Request for Comment From the Field on the Substance Abuse and Mental Health Services Administration's (SAMHSA) Addiction Technology Transfer Center (ATTC) Program, 42647-42651 [06-6500]
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Federal Register / Vol. 71, No. 144 / Thursday, July 27, 2006 / Notices
site external evaluation of the impact of
programs of screening, brief
intervention (BI), brief treatment (BT)
and referral to treatment on patients
presenting at various health care
delivery units with a continuum of
severity of substance use. CSAT’s SBIRT
program is a cooperative agreement
grant program designed to help six
States and one Tribal Council expand
the continuum of care available for
substance misuse and use disorders.
The program includes screening, Brief
Intervention, Brief Treatment and
Referrals (BI, BT) for persons at risk for
will be administered to practitioners
who are delivering SBIRT services using
CAPI. The patient survey is composed
of questions on substance use behaviors
and other outcome measures such as
productivity, absenteeism, health status,
arrests and accidents. The practitioner
survey is designed to evaluate the
implementation of proposed SBIRT
models by measuring their penetration
and practitioners’ willingness to adopt.
Furthermore, the survey will document
moderating factors related to
practitioner and health care delivery
unit characteristics.
dependence on alcohol or drugs. The
primary purpose of the evaluation is to
study the extent to which the modified
models of SBIRT being implemented by
the grantees expand the continuum of
care available for treatment of substance
use disorders.
A survey will be used to collect data
from patients at the participating
grantee health care delivery units at
baseline using a computer-assisted
personal interview (CAPI) and at a sixmonth follow-up primarily via
computer-assisted telephone
interviewing (CATI). A second survey
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Instrument/activity
Average
burden
per response
Total burden
hours per
collection
Patient Survey:
Baseline Data Collection ..........................................................................
6-Month Follow-up Data ...........................................................................
Practitioner Survey ...................................................................................
3,600
2,880
261
1
1
1
.42
.47
.40
........................
1,512
1,354
104
Total ...................................................................................................
3,861
........................
........................
2,970
Written comments and
recommendations concerning the
proposed information collection should
be sent by August 28, 2006 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: July 20, 2006.
Anna Marsh,
Director, Office of Program Services.
[FR Doc. E6–12028 Filed 7–26–06; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Request for Comment From the Field
on the Substance Abuse and Mental
Health Services Administration’s
(SAMHSA) Addiction Technology
Transfer Center (ATTC) Program
Substance Abuse and Mental
Health Services Administration, HHS.
SUMMARY: This notice is to request
comments from interested stakeholders
in the substance use disorders treatment
field regarding SAMHSA’s ATTC
Program. SAMHSA will be issuing a
Request for Applications (RFA) for a
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AGENCY:
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new round of competitive cooperative
agreement awards under the ATTC
program in Federal fiscal year (FFY)
2007. To assist SAMHSA in developing
the RFA, SAMHSA is seeking input
from stakeholders and interested parties
on a number of issues relating to these
cooperative agreements.
Program Title: Addiction Technology
Transfer Centers (ATTC) Program.
Catalog of Federal Domestic
Assistance (CFDA) Number: 93.243.
Authority: Section 5001(d)(5) of the Public
Health Service Act, as amended.
FOR FURTHER INFORMATION CONTACT:
Catherine D. Nugent, SAMHSA/CSAT/
DSI, 1 Choke Cherry Road, Room 5–
1079, Rockville, MD 20857, phone: 240–
276–1577, e-mail:
cathy.nugent@samhsa.hhs.gov.
Introduction
The Substance Abuse and Mental
Health Services Administration
(SAMHSA) is committed to building
resilience and facilitating recovery for
people with or at risk for substance use
and mental disorders. SAMHSA
collaborates with the States, national
associations, local community-based
and faith-based organizations, and
public and private sector providers to
implement initiatives in its priority
areas, including development of the
workforce serving individuals needing
treatment and recovery for substance
use disorders. The Center for Substance
Abuse Treatment (CSAT) supports
training and technology transfer
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activities to promote the adoption of
evidence-based practices in substance
use disorders treatment and, more
broadly, to promote workforce
development in the addiction treatment
field. CSAT’s Addiction Technology
Transfer Centers (ATTCs), funded by
CSAT since 1993, are a major
component of SAMHSA/CSAT’s
workforce development efforts.
The ATTC Network is dedicated to
identifying and advancing opportunities
for improving addiction treatment. The
vision of the ATTCs is to unify science,
education and services to transform the
lives of individuals and families
affected by alcohol and other drug
addition.
Serving the 50 States, the District of
Columbia, Puerto Rico, the U.S. Virgin
Islands and the Pacific Islands, the
ATTC Network operates as 14
individual Regional Centers and a
National Office. At the regional level,
individual Centers focus primarily on
meeting the unique needs in their areas
while also supporting national
initiatives. The National Office leads the
Network in implementing national
initiatives and concurrently supports
and promotes individual regional
efforts.
The current ATTC program is funded
through cooperative agreements initially
awarded in 2001 and 2002. These
cooperative agreements will end in FFY
2007. SAMHSA/CSAT will be issuing a
new funding announcement to recompete the ATTCs in FY 2007. To
assist CSAT in designing the
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requirements and parameters for the
next round of ATTCs, CSAT is
requesting comments on the directions
and priorities for the ATTC program and
on meeting the workforce development
needs of the addiction treatment field in
an equitable manner across all the
States, the District of Columbia, the
Carribean Islands, and Pacific Islands.
DATES: Submit all comments on or
before September 11, 2006.
ADDRESSES: Address all comments
concerning this notice to: Catherine D.
