Agency Information Collection Activities: Submission for OMB Review; Comment Request, 53138-53141 [2011-21713]
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53138
Federal Register / Vol. 76, No. 165 / Thursday, August 25, 2011 / Notices
innovative payment and service
delivery models that reduce spending
under Medicare, Medicaid, or CHIP,
while preserving or enhancing the
quality of care, the Innovation Center
aims to achieve the following goals
through implementation of the Bundled
Payments for Care Improvement
initiative:
• Improve care coordination, patient
experience, and accountability in a
patient centered manner.
• Support and encourage providers
who are interested in continuously
reengineering care to deliver better care,
better health, at lower costs through
continuous improvement.
• Create a virtuous cycle that leads to
continually decreasing the cost of an
acute or chronic episode of care while
fostering quality improvement.
• Develop and test payment models
that create extended accountability for
better care, better health at lower costs
for acute and chronic medical care.
• Shorten the cycle time for adoption
of evidence-based care.
• Create environments that stimulate
rapid development of new evidencebased knowledge.
The models to be tested based on
applications to the RFA are as follows:
• Model 1: Retrospective payment
models around the acute inpatient
hospital stay only.
• Model 2: Retrospective bundled
payment models for hospitals,
physicians, and post-acute providers for
an episode of care consisting of an
inpatient hospital stay followed by postacute care.
• Model 3: Retrospective bundled
payment models for post-acute care
where the episode does not include the
acute inpatient hospital stay.
• Model 4: Prospectively
administered bundled payment models
for the acute inpatient hospital stay
only, such as prospective bundled
payment for hospitals and physicians
for an inpatient hospital stay
Organizations are invited to submit
proposals that define episodes of care in
one or more of these four models.
Proposals should demonstrate care
improvement processes and
enhancements such as reengineered care
pathways using evidence-based
medicine, standardized care using
checklists, and care coordination. All
models must encourage close
partnerships among all of the providers
caring for patients through the episode.
Applicants must demonstrate robust
quality monitoring and protocols to
ensure beneficiary quality protection.
Under all models, applicants must
provide Medicare with a discount on
Medicare fee-for-service expenditures.
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Bundled Payments for Care
Improvement agreements will include a
performance period of 3 years, with the
possibility of extending an additional 2
years, beginning with the respective
program date. The program start date
may be as early as the first quarter of CY
2012 for awardees in Model 1.
III. Collection of Information
Requirements
Section 1115A(d) of the Act waives
the requirements of the Paperwork
Reduction Act of 1995 for the
Innovation Center for purposes of
testing new payment and service
delivery models.
Authority: 44 U.S.C. 3101.
Dated: August 17, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–21707 Filed 8–23–11; 11:15 am]
BILLING CODE 4120–01–P
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: National Child Traumatic
Stress Initiative (NCTSI) Evaluation—
(OMB No. 0930–0276)—Revision
The Substance Abuse and Mental
Health Services Administration’s
(SAMHSA), Center for Mental Health
Services (CMHS), will conduct the
National Child Traumatic Stress
Initiative (NCTSI) Evaluation. This
evaluation serves multiple practical
purposes: (1) To collect and analyze
descriptive, outcome, and service
experience information about the
children and families served by the
NCTSI centers; (2) to assess the NCTSI’s
impact on access to high-quality,
trauma-informed care; (3) to evaluate
NCTSI centers’ training and
consultation activity designed to
promote evidence-based, traumainformed services and the impact of
such activity on child-serving systems;
and (4) to assess the sustainability of the
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grant-funded activities to improve
access to and quality of care for traumaexposed children and their families
beyond the grant period.
Data will be collected from caregivers
and youth served by NCTSI centers,
NCTSI and non-NCTSI administrators,
NCTSI trainers, service providers
trained by NCTSI centers and other
training participants, administrators of
mental health and non-mental health
professionals from state and national
child-serving organizations, and
administrators of affiliate centers. Data
collection will take place in all
Community Treatment and Services
Programs (CTS) and Treatment and
Service Adaptation Centers (TSA) active
during the three-year approval period.
Currently, there are 45 CTS centers and
17 TSA centers active (i.e., 62 active
centers). After the first year, in
September 2011, the 15 grantees funded
in 2007 will reach the end of their data
collection. At that point, additional
centers may be funded or funded again.
Because of this variability, the estimate
of 62 centers is used to calculate
burden.
The NCTSI Evaluation is composed of
four distinct study components, each of
which involves data collection, which
are described below.
