Agency Information Collection Activities: Proposed Collection; Comment Request, 69689-69692 [2015-28558]
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69689
Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices
ESTIMATED OF ANNUALIZED BURDEN HOURS
Data collection type
PI .......................................................
Web survey ......................................
Telephone script to schedule interview.
Telephone interview .........................
Telephone script to schedule site
visit.
Site visit interview ............................
Web survey ......................................
Telephone script to schedule interview.
Telephone interview .........................
Telephone script to schedule site
visit.
Site visit interview ............................
Telephone script to schedule site
visit.
Site visit interview ............................
Project partner ..................................
Other key staff ..................................
Total ...........................................
...........................................................
Dated: November 4, 2015.
Lawrence A. Tabak,
Deputy Director, National Institutes of Health.
[FR Doc. 2015–28601 Filed 11–9–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
opportunity for public comment on
proposed collections of information, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the proposed projects or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer on (240) 276–
1243.
Comments are invited on: (a) Whether
the proposed collections of information
are necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
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Proposed Project: Now Is the Time
(NITT)—Healthy Transitions (HT)
Evaluation—New
SAMHSA is conducting a national
evaluation of the Now is the Time
(NITT) initiative, which includes
separate programs—NITT Project
AWARE (Advancing Wellness and
Resilience in Education)—State
Educational Agency (SEA), Healthy
Transitions (HT), and two Minority
Fellowship Programs (Youth and
Addiction Counselors). These programs
are united by their focus on capacity
building, system change, and workforce
development.
NITT–HT, which is the focus of this
data collection, represents a response to
the fourth component of President
Obama’s NITT Initiative: Increasing
access to mental health services. The
purpose of the NITT–HT program is to
improve access to treatment and support
services for youth/young adults 16–25
years that either have, or are at risk of
developing a mental illness or substance
use disorder, and are at high risk of
suicide. NITT–HT grants were made to
17 state or local jurisdictions, each of
which include 2–3 learning laboratories
(n = 43), which are the local
communities of practice responsible for
implementing the NITT–HT approach.
The NITT–HT program aims to increase
awareness about early signs and
symptoms of mental health conditions
in the community; identify action
strategies to use when a mental health
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Total annual
burden hours
156
34
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
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Average
burden per
response
(in hours)
Number of
responses per
respondent
Number of
respondents
Type of respondent
concern is detected; provide training to
provider and community groups to
improve services and supports for
youth/young adults; enhance peer and
family supports; and develop effective
services and interventions for youth and
young adults with a serious mental
health condition and their families. The
NITT–HT evaluation is designed to
understand whether and how NITT–HT
grantees reach these program goals by
examining system- and grantee-level
processes and system- and client-level
outcomes. Data collection efforts that
will support the evaluation are
described below.
The Community Support for
Transition Inventory (CSTI) will assess
systems change for communities
implementing comprehensive,
community-based approaches to
improve outcomes for emerging adults
with serious mental health conditions.
The CSTI is organized around seven
themes: Community partnership,
collaborative action, transition planning
quality assurance and support,
workforce, fiscal policies and
sustainability, access to needed support
and services, and accountability. The
CSTI is a web-based survey to be
completed by 1,075 community leaders
(15–25 community leaders per 43
learning laboratories) once during Year
2 and once during Year 4 of the grant
period. Community leaders include
members of the local advisory or
steering committee, staff of the NITT–
HT program, staff of agencies providing
portions of the services, and young
adult and family members’ advocates.
The State Support for Transition
Inventory (SSTI) will assess state
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69690
Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices
support for systems change and is
organized around six themes
(partnership, collaborative action,
workforce, fiscal policies &
sustainability, access to needed
supports & services, and accountability).
The SSTI is a web-based survey to be
completed by 425 state leadership
members (20–25 state leaders per 17
grantees) once during Year 2 and once
during Year 4 of the grant period. State
leadership members include
administrators or staff from state
agencies responsible for aspects of
services to youth/young adults (e.g.,
mental health, child welfare, education),
youth/young adult and adult allies who
are active in promoting, planning, or
overseeing services at the state level, as
well as other members of state-level
advisory groups or governing bodies.
The Collaborative Member Survey is
designed to assess specific team
processes that contribute to
collaboration outcomes at the systems
level and will be administered to a
subset of CSTI respondents who
participate in a NITT–HT grantee’s
Advisory Team. The Collaborative
Member Survey emphasizes aspects of
Advisory Teams’ climate (participatory
decision-making, structure, management
of conflict, reflexivity). A maximum of
1,075 respondents (15–25 advisory team
members per 43 learning laboratories)
are expected to complete the web-based
survey once during Year 3 and once
during Year 5 of the grant period.