Nugent, SAMHSA/CSAT/DSI (ATTC
Notice), 1 Choke Cherry Road, Room 5–
1079, Rockville, MD 20857.
Electronic Access and Filing Address:
You may submit comments by sending
electronic mail (e-mail) to
cathy.nugent@samhsa.hhs.gov.
Overview
The ATTC Network undertakes a
broad range of initiatives that respond to
emerging needs and issues in the
substance use disorders treatment field.
The ATTC Network is funded to
upgrade the skills of existing
practitioners and other health
professionals and to disseminate the
latest science to the treatment
community. Resources are expended to
create a variety of products and services
that are timely and relevant to the many
disciplines represented by the addiction
treatment workforce.
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Background
History
SAMHSA/CSAT funded 11 centers,
which were known as the Addiction
Training Centers (ATCs), in 1993. These
ATCs covered 19 States and Puerto
Rico. In 1995, SAMHSA expanded the
program to cover six additional States,
which brought the total number of
States served to 25. In 1996, the program
was renamed the Addiction Technology
Transfer Center (ATTC) program. In
1998, a new round of cooperative
agreements was funded and the ATTC
network was expanded to include 13
Regional Centers and a National Office,
serving 39 States, the District of
Columbia, Puerto Rico, and the U.S.
Virgin Islands. New cooperative
agreements were funded in 2001 and
2002 for 14 ATTC Regional Centers and
a National Office covering all 50 States,
the District of Columbia, Puerto Rico,
the U.S. Virgin Islands, and the Pacific
Islands. The funding announcements for
the ATTC cooperative agreements
awarded in 2001 and 2002 may be
found on the SAMHSA Web site,
https://www.samhsa.gov. Click on
‘‘Grants’’ at the top of the page and then
on ‘‘SAMHSA Grant Archives’’ to find
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a listing of SAMHSA funding
announcements for 2001 and 20021.
Network and between the Network and
its various audiences.
Purpose of the ATTCs
The primary purpose of the ATTCs is
to enhance professional development by
training the addiction treatment
workforce to use evidence-based
practices in providing treatment
services and to train allied health
professionals on the interdisciplinary
foundation of addiction treatment, In
2001 and 2002, the ATTCs were tasked
with the following:
• Building and maintaining
collaborative networks with academic
institutions, State and local
governments, substance abuse/mental
health/primary care fields, counselor
credentialing boards, professional,
recovery, community and faith-based
organizations, managed care and
criminal justice entities;
• Creating linkages with and
disseminating research from the
National Institute on Drug Abuse (NIDA,
the National Institute of Alcohol Abuse
and Alcoholism (NIAAA), the National
Institute of Mental Health (NIMH),
SAMHSA, and other government
agencies;
• Developing and updating state-ofthe-art research-based curricula,
including curricula based on new and
revised Treatment Improvement
Protocols (TIPs), and developing faculty
and trainers;
• Enhancing the clinical and cultural
competencies of professionals from a
variety of disciplines to help
individuals with substance abuse
problems;
• Upgrading standards of professional
practice for addictions workers;
• Serving as technical resources to
community-based and faith-based
organizations, consumers and recovery
organizations, and other stakeholders;
and
• Providing feedback from the field to
SAMHSA regarding the development of
a comprehensive agenda for learning
about and applying state-of-the-art
treatment approaches.
The ATTCs are currently organized as
14 Regional Centers and one national
coordinating center (National ATTC
Office—NATTC). This organizational
structure was predicated on the belief
that the ATTCs can more effectively
advance the addiction field through a
unified effort among a coordinated
network of education and training
centers than through a number of freestanding centers. The NATTC serves a
coordinating function, building and
maintaining a viable infrastructure that
promotes internal and external
communication among the ATTC
Core Priorities of the Current ATTCs
A major focus of he ATTCs has been
on professional development and
training the workforce in the adoption
of evidence-based practices to improve
the provision of treatment for substance
use disorders. In addition to training
substance use disorders counselors, the
ATTCs have trained professionals from
related disciplines including social
workers, criminal justice workers,
nurses, and other allied health
professionals. The blending of science
and service is particularly evident in the
NIDA/SAMHSA Blending Research and
Practice Initiative carried out by the
ATTCs. Using evidence-based protocols
developed by NIDA’s Clinical Trials
Network (CTN), teams from the CTN
and the ATTCs work together to create
toolkits and training material for
dissemination to the field. This project
exemplifies collaboration between
research and practice and serves as an
illustration of technology transfer.
Working with the International
Coalition for Addiction Studies
Education (INCASE), the ATTCs have
promoted professional development
activities for addictions educators. For
example, they have conducted training
for addictions educators and have
disseminated ‘‘curriculum infusion
packages,’’ resource materials on
specific topics in addictions studies that
educators can use to update their course
materials. Several of the ATTCs provide
pre-service training for individuals in
academic settings preparing for a career
as a substance use disorder professional.
This training is provided both in
classroom settings and through on-line
courses.
With the continuing aging of the
addiction treatment workforce, the need
for emerging leaders has been well
noted. The ATTCs have offered a
leadership training program in each
region to help prepare the next
generation of leaders in the field. This
intensive program pairs emerging
leaders with mentors, thereby offering
opportunities for ongoing dialogue and
support.
In addition, many of the ATTCs have
conducted workforce surveys in their
respective regions that provide
demographic, job satisfaction, training/
educational, and retention and
recruitment information. These surveys
have been a vital source of data on
workforce conditions and trends in the
past several years, particularly in the
absence of any national survey of the
substance use disorders treatment
workforce.