Descriptive and Clinical Outcomes
In order to describe the children
served, their trauma histories and their
clinical and functional outcomes, nine
instruments will be used to collect data
from children and adolescents who are
receiving services in the NCTSI, and
from caregivers of all children who are
receiving NCTSI services. Data will be
collected when the child/youth enters
services and during subsequent followup sessions at three-month intervals
over the course of one year. This study
relies upon the use of data already being
collected as a part of the Core Data Set,
and includes the following instruments:
• The Core Clinical Characteristics
Form, which collects demographic,
psychosocial and clinical information
about the child being served including
information about the child’s domestic
environment and insurance status,
indicators of the severity of the child’s
problems, behaviors and symptoms, and
use of non-Network services;
• The Trauma Information/Detail
Form, which collects information on the
history of trauma(s) experienced by the
child served by the NCTSI center
including the type of trauma
experienced, the age at which the
trauma was experienced, type of
exposure, whether or not the trauma is
chronic, and the setting and
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srobinson on DSK4SPTVN1PROD with NOTICES
perpetrator(s) associated with the
traumatic experience;
• The Child Behavior Checklist
(CBCL) 1.5–5 and 6–18, which measure
symptoms in such domains such as
emotionally reactive, anxious/
depressed, somatic complaints,
withdrawn, attention problems,
aggressive behavior, sleep problems,
rule-breaking behavior, social problems,
thought problems, and withdrawn/
depressed;
• The UCLA PTSD Short Form,
which screens for exposure to traumatic
events and for all DSM–IV PTSD
symptoms in children who report
traumatic stress experiences; and the
• The Trauma Symptoms Checklist
for Children, which evaluates acute and
chronic posttraumatic stress symptoms
in children’s responses to unspecified
traumatic events across several
symptom domains.
• The Trauma Symptoms Checklist
for Young Children (TSCYC), which is
a 90-item caretaker-report instrument
developed for the assessment of traumarelated symptoms in children ages 3 to
12.
• The Parenting Stress Index Short
Form (PSI–SF), which yields a total
stress score from three scales: Parental
distress, parent-child dysfunctional
interaction, and difficult child. The PSI–
SF was developed from factor analysis
of the PSI–Full-Length Version.
• The Children’s Depression
Inventory-2 Short (CDI–2S), which is a
comprehensive multi-rater assessment
of depressive symptoms in youth aged
7 to 17 years. Depressive
symptomatology is quantified by the
CDI 2 based on reports from children/
adolescents, teachers and parents.
• The Global Appraisal of Individual
Needs Modified Shore Screener (GAIN–
MSS), which is designed primarily as a
screener in general populations, ages 12
and older, to quickly and accurately
identify clients who have 1 or more
behavioral health disorders (e.g.,
internalizing or externalizing
psychiatric disorders, substance use
disorders, or crime/violence problems).
Approximately 6,000 youth and 9,700
caregivers will participate in the
descriptive and clinical outcomes study
over the clearance period.
Access to High Quality, TraumaInformed Services
The NCTSI mission is to expand
access to high quality, trauma-informed
services for trauma-exposed children
and adolescents and their families
nationwide. This component of the
evaluation is designed to assess NCTSI
program progress in achieving this
mission by collecting and analyzing
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data from a variety of sources
addressing the question of whether
access to high quality, trauma-informed
services has improved and for which
demographic groups. Instruments used
as a part of this study component
include:
• Evidence-based Practice (EBP) and
Trauma-informed Systems Change
Survey (ETSC), which assesses the
extent to which NCTSI training and
other dissemination activities have
enhanced the knowledge base and use
of trauma-informed services (TIS)
within child-serving agencies, centers
and organizations that are not a part of
the NCTSI but rather have received
training from the NCTSI as well as to
assess the extent to which such services
are evidence-based. The survey
branches into two versions adapted for
project directors/administrators and
human service providers (e.g., mental
health providers, child welfare case
workers, teachers, primary care health
care providers and others), allowing for
questions tailored to the professional
orientation and activities of each group.
The ETSC survey will be used to assess
the extent to which NCTSI training and
dissemination activities have improved
access to high quality, trauma-informed
services for trauma-exposed children
and their families that are served
through such child-serving systems.
• The National Reach Survey, which
assesses the extent to which the NCTSI
has impacted the knowledge and
awareness, policies, planning, programs,
and practices related to traumainformed care among state and national
child-serving organizations external to
the NCTSI centers.
• The Online Performance
Monitoring Report (OPMR), which is
primarily a mechanism for SAMHSA to
monitor centers’ progress towards
achieving stated goals and a fulfillment
of SAMHSA requirements for
accountability and performance
monitoring. In addition, this form will
also serve as an important data source
informing several components of the
NCTSI evaluation.