The Collaborative Self-Assessment
assesses collaborative functioning and
accomplishments, and specific tasks
completed by NITT–HT grantee
stakeholders and the leadership team
including progress in each of the
primary ‘‘functions’’ for the NITT–HT
grantees (i.e., specific, discrete
achievements or steps toward strategic
and fiscal planning, expansion of
services, early identification outreach,
and reduction of barriers to access). The
web-based Collaborative SelfAssessment Survey will be completed
by one advisory team member per
learning laboratory (n = 43) once in Year
3 and once in Year 5 of the grant period.
The Project Director Web Survey will
collect information on planning,
coordination, leadership processes,
fiscal planning, and sustainability. The
brief Project Director Web Survey will be
completed by all grantee project
directors (n = 17) once during each of
Years 2, 3, and 4 of the grant period.
The web survey includes prompts
designed to assist the project director in
gathering and recalling information to
be discussed during the subsequent
Project Director Telephone Interview.
Upon completion of the web survey, the
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project director will be asked to
schedule a telephone interview, which
will focus on gathering more in depth
information to complement information
gathered via the web survey. The Project
Director Telephone Interview includes
information on state/local
implementation, fiscal planning,
coordination and organizational
challenges, workforce development,
quality assurance procedures,
sustainability planning, and leadership
and political issues. The telephone
interview will also be completed by all
grantee project directors (n = 17) once
during each of Years 2, 3, and 4 of the
grant period. The web survey and
telephone interview are slightly
different at each time point to reflect
varying annual changes in program
implementation emphasis.
The Core Staff Web Survey will be
administered to core NITT–HT staff to
assess characteristics of person-centered
practice and barriers to this practice.
‘‘Core staff’’ are defined as staff
members serving as primary providers
of planning, case management and
coordination services to youth/young
adults (‘‘life coaches,’’ ‘‘transition
facilitators,’’ or ‘‘transition specialists’’).
A maximum of 430 core staff (no more
than 10 core staff per 43 learning
laboratories) are expected to complete
the Core Staff Survey once during the
grant period.
In the Multi-Media Project, youth/
young adults will be invited to
voluntarily provide information about
their experiences working with or being
served by NITT–HT grantee
communities using multi-media outlets.
Youth/young adult involvement is a
priority both for the NITT–HT national
evaluation and for NITT–HT grantees.
Consequently, it will be important to
offer youth/young adults opportunities
to participate in national evaluation
activities in developmentallyappropriate and engaging ways. These
outlets could include videos, photos,
blogs, or poems (at the choice of the
participating youth/young adult).
Youth/young adults will be given
informational probes (e.g., what keeps
you involved in NITT–HT activities?) in
grantee Years 2, 3, and 4; an estimated
510 youth/young adults (30 youth/
young adults per 17 grantees) will
participate in the Multi-Media Project.
The Supplemental Youth and Youth
Adult Interview (SYAI) will assess key
client-level outcomes of interest for the
NITT–HT program, including: School/
home/daily living functioning,
emotional/behavioral health, vocation
and education status, housing stability,
criminal or juvenile justice
involvement, psychotic symptoms,
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substance use/abuse, trauma symptoms,
victimization experiences and
propensity to commit violent acts. In
addition to primary outcomes of
interest, the SYAI also assesses
intermediate outcomes thought to be
critical in influencing change in
behavioral health and functioning,
including: Self-efficacy (mental health,
school, career and social), and
perceptions of social support, personcentered care, and service alliance. The
SYAI includes standardized instruments
as well as project-developed items and
does not duplicate the client-level data
collection required separately by
SAMHSA (OMB No. 0930–0346). The
SYAI will be conducted with 90 service
recipient youth/young adults per NITT–
HT grantee (n = 17), for a total of 1,530
youth/young adults, at program
enrollment (Baseline) and 12- and 24months after enrollment. These 90 cases
will be evenly distributed across the
grantee’s 2–3 learning laboratories. The
SYAI is designed for administration as
an audio computer-assisted selfinterviewing (ACASI) survey. This
mode was selected to offer participating
youth/young adults maximum privacy
while completing the interview and to
present minimal survey administration
burden to NITT–HT grantee staff.