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ATTCs also work to support the
recovery community through
educational programs, development of
materials, collaboration on special
initiatives and support of Recovery
Month activities.
The NATTC serves a coordinating role
for the ATTC Regional Centers and
hosts a Web site that provides many
important resources to the field, such as:
• Addiction Science Made Easy—a
library of cutting-edge research articles
taken from the Journal of Alcoholism:
Clinical and Experimental Research and
re-written in lay terms.
• Addiction ED—a catalogue of
addiction-related distance education
opportunities offered by organizations
around the world.
• Certification Info—a listing of State,
national and international licensing and
credentialing information for alcohol
and drug counselors.
• ATTC Publication Catalog—a
directory of ATTC Network products
and resources including curricula,
videos, presenter materials, and
trainings.
• Eye on the Field—a monthly
electronic magazine which features
important topics in substance abuse
treatment and provides useful tools for
practitioners and administrators.
The National Office has also hosted
committees with representation from
the regional ATTCs and experts from
the field that have produced such
products as the TAP 21 Addiction
Counseling Competencies and The
Change Book. These publications have
been milestones in the addiction
treatment field, helping set national
competency standards and a process to
adopt evidence-based practices
respectively.
New Request for Applications
For FY 2007, SAMHSA will be
issuing a new Request for Applications
(RFA) for the ATTC program. The FY
2007 President’s Budget requests
approximately $8.1 million for the
ATTCs, about the same funding level as
the current program. At this time,
SAMHSA does not anticipate changing
the number of ATTCs from the current
number (i.e., 14 Regional Centers and 1
national coordinating center); however,
SAMHSA might consider changing the
geographic areas each ATTC regional
center covers. To assist SAMHSA in
developing the RFA, SAMHSA is
seeking input from stakeholders and
interested parties on a number of issues
relating to these cooperative agreements.
SAMHSA wants to explore how the
ATTCs can provide more equitable
access to ATTC services throughout the
States. The current ATTC regions vary
greatly in population, square miles
covered, and number of treatment
facilities within their borders.
Therefore, SAMHSA is seeking
comments on possible alternative
regional configurations that may address
some of these differences.
SAMSHA has researched the
population, square miles covered, and
number of treatment facilities in the
current ATTC regions, as well as the
regions used by CSAT’s Division of
State and Community Assistance
(DSCA), the Department of Health and
Human Services (DHHS) Public Health
Service, and the DHHS Health
Resources and Services Administration
(HRSA) regions. This information is
presented in the table below.
TABLE. 1.—REGIONS BY POPULATION, SQUARE MILES, AND TREATMENT FACILITIES
Number
of regions
Range of population in the regions
Range of square
miles in the regions
Current ATTCs .................................................................................................
* 14
5,330–830,670
DSCA ...............................................................................................................
5
HHS .................................................................................................................
10
HRSA ...............................................................................................................
11
3,809,000–
45,154,000
47,560,000–
65,948,000
9,327,000–
53,252,000
9,987,000–
47,241,000
Entity
* Plus a Coordinating Center.
The tables below give a state-by-state
breakout for each of the four regional
structures shown above.
Region
State
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ATTC Regions
New England ............................................................................................
Northeast ..................................................................................................
Central East ..............................................................................................
Mid-Atlantic ...............................................................................................
Southeast ..................................................................................................
Southern Coast .........................................................................................
Caribbean Basin & Hispanic ....................................................................
Great Lakes ..............................................................................................
Prairielands ...............................................................................................
Mid-America ..............................................................................................
Gulf Coast .................................................................................................
Pacific Southwest .....................................................................................
Mountain West ..........................................................................................
Northwest Frontier ....................................................................................
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ME, NH, VT, MA, CT, RI.
NY, NJ, PA.
DC, DE, KY, TN, MD.
VA, MD, NC, WV.
GA, SC.
AL, FL.
PR, VI.
IL, OH, WI, IN, MI.
IA, NE, ND, SD, MN.
MO, KS, OK, AR.
TX, LA, MS.
CA, AZ, NM.
NV, MT, WY, UT, CO.
AK, WA, OR, ID, HI, Pac. Isl.
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178,510–1,542,760
61,400–824,290
56,070–971,540
Range of
treatment
providers
in the
regions
199–
2,747
2,764–
4,133
915–
3,152
386–
2,938
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Federal Register / Vol. 71, No. 144 / Thursday, July 27, 2006 / Notices
Region
State
HHS Regions
I .................................................................................................................
II ................................................................................................................
III ...............................................................................................................
IV ..............................................................................................................
V ...............................................................................................................
VI ..............................................................................................................
VII .............................................................................................................
VIII ............................................................................................................
IX ..............................................................................................................
X ...............................................................................................................
ME, NH, VT, MA, CT, RI.
NY, NJ, PR, VI.
MD, VA, WV, PA, DE, DC.
AL, FL, GA, KY, MS, NC, SC, TN.
IL, IN, OH, MI, MN, WI.
AR, LA, NM, OK, TX.
IA, KS, MO, NE.
CO, MT, ND, SD, UT, WY.
AZ, CA, HI, NV, Pac. Isl.
AK, ID, OR, WA.
DSCA Regions
Northeast ..................................................................................................
Southeast ..................................................................................................
Central ......................................................................................................
Southwest .................................................................................................
Western ....................................................................................................
ME, NH, VT, MA, CT, RI, NY, NJ, PA, DC, DE, MD.
PR, VI, VA, WV, KY, TN, MS, AL, GA, SC, NC, FL.
IA, ND, SD, MN, IL, OH, WI, IN, MI.
NE, CO, KS, MO, AR, OK, NM, TX, LA.