Approximately 496 service providers
and 186 administrators from NCTSI
centers and organizations or agencies
trained by NCTSI centers will
participate in the ETSC survey.
Approximately 4,000 individuals will
be participating in the National Reach
Survey, while approximately 62
individuals will participate in the
OPMR.
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53139
Training, Evidence-Based Practices
(EBPs), and Family/Consumer
Partnerships
A major goal of the NCTSI is to
enhance the capacity of administrators
and service providers from agencies,
centers and organizations associated
with child-serving systems (including
mental health, child welfare, juvenile
justice, education and primary care) to
use trauma-informed services (TIS) with
trauma-exposed children and their
families. NCTSI centers promote the use
of TIS within child-serving systems to
increase public awareness and
knowledge about trauma exposure,
trauma impact, and the range of traumainformed assessments and services that
are available. For this component, the
ETSC Survey will be used to assess
whether agencies, schools, and
organizations that are a part of childserving systems trained by the NCTSI
have become more evidence-based and
trauma-informed. Two additional forms
will be used including:
• The Training Summary Form (TSF),
which will be completed by trainers and
will collect information on the number
of participants trained, the type of
training (including the trauma types
addressed in the training), and the
topics emphasized in the training.
• The Training Sign-In Sheet (TSIS),
which will be completed by this
participants of NCTSI-sponsored
trainings. Participants will provide their
names; agency, organization or center
for which they work; their roles; and
contact information including an email
addresses. In addition, they will be
asked to indicate whether the evaluation
may contact them for participation.
Approximately 124 trainers will
complete and submit the TSF, while
approximately 12,400 trainees will
complete the TSIS.
Sustainability
Assessing the sustainability of the
progress made by the NCTSI and its
partners is a key evaluation priority
identified by stakeholders advising on
the redesign of the NCTSI Evaluation.
Therefore, while this issue was not
addressed as part of the previous
evaluation design, it has been included
as a new area of importance for future
NCTSI evaluation. This component of
the evaluation focuses on understanding
the degree to which NCTSI grant
activities continue after funding has
ended and the factors associated with
the continuation of—or lapse in—grant
activities such as the implementation of
evidence-based practices or approaches
to strengthen trauma-informed service
provision. This component collects
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sustainability data as part of the OPMR
in the case of funded centers and, in the
case of affiliate centers (centers that no
longer receive SAMHSA funding but
have continued involvement with the
NCTSI and are defined by SAMHSA as
affiliates), the following survey will be
implemented:
• Sustainability Survey for Affiliate
Centers, which assesses sustainability of
NCTSI grant activities by collecting data
on domains including grant history,
funding sources and fiscal strategies,
program mission, infrastructure, service
delivery and continuation of practices
and programs. Approximately 45
administrators of affiliate centers are
expected to participate in this survey.
The revision to the currently
approved information collection
activities includes the extension of
NCTSI Evaluation information
collection activities for an additional
three years. This revision also addresses
the following programmatic changes:
• The number of centers for which
burden was calculated is 62, which
represents the number of currently
active grantees (the number of centers at
the time of the previous submission was
44).
• As a result of efforts to address
updated evaluation priorities, reduce
redundancy and consolidate multiple
data collection efforts focused on
national monitoring and evaluating of
the NCTSI program, the request
discontinues ten surveys, forms or
interviews that are currently OMBapproved.
• In place of the ten surveys, forms or
interviews that are currently OMBapproved that are being discontinued,
and as part of the redesigned evaluation,
three new data collection efforts will be
implemented, including:
Æ Online Performance Monitoring
Report Form (OPMR)
Æ Evidence-based Practice and
Trauma-informed System Change
Survey (ETSC)
Number of
respondents
Instrument
Average
number of
responses per
respondent
Æ Sustainability Survey for affiliate
centers
• This request also enhances the
existing Core Data Set by revising the
Core Clinical Characteristics Forms and
adding new instruments to address
existing gaps in knowledge including:
Æ Trauma Symptom Checklist for
Young Children (TSCYC)
Æ Parenting Stress Index Short Form
(PSI–SF)
Æ Children’s Depression Inventory-2
Short (CDI–2S)
Æ Global Appraisal of Needs Modified
Short Screener (GAIN–MSS)
• A Training Sign-in Sheet (TSIS) has
been developed for use at each training
event sponsored by NCTSI centers. The
purpose of the form is to collect brief
information about NCTSI training
participants.
The average annual respondent
burden is estimated below.