Grantee Visit In-Person Interviews and
Focus Group Guides
All NITT–HT grantees (n = 17) will be
visited once during the 5-year grant
period. Activities associated with the
grantee visit (i.e., a pre-planning
inventory, interviews, focus groups, and
document review) are described below.
Prior to the grantee visit, the Services
& Supports Inventory will be
administered one time by telephone to
a representative from each of the NITT–
HT grantees (n = 17) to identify specific
providers and other stakeholders to
participate in the grantee visit.
Respondents will also provide
information about specific services,
especially evidence-based and evidenceinformed practices being provided to
youth/young adults through NITT–HT
associated behavioral health or other
professional agencies, and provide a
preliminary assessment of the frequency
and quality of implementation of the
practice(s).
During the one-time grantee visit,
several in-person interviews and two
client-oriented focus groups will be
conducted with NITT–HT program staff.
The Core Staff In-Person Interview will
be conducted with core staff members
(i.e., ‘‘transitions specialists,’’
‘‘transition facilitators,’’ or ‘‘life
coaches’’) to examine their experiences
providing person-centered planning
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services to youth/young adults served
within the NITT–HT grantee
communities and ask about successes
and challenges in creating and
implementing youth/young adult
service plans. A total of 215 core staff
(five core staff per 43 learning
laboratories) are expected to participate.
The Youth Coordinator In-Person
Interview will be conducted with three
staff members (one youth coordinator
and up to two peer workers) to elicit
staff experiences working with the
NITT–HT grantee with a focus on the
Youth Coordinator functions including
participation in planning and
coordination, outreach, mentoring, and
other activities. A total of 129 staff
members (three per 43 learning
laboratories) are expected to participate.
The Provider In-Person Interview will
be conducted with individuals who
provide behavioral health services/
treatment directly to youth/youth adults
served within the NITT–HT community,
other than the transition facilitators.
These individuals will likely come from
NITT–HT partner organizations.
Interviews will focus on two areas: (1)
Perceptions of organizational support by
the collaborative, and (2)
implementation of evidence-based
practices (e.g., general attitudes, types of
practices being used, implementation
supports). A total of 85 key provider
informants (five key providers per 17
grantees) are expected to participate.
The Stakeholder In-Person Interview
will be conducted with other key
stakeholders (e.g., board members for
agencies, leaders or liaisons for
advocacy groups, leaders or advocates
with religious or charitable
organizations), as identified by grantee
leadership. The interview will elicit
experiences contributing to systems
development, including history of
involvement, their specific
contributions to the systems
development effort, and strategies,
barriers and facilitators to making these
contributions. A total of 51 community
stakeholders (3 stakeholders per 17
grantees) are expected to participate.
Two Young Adult Focus Groups will
be conducted during the grantee visit—
one for youth/young adults directly
involved in NITT–HT system change
efforts, and one for youth/young adults
who are recipients of NITT–HT services.
The focus groups are designed to elicit
perceptions based on youth/young adult
lived experience about resources to
support successful youth/young adult
transition at NITT–HT sites, whether
practices are well aligned to address
needs and cultivate resources, and ideas
about how to build on these
achievements in the future. An
information form will be completed by
each participant to gather general
background information (e.g.,
demographics, extent of experience with
the mental health system and grantee
community). A total of 860 youth/young
69691
adult participants (20 participants per
43 learning laboratories) are expected to
participate.
Two Family/Adult Ally Focus Groups
will be conducted during the grantee
visit—one focused at the client-level (for
family members of youth/young adults
service recipients), and one focused at
the systems level (for family members
involved in NITT–HT grantee planning
and systems change efforts). The focus
groups will gather information about
family member perceived needs and
resources to support youth/young adults
at the NITT–HT sites. An information
form will be completed by each
participant to gather general background
information (e.g., demographics, extent
of experience with the mental health
system and grantee community). A total
of 860 family/adult allies (20
participants per 43 learning
laboratories) are expected to participate.
Grantee Visit Document Review. Files
or charts of a subset of youth/young
adults participating in the SYAI will be
reviewed during the grantee visit. This
document review will be designed to
ascertain types of standard
documentation routinely completed for
youth/young adult clients served as well
as the consistency of completion of
these documents. Information extracted
from client charts will be programmatic
only; there will be no identifying or
personal information extracted from
these client charts.
ANNUALIZED BURDEN HOURS FOR THE NITT-HEALTHY TRANSITIONS EVALUATION
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Instrument/activity
Number of
respondents
Responses
per
respondent
Total number
of responses
Hours per
response
Total burden
hours
Community Support for Transition Inventory .......................