CA, MT, WY, NV, UT, AZ, AK, WA, OR, ID, HI, Pac. Isl.
HRSA Regions
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New England ............................................................................................
New York/New Jersey ..............................................................................
Pennsylvania/Mid-Atlantic .........................................................................
Southeast ..................................................................................................
Florida/Caribbean .....................................................................................
Delta Region .............................................................................................
Midwest .....................................................................................................
Oklahoma/Texas .......................................................................................
Mountain Plains ........................................................................................
Pacific .......................................................................................................
Northwest ..................................................................................................
In addition to the factors discussed
above, there are a number of critical
program priorities or cross-cutting
principles affecting the addiction
treatment field that need to be
addressed by professionals providing
services. SAMHSA is seeking guidance
on whether it would be advisable to
have the ATTCs house of Centers of
Excellence on the critical priorities. The
products and resources developed by
these Centers of Excellence could then
be disseminated throughout the ATTC
Network and the field. This would
avoid duplication of effort while
addressing important clinical issues.
SAMHSA also seeks input from the
field on what the ATTC priorities
should be. In view of the pivotal role the
ATTCs have played in bridging the gap
between science and service, and in
gathering data on the workforce, they
are an integral component of SAMHSA’s
workforce development efforts.
Recruitment and retention, leadership
and management skills, and increasing
the diversity of the workforce have been
identified as key workforce issues. What
role, if any, should the ATTCs have on
these subjects?
SAMHSA funds the Centers for the
Application of Prevention Technologies
(CAPTs) through the Center for
Substance Abuse Prevention. The
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ME, NH, VT, MA, CT, RI.
NY, NJ.
PA, OH, WV, VA, MD, DC, DE.
KY, TN, NC, SC, AL, GA.
PR, VI, FL.
AR, LA, MS.
MN, WI, MI, IN, IL, IA, MO.
OK, TX.
ND, SD, WY, UT, CO, NE, KS, NM.
CA, NV, AZ.
WA, ID, MT, OR.
CAPTs assist State/jurisdictions and
community-based organizations in the
application of evidence-based substance
abuse prevention programs, practices,
and policies. The CAPT system is a
practical tool to increase the impact of
the knowledge and experience that
defines what works best in prevention
programming. Because knowledge
application is a prime focus of both the
ATTCs and CAPTs, SAMHSA is seeking
input on what the relationship should
be between the ATTCs and the CAPTs.
Questions To Consider in Making Your
Comments
SAMHSA/CSAT is seeking response
to questions on a number of issues
regarding the configuration of the ATTC
regions, the areas of emphasis, and the
relationship with CAPTs, including the
following:
• What should be the major areas of
emphasis for the ATTCs?
• How well do the current priorities
and activities of the ATTCs meet the
needs of the field? Are there some
activities the ATTCs are currently
undertaking that are no longer
necessary? Are there activities related to
workforce development or other topics
the ATTCs should be doing that they are
not currently doing?
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• How should ATTC activities be
coordinated with those of the CAPTs
and other similar centers maintained by
other Federal agencies?
• Who should be the primary
audiences for/recipients of ATTC
services?
• Should the ATTCs be organized
around Centers for Excellence? If so,
what topics should these Centers
address?
• What should the role of the
National ATTC Coordinating Center be?
• What types of services and products
should the ATTCs provide?
• Should the ATTCs function
primarily as independent regional
centers or as a unified network
collaborating to provide services and
products to the field a large?
• How well does the current
geographic configuration of the regional
ATTCs meet the needs of the various
constituents, including the States,
providers, and practitioners?
• How well does the current
geographic configuration of the ATTCs
provide effective and equitable delivery
of technology transfer services
throughout the State?
• Are there alternative regional
configurations for the ATTCs that could
provide more equitable access to ATTC
services throughout the Nation?
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Federal Register / Vol. 71, No. 144 / Thursday, July 27, 2006 / Notices
Dated: July 20, 2006.
Eric B. Broderick,
Acting Deputy Administrator, Assistant
Surgeon General, Substance Abuse and
Mental Health Services, Administration.
[FR Doc. 06–6500 Filed 7–26–06; 8:45 am]
BILLING CODE 4162–20–M
DEPARTMENT OF HOMELAND
SECURITY
[Docket No. DHS–2006–0036]
System of Records
Office of the Secretary, DHS.
System of records notice.
AGENCY:
ACTION:
The Department of Homeland
Security is republishing the Privacy Act
system of records notice for the
Automated Biometric Identification
System in order to expand its scope and
authority to serve all or most programs
that collect biometrics as part of their
mission. As previously published, this
system stored biometric information as
a result of encounters pursuant to the
Immigration and Nationality Act. As
now proposed, this system will store
biometric and limited biographic data
collected for all national security, law
enforcement, immigration, intelligence,
and other mission-related functions.
DATES: Written comments must be
submitted on or before August 28, 2006.
ADDRESSES: You may submit comments,
identified by DOCKET NUMBER DHS–
2006–0036 by one of the following
methods:
• Federal e-Rulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
• Fax: (202) 298–5201 (not a toll-free
number).
• Mail: Steve Yonkers, US–VISIT
Privacy Officer, 245 Murray Lane, SW.,
Washington, DC 20538; Maureen
Cooney, Acting DHS Chief Privacy
Officer, Department of Homeland
Security, 601 S. 12th Street, Arlington,
VA 22202–4220.
FOR FURTHER INFORMATION CONTACT:
Steve Yonkers, US–VISIT Privacy
Officer, 245 Murray Lane, SW.,
Washington, DC 20538, by telephone
(202) 298–5200 or by facsimile (202)
298–5201.