Hours per
response
Total burden
hours
3-year
average of
annual burden
hours
Caregivers Served by NCTSI Centers
1 9,729
24
9,729
9,729
3 7,394
4 2,724
5 2,919
Child Behavior Checklist 1.5–5/6–18 (CBCL 1.5–5/6–18) ..
Trauma Information/Detail Form ..........................................
Core Clinical Characteristics Form ......................................
UCLA–PTSD Short Form (UCLA–PTSD) ............................
Trauma Symptoms Checklist for Young Children (TSCYC)
Parenting Stress Index Short Form (PSI–SF) .....................
4
4
4
4
4
0.33
0.22
0.5
0.17
0.33
0.08
12,842
8,562
19,458
5,028
3,596
934
4,281
2,854
6,486
1,676
1,199
311
Youth Served by NCTSI Centers Centers
Trauma Symptoms Checklist for Children-Abbreviated
(TSCC–A) .........................................................................
Children’s Depression Inventory-2 Short (CDI–2S) .............
Global Appraisal of Individual Needs Modified Shore
Screener (GAIN–MSS) .....................................................
6 6,129
7 2,140
4
4
0.33
0.08
8,090
685
2,697
228
8 3,989
4
0.08
1,276
425
0.60
0.28
446
52
149
17
2
0.30
112
37
5
0.2
124
41
3
0.3
446
149
1
.02
248
83
Funded NCTSI Center Project Directors of Other Administrators
Online Performance Monitoring Report (OPMR) .................
Sustainability Survey for Currently—Funded Centers .........
62
62
12
3
NCTSI and Non-NCTSI Administrators
Evidence-based Practice (EBP) and Trauma Informed
Systems
Change
Survey
(ETSC)—Administrator
Version .............................................................................
9 186
NCTSI Trainers
10 124
srobinson on DSK4SPTVN1PROD with NOTICES
Training Summary Form ......................................................
Service Providers Trained by NCTSI Centers
Evidence-based Practice (EBP) and Trauma Informed
Systems Change Survey (ETSC)—Provider Version ......
11 496
Training Participants
Training Sign-In Sheet (TSIS) .............................................
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Number of
respondents
Instrument
Average
number of
responses per
respondent
Hours per
response
Total burden
hours
3-year
average of
annual burden
hours
Mental Health and Non-Mental Health Professionals from State and National Child Serving Organizations
NCTSI National Reach Survey ............................................
4,000
1
0.5
2,000
667
Affiliate Center Administrators
Sustainability Survey— Affiliate Centers .............................
45
3
.28
38
19
Total summary ..............................................................
71,857
66
........................
........................
63,957
Total annual summary ...........................................
23,952
22
........................
........................
21,319
1. On average, 75 percent of centers participate in the Core Data Set (47 of 62 centers), with an average of 69 baseline visits per year.
2. On the basis of the children enrolled in the Core Data Set through September 30, 2010, the average length of time in treatment is 9 months,
yielding an average of 4 assessments per child.
3. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 76% of the children in the Core Data
Set will be ages 7 and older.
4. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 28% of the children in the Core Data
Set will be between the ages of 3 and 7.
5. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 60% of the children in the Core Data
Set will be aged 12 and under. We estimate that approximately 50% of centers will use this optional instrument, leading to an estimate of 30% of
children in the Core Data Set.
6. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 63% of the children in the Core Data
Set will be between the ages of 8 and 16.
7. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 44% of the children in the Core Data
Set will between the ages of 7 and 18, and will have depression indicated as a potential problem at baseline. We estimate that approximately
50% of centers will use this optional instrument, leading to an estimate of 22% of children in the Core Data Set.
8. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 41% of the children in the Core Data
Set will be aged 12 and older.
9. Respondents will be administrators from 62 currently funded NCTSI centers and administrators from two child serving systems that each
NCTSI center trains.
10. Respondents will be center trainers or evaluation staff. On average, 5 Training Summary Forms may be completed by 124 trainers.
11. Respondents are NCTSI center employed clinicians and center trained providers. It is estimated that on average from the 62 centers, four
center-employed clinicians and four center trained providers will take the survey three times.
12. It is expected that at least two trainers per center will provide five trainings and on an average there will be twenty participants per training.
srobinson on DSK4SPTVN1PROD with NOTICES
Written comments and
recommendations concerning the
proposed information collection should
be sent by September 26, 2011 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 e-mail to:
OIRA_Submission@omb.eop.gov.
Although commenters are encouraged to
send their comments via e-mail,
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.
Dated: August 18, 2011.
Elaine Parry,
Director, Office of Management, Technology
and Operations.
