017

Cultural Competence and Service Provision Questionnaire: Caregiver

7,868

5

0.167

6,557

1,009

Youth Services Survey—Family: Caregiver

7,868

5

0.083

3,278

504

Youth Services Survey: Youth

4,721

5

0.083

1,967

303

Treatment Effectiveness Study

Diagnostic Interview Schedule for Children version IV: Caregiver

262

1

1.000

262

40

Treatment Fidelity Protocol: Caregiver

240

5

0.500

600

92

Treatment Fidelity Protocol: Youth

240

5

0.500

600

92

Treatment Fidelity Protocol: Provider

240

5

0.500

600

92

Treatment Outcome Measure: Caregiver

240

6

1.000

1,440

221

Treatment Outcome Measure: Youth

240

6

1.000

1,440

221

System-of-Care Practice Review: Caregiver

80

1

1.000

80

12

System-of-Care Practice Review: Youth

80

1

0.750

60

9

System-of-Care Practice Review: Provider

80

1

1.000

80

12

System-of-Care Practice Review: Informal Provider

80

1

0.250

20

3

Provider Attitudes Survey-Site Selection Screener: Provider

450

1

0.083

37

6

Provider Attitudes Survey:

240

1

0.083

20

3

Sustainability Study

Sustainability Survey: Provider/Administrator

128

3

0.750

288

44

Culturally Competent Practices Study

Culturally Competent Practices Survey: Provider

960

1

0.500

480

74

Culturally Competent Practices Focus Group: Caregiver

36

1

1.500

54

8

Culturally Competent Practices Focus Group: Youth

36

1

1.500

54

8

Culturally Competent Practices Focus Group: Provider/Administrator

60

1

1.500

90

14

Primary Care Providers Study

Primary Care Providers Survey: Provider

960

1

0.333

320

49

Total

112,447

17,299

Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice 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.

Dated: January 13, 2004.

Anna Marsh,

Acting Executive Officer, SAMHSA.

[FR Doc. 04-1169 Filed 1-20-04; 8:45 am]

BILLING CODE 4162-20-P