SUPPLEMENTARY INFORMATION: In
accordance with the Privacy Act of
1974, 5 U.S.C. 552a, the Department of
Homeland Security (DHS) is publishing
a revision to existing Privacy Act
systems of records known as
Enforcement Operational Immigration
Records/Automated Biometric
Identification System (ENFORCE/
IDENT). The notice for these systems of
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SUMMARY:
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records was last published in the
Federal Register on March 20, 2006 (71
FR 13987).
ENFORCE is the primary
administrative case management system
for DHS’ Bureau of Immigration and
Customs Enforcement (ICE). IDENT is
the primary repository of biometric
information held by DHS in connection
with its several and varied missions and
functions, including, but not limited to:
The enforcement of civil and criminal
laws (including the immigration law);
investigations, inquiries, and
proceedings there under; and national
security and intelligence activities.
IDENT is a centralized and dynamic
DHS-wide biometric database that also
contains limited biographic and
encounter history information needed to
place the biometric information in
proper context. The information is
collected by, on behalf of, in support of,
or in cooperation with DHS and its
components and may contain personally
identifiable information collected by
other Federal, state, local, tribal, foreign,
or international government agencies.
For business purposes ENFORCE and
IDENT were operated jointly. Now, as a
part of operational and technical
restructuring these systems will be
operated independently-IDENT under
the management of US–VISIT and
ENFORCE under the management of
ICE. Consequently, the ENFORCE/
IDENT system notice is being split into
two system notices: one for ENFORCE
and one for IDENT. Until a new notice
is published by ICE, ENFORCE
continues to operate under the system
notice published March 20, 2006 (71 FR
13978).
In accordance with 5 U.S.C. 552a(r),
DHS has provided a report of this
system change to the Office of
Management and Budget and to
Congress.
DHS/2006–0036
SYSTEM NAME:
DHS Automated Biometric
Identification System (IDENT).
SYSTEM LOCATION:
Department of Homeland Security
(DHS).
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Categories of individuals covered by
this notice consist of:
A. Individuals whose biometrics are
collected by, on behalf of, in support of,
or in cooperation with DHS concerning
operations that implement and/or
enforce laws, regulations, treaties, or
orders related to the missions of DHS.
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42651
B. Individuals whose biometrics are
collected by, on behalf of, in support of,
or in cooperation with DHS as part of a
background check or security screening
connection with their hiring, retention,
performance of a job function, or the
issuance of a license or credential.
C. Individuals whose biometrics are
collected by Federal, state, local, tribal,
foreign, or international agencies for
national security, law enforcement,
immigration, intelligence, or other DHS
mission-related functions, and who are
the subjects of wants, warrants, or
lookouts or any other subject of interest.
CATEGORIES OF RECORDS IN THE SYSTEM:
IDENT contains biometric, biographic,
and encounter-related data for
operation/production, testing, and
training environments. Biometric data
includes, but is not limited to,
fingerprints and photographs.
Biographical data includes, but is not
limited to, name, date of birth,
nationality, and other personal
descriptive data. The encounter data
provides the context of the interaction
with an individual including, but not
limited to, location, document numbers,
and reason fingerprinted. Test data may
be real or simulated biometric,
biographic, or encounter related data.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
6 U.S.C. 202, 8 U.S.C. 1103, 1158,
1201, 1225, 1324, 1357, 1360, 1365a,
1365b, 1379, and 1732.
PURPOSE(S):
This system of records is established
and maintained to enable DHS to carry
out its assigned national security, law
enforcement, immigration, intelligence
and other DHS mission-related
functions, and to provide associated
testing, training, management reporting,
planning and analysis, or other
administrative uses by providing a DHSwide repository of biometrics captured
in DHS or law enforcement encounters.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:
In addition to those disclosures
generally permitted under 5 U.S.C.
552a(b) of the Privacy Act, all or a
portion of the records or information
contained in this system may be
disclosed outside DHS as a routine use
pursuant to 5 U.S.C. 552a(b)(3), limited
by privacy impact assessments, data
sharing, or other agreements, as follows:
A. To appropriate Federal, state, local,
tribal, foreign, or international
Governmental agencies seeking
information on the subjects of wants,
warrants, or lookouts, or any other
subject of interest, for purpose related to
E:\FR\FM\27JYN1.SGM
27JYN1
]]>Agencies
[Federal Register Volume 71, Number 144 (Thursday, July 27, 2006)]
[Notices]
[Pages 42647-42651]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-6500]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Request for Comment From the Field on the Substance Abuse and
Mental Health Services Administration's (SAMHSA) Addiction Technology
Transfer Center (ATTC) Program
AGENCY: Substance Abuse and Mental Health Services Administration, HHS.
SUMMARY: This notice is to request comments from interested
stakeholders in the substance use disorders treatment field regarding
SAMHSA's ATTC Program. SAMHSA will be issuing a Request for
Applications (RFA) for a new round of competitive cooperative agreement
awards under the ATTC program in Federal fiscal year (FFY) 2007. To
assist SAMHSA in developing the RFA, SAMHSA is seeking input from
stakeholders and interested parties on a number of issues relating to
these cooperative agreements.
Program Title: Addiction Technology Transfer Centers (ATTC)
Program.
Catalog of Federal Domestic Assistance (CFDA) Number: 93.243.
Authority: Section 5001(d)(5) of the Public Health Service Act,
as amended.
FOR FURTHER INFORMATION CONTACT: Catherine D. Nugent, SAMHSA/CSAT/DSI,
1 Choke Cherry Road, Room 5-1079, Rockville, MD 20857, phone: 240-276-
1577, e-mail: cathy.nugent@samhsa.hhs.gov.