[FR Doc. 2011–21713 Filed 8–24–11; 8:45 am]
BILLING CODE 4162–20–P
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DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
[Internal Agency Docket No. FEMA–4009–
DR; Docket ID FEMA–2011–0001]
Minnesota; Major Disaster and Related
Determinations
Federal Emergency
Management Agency, DHS.
ACTION: Notice.
AGENCY:
This is a notice of the
Presidential declaration of a major
disaster for the State of Minnesota
(FEMA–4009–DR), dated July 28, 2011,
and related determinations.
DATES: Effective Date: July 28, 2011.
FOR FURTHER INFORMATION CONTACT:
Peggy Miller, Office of Response and
Recovery, Federal Emergency
Management Agency, 500 C Street, SW.,
Washington, DC 20472, (202) 646–3886.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that, in a letter dated July
28, 2011, the President issued a major
disaster declaration under the authority
of the Robert T. Stafford Disaster Relief
and Emergency Assistance Act, 42
SUMMARY:
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U.S.C. 5121 et seq. (the ‘‘Stafford Act’’),
as follows:
I have determined that the damage in
certain areas of the State of Minnesota
resulting from severe storms, flooding, and
tornadoes during the period of July 1–11,
2011, is of sufficient severity and magnitude
to warrant a major disaster declaration under
the Robert T. Stafford Disaster Relief and
Emergency Assistance Act, 42 U.S.C. 5121 et
seq. (the ‘‘Stafford Act’’). Therefore, I declare
that such a major disaster exists in the State
of Minnesota.
In order to provide Federal assistance, you
are hereby authorized to allocate from funds
available for these purposes such amounts as
you find necessary for Federal disaster
assistance and administrative expenses.
You are authorized to provide Public
Assistance in the designated areas and
Hazard Mitigation throughout the State.
Consistent with the requirement that Federal
assistance is supplemental, any Federal
funds provided under the Stafford Act for
Public Assistance and Hazard Mitigation will
be limited to 75 percent of the total eligible
costs.
Further, you are authorized to make
changes to this declaration for the approved
assistance to the extent allowable under the
Stafford Act.
The Federal Emergency Management
Agency (FEMA) hereby gives notice that
pursuant to the authority vested in the
Administrator, under Executive Order
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]]>Agencies
[Federal Register Volume 76, Number 165 (Thursday, August 25, 2011)]
[Notices]
[Pages 53138-53141]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-21713]
-----------------------------------------------------------------------
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: National Child Traumatic Stress Initiative (NCTSI)
Evaluation--(OMB No. 0930-0276)--Revision
The Substance Abuse and Mental Health Services Administration's
(SAMHSA), Center for Mental Health Services (CMHS), will conduct the
National Child Traumatic Stress Initiative (NCTSI) Evaluation. This
evaluation serves multiple practical purposes: (1) To collect and
analyze descriptive, outcome, and service experience information about
the children and families served by the NCTSI centers; (2) to assess
the NCTSI's impact on access to high-quality, trauma-informed care; (3)
to evaluate NCTSI centers' training and consultation activity designed
to promote evidence-based, trauma-informed services and the impact of
such activity on child-serving systems; and (4) to assess the
sustainability of the grant-funded activities to improve access to and
quality of care for trauma-exposed children and their families beyond
the grant period.
Data will be collected from caregivers and youth served by NCTSI
centers, NCTSI and non-NCTSI administrators, NCTSI trainers, service
providers trained by NCTSI centers and other training participants,
administrators of mental health and non-mental health professionals
from state and national child-serving organizations, and administrators
of affiliate centers. Data collection will take place in all Community
Treatment and Services Programs (CTS) and Treatment and Service
Adaptation Centers (TSA) active during the three-year approval period.
Currently, there are 45 CTS centers and 17 TSA centers active (i.e., 62
active centers). After the first year, in September 2011, the 15
grantees funded in 2007 will reach the end of their data collection. At
that point, additional centers may be funded or funded again. Because
of this variability, the estimate of 62 centers is used to calculate
burden.
The NCTSI Evaluation is composed of four distinct study components,
each of which involves data collection, which are described below.