State Support for Transition Inventory .................................
Collaborative Member Survey .............................................
Collaborative Self-Assessment Survey ................................
Project Director Web Survey ...............................................
Project Director Telephone Interview ..................................
Core Staff Web Survey ........................................................
Grantee Visits:
Services & Supports Inventory .....................................
Core Staff In-Person Interview .....................................
Youth Coordinator In-Person Interview ........................
Provider In-Person Interview ........................................
Stakeholder In-Person Interview ..................................
Young Adult Focus Group ............................................
Family/Adult Ally Focus Group .....................................
Document Review .........................................................
Supplemental Youth & Young Adult Interview ....................
Multi-Media Project Young Adult Probes .............................
1,075
425
1,075
43
17
17
430
........................
17
215
129
85
51
860
860
43
1,530
510
1
1
1
1
1
1
1
........................
1
1
1
1
1
1
1
1
1
1
1,075
425
1,075
43
17
17
430
........................
17
215
129
85
51
860
860
43
1,530
510
0.4
0.32
0.25
0.83
0.33
1.5
0.33
........................
0.67
0.33
1
0.75
0.75
1.75
1.75
0.25
0.67
0.33
430
136
269
36
6
26
142
........................
11
71
129
64
38
1,505
1,505
11
1,025
168
Total ..............................................................................
* 5,522
........................
7,382
........................
5,572
* This is an unduplicated count of total respondents.
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69692
Federal Register / Vol. 80, No. 217 / Tuesday, November 10, 2015 / Notices
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 2–1057, One Choke Cherry Road,
Rockville, MD 20857 or email her a
copy at summer.king@samhsa.hhs.gov.
Written comments should be received
by January 11, 2016.
Summer King,
Statistician.
[FR Doc. 2015–28558 Filed 11–9–15; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF THE INTERIOR
Bureau of Indian Affairs
[156A2100DD/AAKC001030/
A0A501010.999900 253G]
Navajo Nation Trust Leasing Act of
2000 Approval of Navajo Nation
Regulations
Bureau of Indian Affairs,
Interior.
ACTION: Notice.
AGENCY:
On May 16, 2014, the Bureau
of Indian Affairs (BIA) approved the
Navajo Nation General Leasing
Regulations under the Navajo Nation
Trust Leasing Act of 2000. With this
approval, the Tribe is authorized to
enter into leases without BIA approval.
FOR FURTHER INFORMATION CONTACT: Ms.
Cynthia Morales, Office of Trust
Services—Division of Realty, Bureau of
Indian Affairs; Telephone (202) 768–
4166; Email cynthia.morales@bia.gov.
SUPPLEMENTARY INFORMATION:
asabaliauskas on DSK5VPTVN1PROD with NOTICES
SUMMARY:
I. Summary of the Navajo Nation Trust
Leasing Act of 2000
The Navajo Nation Trust Leasing Act
authorizes the Nation to issue leases for
purposes authorized under 25 U.S.C.
415(a) without the approval of the
Secretary, provided the lease is
executed under tribal regulations
approved by the Secretary. Congress
enacted the Leasing Act in 2000, to
‘‘establish a streamlined process for the
Navajo Nation to lease trust lands
without having the approval of the
Secretary of the Interior for individual
leases,’’ and ‘‘[t]o maintain, strengthen,
and protect the Navajo Nation’s leasing
power over Navajo trust lands.’’ Public
Law 106–568 § 1202, 114 Stat. 2933
(Dec. 27, 2000). See also S. Rpt. 106–511
(Oct. 31, 2000). The Navajo Nation Trust
Leasing Act requires the Secretary to
approve tribal regulations if the tribal
regulations are consistent with the
Department’s leasing regulations at 25
CFR part 162 and provide for an
environmental review process that
meets requirements set forth in the Act.
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This notice announces that the
Secretary, through the Assistant
Secretary—Indian Affairs, has approved
the tribal regulations for the Navajo
Nation.