Introduction
The Substance Abuse and Mental Health Services Administration
(SAMHSA) is committed to building resilience and facilitating recovery
for people with or at risk for substance use and mental disorders.
SAMHSA collaborates with the States, national associations, local
community-based and faith-based organizations, and public and private
sector providers to implement initiatives in its priority areas,
including development of the workforce serving individuals needing
treatment and recovery for substance use disorders. The Center for
Substance Abuse Treatment (CSAT) supports training and technology
transfer activities to promote the adoption of evidence-based practices
in substance use disorders treatment and, more broadly, to promote
workforce development in the addiction treatment field. CSAT's
Addiction Technology Transfer Centers (ATTCs), funded by CSAT since
1993, are a major component of SAMHSA/CSAT's workforce development
efforts.
The ATTC Network is dedicated to identifying and advancing
opportunities for improving addiction treatment. The vision of the
ATTCs is to unify science, education and services to transform the
lives of individuals and families affected by alcohol and other drug
addition.
Serving the 50 States, the District of Columbia, Puerto Rico, the
U.S. Virgin Islands and the Pacific Islands, the ATTC Network operates
as 14 individual Regional Centers and a National Office. At the
regional level, individual Centers focus primarily on meeting the
unique needs in their areas while also supporting national initiatives.
The National Office leads the Network in implementing national
initiatives and concurrently supports and promotes individual regional
efforts.
The current ATTC program is funded through cooperative agreements
initially awarded in 2001 and 2002. These cooperative agreements will
end in FFY 2007. SAMHSA/CSAT will be issuing a new funding announcement
to re-compete the ATTCs in FY 2007. To assist CSAT in designing the
[[Page 42648]]
requirements and parameters for the next round of ATTCs, CSAT is
requesting comments on the directions and priorities for the ATTC
program and on meeting the workforce development needs of the addiction
treatment field in an equitable manner across all the States, the
District of Columbia, the Carribean Islands, and Pacific Islands.
DATES: Submit all comments on or before September 11, 2006.
ADDRESSES: Address all comments concerning this notice to: Catherine D.
Nugent, SAMHSA/CSAT/DSI (ATTC Notice), 1 Choke Cherry Road, Room 5-
1079, Rockville, MD 20857.
Electronic Access and Filing Address: You may submit comments by
sending electronic mail (e-mail) to cathy.nugent@samhsa.hhs.gov.
Overview
The ATTC Network undertakes a broad range of initiatives that
respond to emerging needs and issues in the substance use disorders
treatment field. The ATTC Network is funded to upgrade the skills of
existing practitioners and other health professionals and to
disseminate the latest science to the treatment community. Resources
are expended to create a variety of products and services that are
timely and relevant to the many disciplines represented by the
addiction treatment workforce.
Background
History
SAMHSA/CSAT funded 11 centers, which were known as the Addiction
Training Centers (ATCs), in 1993. These ATCs covered 19 States and
Puerto Rico. In 1995, SAMHSA expanded the program to cover six
additional States, which brought the total number of States served to
25. In 1996, the program was renamed the Addiction Technology Transfer
Center (ATTC) program. In 1998, a new round of cooperative agreements
was funded and the ATTC network was expanded to include 13 Regional
Centers and a National Office, serving 39 States, the District of
Columbia, Puerto Rico, and the U.S. Virgin Islands. New cooperative
agreements were funded in 2001 and 2002 for 14 ATTC Regional Centers
and a National Office covering all 50 States, the District of Columbia,
Puerto Rico, the U.S. Virgin Islands, and the Pacific Islands. The
funding announcements for the ATTC cooperative agreements awarded in
2001 and 2002 may be found on the SAMHSA Web site, https://
www.samhsa.gov. Click on ``Grants'' at the top of the page and then on
``SAMHSA Grant Archives'' to find a listing of SAMHSA funding
announcements for 2001 and 20021.
Purpose of the ATTCs
The primary purpose of the ATTCs is to enhance professional
development by training the addiction treatment workforce to use
evidence-based practices in providing treatment services and to train
allied health professionals on the interdisciplinary foundation of
addiction treatment, In 2001 and 2002, the ATTCs were tasked with the
following:
Building and maintaining collaborative networks with
academic institutions, State and local governments, substance abuse/
mental health/primary care fields, counselor credentialing boards,
professional, recovery, community and faith-based organizations,
managed care and criminal justice entities;
Creating linkages with and disseminating research from the
National Institute on Drug Abuse (NIDA, the National Institute of
Alcohol Abuse and Alcoholism (NIAAA), the National Institute of Mental
Health (NIMH), SAMHSA, and other government agencies;
Developing and updating state-of-the-art research-based
curricula, including curricula based on new and revised Treatment
Improvement Protocols (TIPs), and developing faculty and trainers;
Enhancing the clinical and cultural competencies of
professionals from a variety of disciplines to help individuals with
substance abuse problems;
Upgrading standards of professional practice for
addictions workers;
Serving as technical resources to community-based and
faith-based organizations, consumers and recovery organizations, and
other stakeholders; and
Providing feedback from the field to SAMHSA regarding the
development of a comprehensive agenda for learning about and applying
state-of-the-art treatment approaches.
The ATTCs are currently organized as 14 Regional Centers and one
national coordinating center (National ATTC Office--NATTC). This
organizational structure was predicated on the belief that the ATTCs
can more effectively advance the addiction field through a unified
effort among a coordinated network of education and training centers
than through a number of free-standing centers. The NATTC serves a
coordinating function, building and maintaining a viable infrastructure
that promotes internal and external communication among the ATTC
Network and between the Network and its various audiences.