Descriptive and Clinical Outcomes
In order to describe the children served, their trauma histories
and their clinical and functional outcomes, nine instruments will be
used to collect data from children and adolescents who are receiving
services in the NCTSI, and from caregivers of all children who are
receiving NCTSI services. Data will be collected when the child/youth
enters services and during subsequent follow-up sessions at three-month
intervals over the course of one year. This study relies upon the use
of data already being collected as a part of the Core Data Set, and
includes the following instruments:
The Core Clinical Characteristics Form, which collects
demographic, psychosocial and clinical information about the child
being served including information about the child's domestic
environment and insurance status, indicators of the severity of the
child's problems, behaviors and symptoms, and use of non-Network
services;
The Trauma Information/Detail Form, which collects
information on the history of trauma(s) experienced by the child served
by the NCTSI center including the type of trauma experienced, the age
at which the trauma was experienced, type of exposure, whether or not
the trauma is chronic, and the setting and
[[Page 53139]]
perpetrator(s) associated with the traumatic experience;
The Child Behavior Checklist (CBCL) 1.5-5 and 6-18, which
measure symptoms in such domains such as emotionally reactive, anxious/
depressed, somatic complaints, withdrawn, attention problems,
aggressive behavior, sleep problems, rule-breaking behavior, social
problems, thought problems, and withdrawn/depressed;
The UCLA PTSD Short Form, which screens for exposure to
traumatic events and for all DSM-IV PTSD symptoms in children who
report traumatic stress experiences; and the
The Trauma Symptoms Checklist for Children, which
evaluates acute and chronic posttraumatic stress symptoms in children's
responses to unspecified traumatic events across several symptom
domains.
The Trauma Symptoms Checklist for Young Children (TSCYC),
which is a 90-item caretaker-report instrument developed for the
assessment of trauma-related symptoms in children ages 3 to 12.
The Parenting Stress Index Short Form (PSI-SF), which
yields a total stress score from three scales: Parental distress,
parent-child dysfunctional interaction, and difficult child. The PSI-SF
was developed from factor analysis of the PSI-Full-Length Version.
The Children's Depression Inventory-2 Short (CDI-2S),
which is a comprehensive multi-rater assessment of depressive symptoms
in youth aged 7 to 17 years. Depressive symptomatology is quantified by
the CDI 2 based on reports from children/adolescents, teachers and
parents.
The Global Appraisal of Individual Needs Modified Shore
Screener (GAIN-MSS), which is designed primarily as a screener in
general populations, ages 12 and older, to quickly and accurately
identify clients who have 1 or more behavioral health disorders (e.g.,
internalizing or externalizing psychiatric disorders, substance use
disorders, or crime/violence problems).
Approximately 6,000 youth and 9,700 caregivers will participate in
the descriptive and clinical outcomes study over the clearance period.
Access to High Quality, Trauma-Informed Services
The NCTSI mission is to expand access to high quality, trauma-
informed services for trauma-exposed children and adolescents and their
families nationwide. This component of the evaluation is designed to
assess NCTSI program progress in achieving this mission by collecting
and analyzing data from a variety of sources addressing the question of
whether access to high quality, trauma-informed services has improved
and for which demographic groups. Instruments used as a part of this
study component include:
Evidence-based Practice (EBP) and Trauma-informed Systems
Change Survey (ETSC), which assesses the extent to which NCTSI training
and other dissemination activities have enhanced the knowledge base and
use of trauma-informed services (TIS) within child-serving agencies,
centers and organizations that are not a part of the NCTSI but rather
have received training from the NCTSI as well as to assess the extent
to which such services are evidence-based. The survey branches into two
versions adapted for project directors/administrators and human service
providers (e.g., mental health providers, child welfare case workers,
teachers, primary care health care providers and others), allowing for
questions tailored to the professional orientation and activities of
each group. The ETSC survey will be used to assess the extent to which
NCTSI training and dissemination activities have improved access to
high quality, trauma-informed services for trauma-exposed children and
their families that are served through such child-serving systems.
The National Reach Survey, which assesses the extent to
which the NCTSI has impacted the knowledge and awareness, policies,
planning, programs, and practices related to trauma-informed care among
state and national child-serving organizations external to the NCTSI
centers.
The Online Performance Monitoring Report (OPMR), which is
primarily a mechanism for SAMHSA to monitor centers' progress towards
achieving stated goals and a fulfillment of SAMHSA requirements for
accountability and performance monitoring. In addition, this form will
also serve as an important data source informing several components of
the NCTSI evaluation.
Approximately 496 service providers and 186 administrators from
NCTSI centers and organizations or agencies trained by NCTSI centers
will participate in the ETSC survey. Approximately 4,000 individuals
will be participating in the National Reach Survey, while approximately
62 individuals will participate in the OPMR.