II. Federal Preemption of State and
Local Taxes
The Department’s regulations
governing the surface leasing of trust
and restricted Indian lands specify that,
subject to applicable Federal law,
permanent improvements on leased
land, leasehold or possessory interests,
and activities under the lease are not
subject to State and local taxation and
may be subject to taxation by the Indian
tribe with jurisdiction. See 25 CFR
162.017. As explained further in the
preamble to the final regulations, the
Federal government has a strong interest
in promoting economic development,
self-determination, and tribal
sovereignty. 77 FR 72,440, 72,447–48
(December 5, 2012). The principles
supporting the Federal preemption of
State law in the field of Indian leasing
and the taxation of lease-related
interests and activities applies with
equal force to leases entered into under
tribal leasing regulations approved by
the Federal government pursuant to the
Navajo Nation Trust Leasing Act.
Section 5 of the Indian Reorganization
Act, 25 U.S.C. 465, preempts State and
local taxation of permanent
improvements on trust land.
Confederated Tribes of the Chehalis
Reservation v. Thurston County, 724
F.3d 1153, 1157 (9th Cir. 2013) (citing
Mescalero Apache Tribe v. Jones, 411
U.S. 145 (1973)). In addition, as
explained in the preamble to the revised
leasing regulations at 25 CFR part 162,
Federal courts have applied a balancing
test to determine whether State and
local taxation of non-Indians on the
reservation is preempted. White
Mountain Apache Tribe v. Bracker, 448
U.S. 136, 143 (1980). The Bracker
balancing test, which is conducted
against a backdrop of ‘‘traditional
notions of Indian self-government,’’
requires a particularized examination of
the relevant State, Federal, and tribal
interests. We hereby adopt the Bracker
analysis from the preamble to the
surface leasing regulations, 77 FR at
72,447–48, as supplemented by the
analysis below.
The strong Federal and tribal interests
against State and local taxation of
improvements, leaseholds, and
activities on land leased under the
Department’s leasing regulations apply
equally to improvements, leaseholds,
and activities on land leased pursuant to
tribal leasing regulations approved
under the Navajo Nation Trust Leasing
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Act. The Navajo Nation Trust Leasing
Act was intended to ‘‘revitalize the
distressed Navajo Reservation by
promoting political self-determination,
and encouraging economic selfsufficiency, including economic
development that increases productivity
and the standard of living for members
of the Navajo Nation.’’ Public Law 106–
568 § 1202, 114 Stat. 2933 (Dec. 27,
2000). Moreover, the Navajo Nation
Trust Leasing Act was the model for the
HEARTH (Helping Expedite and
Advance Responsible Tribal
Homeownership) Act of 2012, for which
Congress’s overarching intent was to
‘‘allow tribes to exercise greater control
over their own land, support selfdetermination, and eliminate
bureaucratic delays that stand in the
way of homeownership and economic
development in tribal communities.’’
158 Cong. Rec. H. 2682 (May 15, 2012).
Assessment of State and local taxes
would obstruct these express Federal
policies supporting tribal economic
development and self-determination,
and also threaten substantial tribal
interests in effective tribal government,
economic self-sufficiency, and territorial
autonomy. See Michigan v. Bay Mills
Indian Community, 134 S. Ct. 2024,
2043 (2014) (Sotomayor, J., concurring)
(determining that ‘‘[a] key goal of the
Federal Government is to render Tribes
more self-sufficient, and better
positioned to fund their own sovereign
functions, rather than relying on Federal
funding’’). The additional costs of State
and local taxation have a chilling effect
on potential lessees, as well as on a tribe
that, as a result, might refrain from
exercising its own sovereign right to
impose a tribal tax to support its
infrastructure needs. See id. at 2043–44
(finding that State and local taxes
greatly discourage tribes from raising tax
revenue from the same sources because
the imposition of double taxation would
impede tribal economic growth).
Just like BIA’s surface leasing
regulations, tribal regulations under the
Navajo Nation Trust Leasing Act
pervasively cover all aspects of leasing.
Furthermore, the Federal government
remains involved in the tribal land
leasing process by approving the tribal
leasing regulations in the first instance.
The Secretary also retains authority to
take ‘‘all appropriate actions . . . in
furtherance of the trust obligation of the
United States to the Navajo Nation’’ and
necessary actions remedy violations of
tribal regulations, including cancelling
the lease or rescinding approval of the
tribal regulations and reassuming lease
approval responsibilities. 25 U.S.C.
415(e). Moreover, the Secretary
continues to review, approve, and
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]]>Agencies
[Federal Register Volume 80, Number 217 (Tuesday, November 10, 2015)]
[Notices]
[Pages 69689-69692]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28558]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer on (240) 276-1243.