Core Priorities of the Current ATTCs
A major focus of he ATTCs has been on professional development and
training the workforce in the adoption of evidence-based practices to
improve the provision of treatment for substance use disorders. In
addition to training substance use disorders counselors, the ATTCs have
trained professionals from related disciplines including social
workers, criminal justice workers, nurses, and other allied health
professionals. The blending of science and service is particularly
evident in the NIDA/SAMHSA Blending Research and Practice Initiative
carried out by the ATTCs. Using evidence-based protocols developed by
NIDA's Clinical Trials Network (CTN), teams from the CTN and the ATTCs
work together to create toolkits and training material for
dissemination to the field. This project exemplifies collaboration
between research and practice and serves as an illustration of
technology transfer.
Working with the International Coalition for Addiction Studies
Education (INCASE), the ATTCs have promoted professional development
activities for addictions educators. For example, they have conducted
training for addictions educators and have disseminated ``curriculum
infusion packages,'' resource materials on specific topics in
addictions studies that educators can use to update their course
materials. Several of the ATTCs provide pre-service training for
individuals in academic settings preparing for a career as a substance
use disorder professional. This training is provided both in classroom
settings and through on-line courses.
With the continuing aging of the addiction treatment workforce, the
need for emerging leaders has been well noted. The ATTCs have offered a
leadership training program in each region to help prepare the next
generation of leaders in the field. This intensive program pairs
emerging leaders with mentors, thereby offering opportunities for
ongoing dialogue and support.
In addition, many of the ATTCs have conducted workforce surveys in
their respective regions that provide demographic, job satisfaction,
training/educational, and retention and recruitment information. These
surveys have been a vital source of data on workforce conditions and
trends in the past several years, particularly in the absence of any
national survey of the substance use disorders treatment workforce.
[[Page 42649]]
ATTCs also work to support the recovery community through
educational programs, development of materials, collaboration on
special initiatives and support of Recovery Month activities.
The NATTC serves a coordinating role for the ATTC Regional Centers
and hosts a Web site that provides many important resources to the
field, such as:
Addiction Science Made Easy--a library of cutting-edge
research articles taken from the Journal of Alcoholism: Clinical and
Experimental Research and re-written in lay terms.
Addiction ED--a catalogue of addiction-related distance
education opportunities offered by organizations around the world.
Certification Info--a listing of State, national and
international licensing and credentialing information for alcohol and
drug counselors.
ATTC Publication Catalog--a directory of ATTC Network
products and resources including curricula, videos, presenter
materials, and trainings.
Eye on the Field--a monthly electronic magazine which
features important topics in substance abuse treatment and provides
useful tools for practitioners and administrators.
The National Office has also hosted committees with representation
from the regional ATTCs and experts from the field that have produced
such products as the TAP 21 Addiction Counseling Competencies and The
Change Book. These publications have been milestones in the addiction
treatment field, helping set national competency standards and a
process to adopt evidence-based practices respectively.
New Request for Applications
For FY 2007, SAMHSA will be issuing a new Request for Applications
(RFA) for the ATTC program. The FY 2007 President's Budget requests
approximately $8.1 million for the ATTCs, about the same funding level
as the current program. At this time, SAMHSA does not anticipate
changing the number of ATTCs from the current number (i.e., 14 Regional
Centers and 1 national coordinating center); however, SAMHSA might
consider changing the geographic areas each ATTC regional center
covers. To assist SAMHSA in developing the RFA, SAMHSA is seeking input
from stakeholders and interested parties on a number of issues relating
to these cooperative agreements.
SAMHSA wants to explore how the ATTCs can provide more equitable
access to ATTC services throughout the States. The current ATTC regions
vary greatly in population, square miles covered, and number of
treatment facilities within their borders. Therefore, SAMHSA is seeking
comments on possible alternative regional configurations that may
address some of these differences.
SAMSHA has researched the population, square miles covered, and
number of treatment facilities in the current ATTC regions, as well as
the regions used by CSAT's Division of State and Community Assistance
(DSCA), the Department of Health and Human Services (DHHS) Public
Health Service, and the DHHS Health Resources and Services
Administration (HRSA) regions. This information is presented in the
table below.
Table. 1.--Regions by Population, Square Miles, and Treatment Facilities
----------------------------------------------------------------------------------------------------------------
Range of
Range of Range of square treatment
Entity Number of population in the miles in the providers
regions regions regions in the
regions
----------------------------------------------------------------------------------------------------------------
Current ATTCs..................................... * 14 3,809,000-45,154,0 5,330-830,670 199-2,747
00
DSCA.............................................. 5 47,560,000-65,948, 178,510-1,542,760 2,764-4,1
000 33
HHS............................................... 10 9,327,000-53,252,0 61,400-824,290 915-3,152
00
HRSA.............................................. 11 9,987,000-47,241,0 56,070-971,540 386-2,938
00
----------------------------------------------------------------------------------------------------------------
* Plus a Coordinating Center.
The tables below give a state-by-state breakout for each of the
four regional structures shown above.
------------------------------------------------------------------------
Region State
------------------------------------------------------------------------
ATTC Regions
------------------------------------------------------------------------
New England............................ ME, NH, VT, MA, CT, RI.
Northeast.............................. NY, NJ, PA.
Central East........................... DC, DE, KY, TN, MD.
Mid-Atlantic........................... VA, MD, NC, WV.
Southeast.............................. GA, SC.
Southern Coast......................... AL, FL.