Training, Evidence-Based Practices (EBPs), and Family/Consumer
Partnerships
A major goal of the NCTSI is to enhance the capacity of
administrators and service providers from agencies, centers and
organizations associated with child-serving systems (including mental
health, child welfare, juvenile justice, education and primary care) to
use trauma-informed services (TIS) with trauma-exposed children and
their families. NCTSI centers promote the use of TIS within child-
serving systems to increase public awareness and knowledge about trauma
exposure, trauma impact, and the range of trauma-informed assessments
and services that are available. For this component, the ETSC Survey
will be used to assess whether agencies, schools, and organizations
that are a part of child-serving systems trained by the NCTSI have
become more evidence-based and trauma-informed. Two additional forms
will be used including:
The Training Summary Form (TSF), which will be completed
by trainers and will collect information on the number of participants
trained, the type of training (including the trauma types addressed in
the training), and the topics emphasized in the training.
The Training Sign-In Sheet (TSIS), which will be completed
by this participants of NCTSI-sponsored trainings. Participants will
provide their names; agency, organization or center for which they
work; their roles; and contact information including an email
addresses. In addition, they will be asked to indicate whether the
evaluation may contact them for participation.
Approximately 124 trainers will complete and submit the TSF, while
approximately 12,400 trainees will complete the TSIS.
Sustainability
Assessing the sustainability of the progress made by the NCTSI and
its partners is a key evaluation priority identified by stakeholders
advising on the redesign of the NCTSI Evaluation. Therefore, while this
issue was not addressed as part of the previous evaluation design, it
has been included as a new area of importance for future NCTSI
evaluation. This component of the evaluation focuses on understanding
the degree to which NCTSI grant activities continue after funding has
ended and the factors associated with the continuation of--or lapse
in--grant activities such as the implementation of evidence-based
practices or approaches to strengthen trauma-informed service
provision. This component collects
[[Page 53140]]
sustainability data as part of the OPMR in the case of funded centers
and, in the case of affiliate centers (centers that no longer receive
SAMHSA funding but have continued involvement with the NCTSI and are
defined by SAMHSA as affiliates), the following survey will be
implemented:
Sustainability Survey for Affiliate Centers, which
assesses sustainability of NCTSI grant activities by collecting data on
domains including grant history, funding sources and fiscal strategies,
program mission, infrastructure, service delivery and continuation of
practices and programs. Approximately 45 administrators of affiliate
centers are expected to participate in this survey.
The revision to the currently approved information collection
activities includes the extension of NCTSI Evaluation information
collection activities for an additional three years. This revision also
addresses the following programmatic changes:
The number of centers for which burden was calculated is
62, which represents the number of currently active grantees (the
number of centers at the time of the previous submission was 44).
As a result of efforts to address updated evaluation
priorities, reduce redundancy and consolidate multiple data collection
efforts focused on national monitoring and evaluating of the NCTSI
program, the request discontinues ten surveys, forms or interviews that
are currently OMB-approved.
In place of the ten surveys, forms or interviews that are
currently OMB-approved that are being discontinued, and as part of the
redesigned evaluation, three new data collection efforts will be
implemented, including:
[cir] Online Performance Monitoring Report Form (OPMR)
[cir] Evidence-based Practice and Trauma-informed System Change
Survey (ETSC)
[cir] Sustainability Survey for affiliate centers
This request also enhances the existing Core Data Set by
revising the Core Clinical Characteristics Forms and adding new
instruments to address existing gaps in knowledge including:
[cir] Trauma Symptom Checklist for Young Children (TSCYC)
[cir] Parenting Stress Index Short Form (PSI-SF)
[cir] Children's Depression Inventory-2 Short (CDI-2S)
[cir] Global Appraisal of Needs Modified Short Screener (GAIN-MSS)
A Training Sign-in Sheet (TSIS) has been developed for use
at each training event sponsored by NCTSI centers. The purpose of the
form is to collect brief information about NCTSI training participants.
The average annual respondent burden is estimated below.
----------------------------------------------------------------------------------------------------------------
Average number 3-year average
Instrument Number of of responses Hours per Total burden of annual
respondents per respondent response hours burden hours
----------------------------------------------------------------------------------------------------------------
Caregivers Served by NCTSI Centers
----------------------------------------------------------------------------------------------------------------
Child Behavior Checklist 1.5-5/6- \1\ 9,729 \2\ 4 0.33 12,842 4,281
18 (CBCL 1.5-5/6-18)...........
Trauma Information/Detail Form.. 9,729 4 0.22 8,562 2,854
Core Clinical Characteristics 9,729 4 0.5 19,458 6,486
Form...........................
UCLA-PTSD Short Form (UCLA-PTSD) \3\ 7,394 4 0.17 5,028 1,676
Trauma Symptoms Checklist for \4\ 2,724 4 0.33 3,596 1,199
Young Children (TSCYC).........
Parenting Stress Index Short \5\ 2,919 4 0.08 934 311
Form (PSI-SF)..................