Comments are invited on: (a) Whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Now Is the Time (NITT)--Healthy Transitions (HT)
Evaluation--New
SAMHSA is conducting a national evaluation of the Now is the Time
(NITT) initiative, which includes separate programs--NITT Project AWARE
(Advancing Wellness and Resilience in Education)--State Educational
Agency (SEA), Healthy Transitions (HT), and two Minority Fellowship
Programs (Youth and Addiction Counselors). These programs are united by
their focus on capacity building, system change, and workforce
development.
NITT-HT, which is the focus of this data collection, represents a
response to the fourth component of President Obama's NITT Initiative:
Increasing access to mental health services. The purpose of the NITT-HT
program is to improve access to treatment and support services for
youth/young adults 16-25 years that either have, or are at risk of
developing a mental illness or substance use disorder, and are at high
risk of suicide. NITT-HT grants were made to 17 state or local
jurisdictions, each of which include 2-3 learning laboratories (n =
43), which are the local communities of practice responsible for
implementing the NITT-HT approach. The NITT-HT program aims to increase
awareness about early signs and symptoms of mental health conditions in
the community; identify action strategies to use when a mental health
concern is detected; provide training to provider and community groups
to improve services and supports for youth/young adults; enhance peer
and family supports; and develop effective services and interventions
for youth and young adults with a serious mental health condition and
their families. The NITT-HT evaluation is designed to understand
whether and how NITT-HT grantees reach these program goals by examining
system- and grantee-level processes and system- and client-level
outcomes. Data collection efforts that will support the evaluation are
described below.
The Community Support for Transition Inventory (CSTI) will assess
systems change for communities implementing comprehensive, community-
based approaches to improve outcomes for emerging adults with serious
mental health conditions. The CSTI is organized around seven themes:
Community partnership, collaborative action, transition planning
quality assurance and support, workforce, fiscal policies and
sustainability, access to needed support and services, and
accountability. The CSTI is a web-based survey to be completed by 1,075
community leaders (15-25 community leaders per 43 learning
laboratories) once during Year 2 and once during Year 4 of the grant
period. Community leaders include members of the local advisory or
steering committee, staff of the NITT-HT program, staff of agencies
providing portions of the services, and young adult and family members'
advocates.
The State Support for Transition Inventory (SSTI) will assess state
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support for systems change and is organized around six themes
(partnership, collaborative action, workforce, fiscal policies &
sustainability, access to needed supports & services, and
accountability). The SSTI is a web-based survey to be completed by 425
state leadership members (20-25 state leaders per 17 grantees) once
during Year 2 and once during Year 4 of the grant period. State
leadership members include administrators or staff from state agencies
responsible for aspects of services to youth/young adults (e.g., mental
health, child welfare, education), youth/young adult and adult allies
who are active in promoting, planning, or overseeing services at the
state level, as well as other members of state-level advisory groups or
governing bodies.
The Collaborative Member Survey is designed to assess specific team
processes that contribute to collaboration outcomes at the systems
level and will be administered to a subset of CSTI respondents who
participate in a NITT-HT grantee's Advisory Team. The Collaborative
Member Survey emphasizes aspects of Advisory Teams' climate
(participatory decision-making, structure, management of conflict,
reflexivity). A maximum of 1,075 respondents (15-25 advisory team
members per 43 learning laboratories) are expected to complete the web-
based survey once during Year 3 and once during Year 5 of the grant
period.
The Collaborative Self-Assessment assesses collaborative
functioning and accomplishments, and specific tasks completed by NITT-
HT grantee stakeholders and the leadership team including progress in
each of the primary ``functions'' for the NITT-HT grantees (i.e.,
specific, discrete achievements or steps toward strategic and fiscal
planning, expansion of services, early identification outreach, and
reduction of barriers to access). The web-based Collaborative Self-
Assessment Survey will be completed by one advisory team member per
learning laboratory (n = 43) once in Year 3 and once in Year 5 of the
grant period.
The Project Director Web Survey will collect information on
planning, coordination, leadership processes, fiscal planning, and
sustainability. The brief Project Director Web Survey will be completed
by all grantee project directors (n = 17) once during each of Years 2,
3, and 4 of the grant period. The web survey includes prompts designed
to assist the project director in gathering and recalling information
to be discussed during the subsequent Project Director Telephone
Interview. Upon completion of the web survey, the project director will
be asked to schedule a telephone interview, which will focus on
gathering more in depth information to complement information gathered
via the web survey. The Project Director Telephone Interview includes
information on state/local implementation, fiscal planning,
coordination and organizational challenges, workforce development,
quality assurance procedures, sustainability planning, and leadership
and political issues. The telephone interview will also be completed by
all grantee project directors (n = 17) once during each of Years 2, 3,
and 4 of the grant period. The web survey and telephone interview are
slightly different at each time point to reflect varying annual changes
in program implementation emphasis.