Caribbean Basin & Hispanic............. PR, VI.
Great Lakes............................ IL, OH, WI, IN, MI.
Prairielands........................... IA, NE, ND, SD, MN.
Mid-America............................ MO, KS, OK, AR.
Gulf Coast............................. TX, LA, MS.
Pacific Southwest...................... CA, AZ, NM.
Mountain West.......................... NV, MT, WY, UT, CO.
Northwest Frontier..................... AK, WA, OR, ID, HI, Pac. Isl.
------------------------------------------------------------------------
[[Page 42650]]
HHS Regions
------------------------------------------------------------------------
I...................................... ME, NH, VT, MA, CT, RI.
II..................................... NY, NJ, PR, VI.
III.................................... MD, VA, WV, PA, DE, DC.
IV..................................... AL, FL, GA, KY, MS, NC, SC, TN.
V...................................... IL, IN, OH, MI, MN, WI.
VI..................................... AR, LA, NM, OK, TX.
VII.................................... IA, KS, MO, NE.
VIII................................... CO, MT, ND, SD, UT, WY.
IX..................................... AZ, CA, HI, NV, Pac. Isl.
X...................................... AK, ID, OR, WA.
------------------------------------------------------------------------
DSCA Regions
------------------------------------------------------------------------
Northeast.............................. ME, NH, VT, MA, CT, RI, NY, NJ,
PA, DC, DE, MD.
Southeast.............................. PR, VI, VA, WV, KY, TN, MS, AL,
GA, SC, NC, FL.
Central................................ IA, ND, SD, MN, IL, OH, WI, IN,
MI.
Southwest.............................. NE, CO, KS, MO, AR, OK, NM, TX,
LA.
Western................................ CA, MT, WY, NV, UT, AZ, AK, WA,
OR, ID, HI, Pac. Isl.
------------------------------------------------------------------------
HRSA Regions
------------------------------------------------------------------------
New England............................ ME, NH, VT, MA, CT, RI.
New York/New Jersey.................... NY, NJ.
Pennsylvania/Mid-Atlantic.............. PA, OH, WV, VA, MD, DC, DE.
Southeast.............................. KY, TN, NC, SC, AL, GA.
Florida/Caribbean...................... PR, VI, FL.
Delta Region........................... AR, LA, MS.
Midwest................................ MN, WI, MI, IN, IL, IA, MO.
Oklahoma/Texas......................... OK, TX.
Mountain Plains........................ ND, SD, WY, UT, CO, NE, KS, NM.
Pacific................................ CA, NV, AZ.
Northwest.............................. WA, ID, MT, OR.
------------------------------------------------------------------------
In addition to the factors discussed above, there are a number of
critical program priorities or cross-cutting principles affecting the
addiction treatment field that need to be addressed by professionals
providing services. SAMHSA is seeking guidance on whether it would be
advisable to have the ATTCs house of Centers of Excellence on the
critical priorities. The products and resources developed by these
Centers of Excellence could then be disseminated throughout the ATTC
Network and the field. This would avoid duplication of effort while
addressing important clinical issues.
SAMHSA also seeks input from the field on what the ATTC priorities
should be. In view of the pivotal role the ATTCs have played in
bridging the gap between science and service, and in gathering data on
the workforce, they are an integral component of SAMHSA's workforce
development efforts. Recruitment and retention, leadership and
management skills, and increasing the diversity of the workforce have
been identified as key workforce issues. What role, if any, should the
ATTCs have on these subjects?
SAMHSA funds the Centers for the Application of Prevention
Technologies (CAPTs) through the Center for Substance Abuse Prevention.
The CAPTs assist State/jurisdictions and community-based organizations
in the application of evidence-based substance abuse prevention
programs, practices, and policies. The CAPT system is a practical tool
to increase the impact of the knowledge and experience that defines
what works best in prevention programming. Because knowledge
application is a prime focus of both the ATTCs and CAPTs, SAMHSA is
seeking input on what the relationship should be between the ATTCs and
the CAPTs.
Questions To Consider in Making Your Comments
SAMHSA/CSAT is seeking response to questions on a number of issues
regarding the configuration of the ATTC regions, the areas of emphasis,
and the relationship with CAPTs, including the following:
What should be the major areas of emphasis for the ATTCs?
How well do the current priorities and activities of the
ATTCs meet the needs of the field? Are there some activities the ATTCs
are currently undertaking that are no longer necessary? Are there
activities related to workforce development or other topics the ATTCs
should be doing that they are not currently doing?
How should ATTC activities be coordinated with those of
the CAPTs and other similar centers maintained by other Federal
agencies?
Who should be the primary audiences for/recipients of ATTC
services?
Should the ATTCs be organized around Centers for
Excellence? If so, what topics should these Centers address?
What should the role of the National ATTC Coordinating
Center be?
What types of services and products should the ATTCs
provide?
Should the ATTCs function primarily as independent
regional centers or as a unified network collaborating to provide
services and products to the field a large?
How well does the current geographic configuration of the
regional ATTCs meet the needs of the various constituents, including
the States, providers, and practitioners?
How well does the current geographic configuration of the
ATTCs provide effective and equitable delivery of technology transfer
services throughout the State?
Are there alternative regional configurations for the
ATTCs that could provide more equitable access to ATTC services
throughout the Nation?
[[Page 42651]]
Dated: July 20, 2006.
Eric B. Broderick,
Acting Deputy Administrator, Assistant Surgeon General, Substance Abuse
and Mental Health Services, Administration.
[FR Doc. 06-6500 Filed 7-26-06; 8:45 am]
BILLING CODE 4162-20-M