----------------------------------------------------------------------------------------------------------------
Youth Served by NCTSI Centers Centers
----------------------------------------------------------------------------------------------------------------
Trauma Symptoms Checklist for \6\ 6,129 4 0.33 8,090 2,697
Children-Abbreviated (TSCC-A)..
Children's Depression Inventory- \7\ 2,140 4 0.08 685 228
2 Short (CDI-2S)...............
Global Appraisal of Individual \8\ 3,989 4 0.08 1,276 425
Needs Modified Shore Screener
(GAIN-MSS).....................
----------------------------------------------------------------------------------------------------------------
Funded NCTSI Center Project Directors of Other Administrators
----------------------------------------------------------------------------------------------------------------
Online Performance Monitoring 62 12 0.60 446 149
Report (OPMR)..................
Sustainability Survey for 62 3 0.28 52 17
Currently--Funded Centers......
----------------------------------------------------------------------------------------------------------------
NCTSI and Non-NCTSI Administrators
----------------------------------------------------------------------------------------------------------------
Evidence-based Practice (EBP) \9\ 186 2 0.30 112 37
and Trauma Informed Systems
Change Survey (ETSC)--
Administrator Version..........
----------------------------------------------------------------------------------------------------------------
NCTSI Trainers
----------------------------------------------------------------------------------------------------------------
Training Summary Form........... \10\ 124 5 0.2 124 41
----------------------------------------------------------------------------------------------------------------
Service Providers Trained by NCTSI Centers
----------------------------------------------------------------------------------------------------------------
Evidence-based Practice (EBP) \11\ 496 3 0.3 446 149
and Trauma Informed Systems
Change Survey (ETSC)--Provider
Version........................
----------------------------------------------------------------------------------------------------------------
Training Participants
----------------------------------------------------------------------------------------------------------------
Training Sign-In Sheet (TSIS)... \12\ 12,400 1 .02 248 83
----------------------------------------------------------------------------------------------------------------
[[Page 53141]]
Mental Health and Non-Mental Health Professionals from State and National Child Serving Organizations
----------------------------------------------------------------------------------------------------------------
NCTSI National Reach Survey..... 4,000 1 0.5 2,000 667
----------------------------------------------------------------------------------------------------------------
Affiliate Center Administrators
----------------------------------------------------------------------------------------------------------------
Sustainability Survey-- 45 3 .28 38 19
Affiliate Centers..............
-------------------------------------------------------------------------------
Total summary............... 71,857 66 .............. .............. 63,957
-------------------------------------------------------------------------------
Total annual summary.... 23,952 22 .............. .............. 21,319
----------------------------------------------------------------------------------------------------------------
1. On average, 75 percent of centers participate in the Core Data Set (47 of 62 centers), with an average of 69
baseline visits per year.
2. On the basis of the children enrolled in the Core Data Set through September 30, 2010, the average length of
time in treatment is 9 months, yielding an average of 4 assessments per child.
3. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 76% of
the children in the Core Data Set will be ages 7 and older.
4. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 28% of
the children in the Core Data Set will be between the ages of 3 and 7.
5. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 60% of
the children in the Core Data Set will be aged 12 and under. We estimate that approximately 50% of centers
will use this optional instrument, leading to an estimate of 30% of children in the Core Data Set.
6. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 63% of
the children in the Core Data Set will be between the ages of 8 and 16.
7. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 44% of
the children in the Core Data Set will between the ages of 7 and 18, and will have depression indicated as a
potential problem at baseline. We estimate that approximately 50% of centers will use this optional
instrument, leading to an estimate of 22% of children in the Core Data Set.
8. On the basis of the children enrolled in the Core Data Set through September 30, 2010, approximately 41% of
the children in the Core Data Set will be aged 12 and older.
9. Respondents will be administrators from 62 currently funded NCTSI centers and administrators from two child
serving systems that each NCTSI center trains.
10. Respondents will be center trainers or evaluation staff. On average, 5 Training Summary Forms may be
completed by 124 trainers.
11. Respondents are NCTSI center employed clinicians and center trained providers. It is estimated that on
average from the 62 centers, four center-employed clinicians and four center trained providers will take the
survey three times.
12. It is expected that at least two trainers per center will provide five trainings and on an average there
will be twenty participants per training.
Written comments and recommendations concerning the proposed
information collection should be sent by September 26, 2011 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 e-mail to: OIRA_Submission@omb.eop.gov. Although commenters are encouraged to send
their comments via e-mail, 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.
Dated: August 18, 2011.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-21713 Filed 8-24-11; 8:45 am]
BILLING CODE 4162-20-P
