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 (240) 276-1243.

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 the estimated annual burden estimate by instrument and respondent. Burden is summarized in Table 2.

Table 1—Estimated Annual Burden

Instrument/data collection activity

Respondent

Number of

respondents

Responses per

respondent

Total

number of

responses

Hours per

response

Total

annual

burden

hours

Implementation Assessment

Key Partner Interviews

Project Director

84

2

168

1.5

252

Family Organization Representative

54

2

108

1.5

162

Youth Organization Representative

54

2

108

1.5

162

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 Representative

108

4

432

0.5

216

Youth Organization Representative

108

4

432

0.5

216

Core Agency Partners

432

4

1,728

0.5

864

Practitioners

690

4

2,760

0.5

1,380

Network Analysis Survey

Network Analysis Survey

Key Agency Partners

690

2

1,380

0.5

690

Financial Mapping and Benchmark Components

Financial Mapping Interview

Financial administrators at: Medicaid Agencies & MH Authorities

108

2

216

0.75

162

Financial administrators at: Trade associations & Family organizations

108

2

216

0.5

108

Tribal Financial Administrators

9

2

18

0.75

14

Benchmark Tool

Payment personnel at Medicaid Agencies & MH Authorities

12

2

24

40

960

Financial Plan Interviews

Financial Planning Directors

54

3

162

0.6

97

Child and Family Outcome Component

Administrative Measures

Caregivers of clients age 0-17

c

4,136

1

4,136

0.05

207

Clients age 11-26

1,685

1

1,685

0.05

84

Client Functioning

Caregivers of clients age 0-17

c

4,136

3

12,408

0.15

1,861

Clients age 11-26

d

970

3

2,910

0.15

437

Caregiver Strain Questionnaire

Caregivers of clients age 0-17

c

4,136

3

12,408

0.15

1,861

Columbia Impairment Scale

Caregivers of clients age 5-17

e

2,859

3

8,577

0.08

686

Clients age 11-26

d

2,655

3

7,965

0.08

637

Pediatric Symptom Checklist-17

Caregivers of clients age 5-17

e

2,859

3

8,577

0.05

429

Clients age 11-26

d

2,655

3

7,965

0.05

398

New Tools in 2015

Brief Infant and Toddler Emotional Assessment (BITSEA)

Caregivers of children and youth 0 to 5 years of age

f

1,277

3

3,831

0.08

306

Baby Pediatric Symptom Checklist (BPSC)

Caregivers of children and youth for ages 1 month to 18 months

f

638

3

1,914

0.05

96

Preschool Pediatric Symptom Checklist (PPSC)

Caregivers of children and youth for ages 18 months to 66 months

f

639

3

1,917

0.05

96

Total Annual Burden:

All

All

g

12,107

36,354

12,990

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

Instrument/data collection activity

Number of

respondents

Total

number of

responses

Average

annual

burden

(hours)

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

Total

12,107

36,354

4,330

Written comments and recommendations concerning the proposed information collection should be sent by April 7, 2017 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). To ensure timely receipt of comments, and to avoid potential delays in OMB's receipt and processing of mail sent through the U.S. Postal Service, commenters are encouraged to submit their comments to OMB via email to:

OIRA_Submission@omb.eop.gov.

Although commenters are encouraged to send their comments via email, commenters may also fax their comments to: 202-395-7285. Commenters may also mail them to: Office of Management and Budget, Office of Information and Regulatory Affairs, New Executive Office Building, Room 10102, Washington, DC 20503.

Summer King,

Statistician.

[FR Doc. 2017-04488 Filed 3-7-17; 8:45 am]

BILLING CODE 4162-20-P