The Core Staff Web Survey will be administered to core NITT-HT
staff to assess characteristics of person-centered practice and
barriers to this practice. ``Core staff'' are defined as staff members
serving as primary providers of planning, case management and
coordination services to youth/young adults (``life coaches,''
``transition facilitators,'' or ``transition specialists''). A maximum
of 430 core staff (no more than 10 core staff per 43 learning
laboratories) are expected to complete the Core Staff Survey once
during the grant period.
In the Multi-Media Project, youth/young adults will be invited to
voluntarily provide information about their experiences working with or
being served by NITT-HT grantee communities using multi-media outlets.
Youth/young adult involvement is a priority both for the NITT-HT
national evaluation and for NITT-HT grantees. Consequently, it will be
important to offer youth/young adults opportunities to participate in
national evaluation activities in developmentally-appropriate and
engaging ways. These outlets could include videos, photos, blogs, or
poems (at the choice of the participating youth/young adult). Youth/
young adults will be given informational probes (e.g., what keeps you
involved in NITT-HT activities?) in grantee Years 2, 3, and 4; an
estimated 510 youth/young adults (30 youth/young adults per 17
grantees) will participate in the Multi-Media Project.
The Supplemental Youth and Youth Adult Interview (SYAI) will assess
key client-level outcomes of interest for the NITT-HT program,
including: School/home/daily living functioning, emotional/behavioral
health, vocation and education status, housing stability, criminal or
juvenile justice involvement, psychotic symptoms, substance use/abuse,
trauma symptoms, victimization experiences and propensity to commit
violent acts. In addition to primary outcomes of interest, the SYAI
also assesses intermediate outcomes thought to be critical in
influencing change in behavioral health and functioning, including:
Self-efficacy (mental health, school, career and social), and
perceptions of social support, person-centered care, and service
alliance. The SYAI includes standardized instruments as well as
project-developed items and does not duplicate the client-level data
collection required separately by SAMHSA (OMB No. 0930-0346). The SYAI
will be conducted with 90 service recipient youth/young adults per
NITT-HT grantee (n = 17), for a total of 1,530 youth/young adults, at
program enrollment (Baseline) and 12- and 24-months after enrollment.
These 90 cases will be evenly distributed across the grantee's 2-3
learning laboratories. The SYAI is designed for administration as an
audio computer-assisted self-interviewing (ACASI) survey. This mode was
selected to offer participating youth/young adults maximum privacy
while completing the interview and to present minimal survey
administration burden to NITT-HT grantee staff.
Grantee Visit In-Person Interviews and Focus Group Guides
All NITT-HT grantees (n = 17) will be visited once during the 5-
year grant period. Activities associated with the grantee visit (i.e.,
a pre-planning inventory, interviews, focus groups, and document
review) are described below.
Prior to the grantee visit, the Services & Supports Inventory will
be administered one time by telephone to a representative from each of
the NITT-HT grantees (n = 17) to identify specific providers and other
stakeholders to participate in the grantee visit. Respondents will also
provide information about specific services, especially evidence-based
and evidence-informed practices being provided to youth/young adults
through NITT-HT associated behavioral health or other professional
agencies, and provide a preliminary assessment of the frequency and
quality of implementation of the practice(s).
During the one-time grantee visit, several in-person interviews and
two client-oriented focus groups will be conducted with NITT-HT program
staff. The Core Staff In-Person Interview will be conducted with core
staff members (i.e., ``transitions specialists,'' ``transition
facilitators,'' or ``life coaches'') to examine their experiences
providing person-centered planning
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services to youth/young adults served within the NITT-HT grantee
communities and ask about successes and challenges in creating and
implementing youth/young adult service plans. A total of 215 core staff
(five core staff per 43 learning laboratories) are expected to
participate.
The Youth Coordinator In-Person Interview will be conducted with
three staff members (one youth coordinator and up to two peer workers)
to elicit staff experiences working with the NITT-HT grantee with a
focus on the Youth Coordinator functions including participation in
planning and coordination, outreach, mentoring, and other activities. A
total of 129 staff members (three per 43 learning laboratories) are
expected to participate.
The Provider In-Person Interview will be conducted with individuals
who provide behavioral health services/treatment directly to youth/
youth adults served within the NITT-HT community, other than the
transition facilitators. These individuals will likely come from NITT-
HT partner organizations. Interviews will focus on two areas: (1)
Perceptions of organizational support by the collaborative, and (2)
implementation of evidence-based practices (e.g., general attitudes,
types of practices being used, implementation supports). A total of 85
key provider informants (five key providers per 17 grantees) are
expected to participate.
The Stakeholder In-Person Interview will be conducted with other
key stakeholders (e.g., board members for agencies, leaders or liaisons
for advocacy groups, leaders or advocates with religious or charitable
organizations), as identified by grantee leadership. The interview will
elicit experiences contributing to systems development, including
history of involvement, their specific contributions to the systems
development effort, and strategies, barriers and facilitators to making
these contributions. A total of 51 community stakeholders (3
stakeholders per 17 grantees) are expected to participate.
Two Young Adult Focus Groups will be conducted during the grantee
visit--one for youth/young adults directly involved in NITT-HT system
change efforts, and one for youth/young adults who are recipients of
NITT-HT services. The focus groups are designed to elicit perceptions
based on youth/young adult lived experience about resources to support
successful youth/young adult transition at NITT-HT sites, whether
practices are well aligned to address needs and cultivate resources,
and ideas about how to build on these achievements in the future. An
information form will be completed by each participant to gather
general background information (e.g., demographics, extent of
experience with the mental health system and grantee community). A
total of 860 youth/young adult participants (20 participants per 43
learning laboratories) are expected to participate.
Two Family/Adult Ally Focus Groups will be conducted during the
grantee visit--one focused at the client-level (for family members of
youth/young adults service recipients), and one focused at the systems
level (for family members involved in NITT-HT grantee planning and
systems change efforts). The focus groups will gather information about
family member perceived needs and resources to support youth/young
adults at the NITT-HT sites. An information form will be completed by
each participant to gather general background information (e.g.,
demographics, extent of experience with the mental health system and
grantee community). A total of 860 family/adult allies (20 participants
per 43 learning laboratories) are expected to participate.
Grantee Visit Document Review. Files or charts of a subset of
youth/young adults participating in the SYAI will be reviewed during
the grantee visit. This document review will be designed to ascertain
types of standard documentation routinely completed for youth/young
adult clients served as well as the consistency of completion of these
documents. Information extracted from client charts will be
programmatic only; there will be no identifying or personal information
extracted from these client charts.
Annualized Burden Hours for the NITT-Healthy Transitions Evaluation
----------------------------------------------------------------------------------------------------------------
Number of Responses per Total number Hours per Total burden
Instrument/activity respondents respondent of responses response hours
----------------------------------------------------------------------------------------------------------------
Community Support for Transition 1,075 1 1,075 0.4 430
Inventory......................
State Support for Transition 425 1 425 0.32 136
Inventory......................
Collaborative Member Survey..... 1,075 1 1,075 0.25 269
Collaborative Self-Assessment 43 1 43 0.83 36
Survey.........................
Project Director Web Survey..... 17 1 17 0.33 6
Project Director Telephone 17 1 17 1.5 26
Interview......................
Core Staff Web Survey........... 430 1 430 0.33 142
Grantee Visits: .............. .............. .............. .............. ..............
Services & Supports 17 1 17 0.67 11
Inventory..................
Core Staff In-Person 215 1 215 0.33 71
Interview..................
Youth Coordinator In-Person 129 1 129 1 129
Interview..................
Provider In-Person Interview 85 1 85 0.75 64
Stakeholder In-Person 51 1 51 0.75 38
Interview..................
Young Adult Focus Group..... 860 1 860 1.75 1,505
Family/Adult Ally Focus 860 1 860 1.75 1,505
Group......................
Document Review............. 43 1 43 0.25 11
Supplemental Youth & Young Adult 1,530 1 1,530 0.67 1,025
Interview......................
Multi-Media Project Young Adult 510 1 510 0.33 168
Probes.........................
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Total....................... * 5,522 .............. 7,382 .............. 5,572
----------------------------------------------------------------------------------------------------------------
* This is an unduplicated count of total respondents.
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Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 or email her a
copy at summer.king@samhsa.hhs.gov. Written comments should be received
by January 11, 2016.
Summer King,
Statistician.
[FR Doc. 2015-28558 Filed 11-9-15; 8:45 am]
BILLING CODE 4162-20-P
