Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4322-4325 [2016-01480]
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Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices
Information is also available on the
Institute’s/Center’s home page: https://
deainfo.nci.nih.gov/advisory/ctac/ctac.htm,
where an agenda and any additional
information for the meeting will be posted
when available.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.392, Cancer Construction;
93.393, Cancer Cause and Prevention
Research; 93.394, Cancer Detection and
Diagnosis Research; 93.395, Cancer
Treatment Research; 93.396, Cancer Biology
Research; 93.397, Cancer Centers Support;
93.398, Cancer Research Manpower; 93.399,
Cancer Control, National Institutes of Health,
HHS)
Dated: January 20, 2016.
Melanie J. Gray-Pantoja,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2016–01366 Filed 1–25–16; 8:45 am]
BILLING CODE 4140–01–P
Time: 8:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute Shady
Grove, 9609 Medical Center Drive, Room
5W030/4W030, Rockville, MD 20850
(Telephone Conference Call).
Contact Person: Kenneth L. Bielat, Ph.D.,
Scientific Review Officer, Research
Technology and Contract Review Branch,
Division Of Extramural Activities, National
Cancer Institute, NIH, 9609 Medical Center
Drive, Room 7W244, Bethesda, MD 20892–
9750, 240–276–6373, bielatk@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.392, Cancer Construction;
93.393, Cancer Cause and Prevention
Research; 93.394, Cancer Detection and
Diagnosis Research; 93.395, Cancer
Treatment Research; 93.396, Cancer Biology
Research; 93.397, Cancer Centers Support;
93.398, Cancer Research Manpower; 93.399,
Cancer Control, National Institutes of Health,
HHS)
Dated: January 20, 2016.
Melanie J. Gray,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
[FR Doc. 2016–01361 Filed 1–25–16; 8:45 am]
BILLING CODE 4140–01–P
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
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National Cancer Institute; Notice of
Closed Meetings
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Name of Committee: National Cancer
Institute Special Emphasis Panel; NCI
Omnibus SEP–3 R03 & R21.
Date: March 21–22, 2016.
Time: 8:00 a.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Bethesda North Marriott Hotel &
Conference Center, Montgomery County
Conference Center Facility, 5701 Marinelli
Road, North Bethesda, MD 20852.
Contact Person: Viatcheslav A.
Soldatenkov, MD, Ph.D., Scientific Review
Officer, Special Review Branch, Division of
Extramural Activities, National Cancer
Institute, NIH, 9609 Medical Center Drive,
Room 7W254, Bethesda, MD 20892–9750,
240–276–5378, soldatenkovv@mail.nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis; Panel Advance
Development and Validation of Emerging
Molecular Analysis.
Date: March 22–23, 2016.
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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: 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
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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
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
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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
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
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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,
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
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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
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
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(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
respondents
Instrument/activity
Responses
per
respondent
Total number
of responses
Hours per
response
Total
burden hours
1,075
425
1,075
43
17
17
430
1
1
1
1
1
1
1
1,075
425
1,075
43
17
17
430
0.4
0.32
0.25
0.83
0.33
1.5
0.33
430
136
269
36
6
26
142
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 .............................
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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 ........................................................
17
215
129
85
51
860
860
43
1,530
510
1
1
1
1
1
1
1
1
1
1
17
215
129
85
51
860
860
43
1,530
510
0.67
0.33
1
0.75
0.75
1.75
1.75
0.25
0.67
0.33
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.
Written comments and
recommendations concerning the
proposed information collection should
be sent by February 25, 2016 to the
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SAMHSA Desk Officer at the Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB). To ensure timely receipt of
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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
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Federal Register / Vol. 81, No. 16 / Tuesday, January 26, 2016 / Notices
their comments to OMB via email to:
OIRA_Submission@omb.eop.gov.
Although commenters are encouraged to
send their comments via email,
commenters may also fax their
comments to: 202–395–7285.
Commenters may also mail them to:
Office of Management and Budget,
Office of Information and Regulatory
Affairs, New Executive Office Building,
Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2016–01480 Filed 1–25–16; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
mstockstill on DSK4VPTVN1PROD with NOTICES
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: Quarterly Progress Reporting
and Annual Indirect Services Outcome
Data Collection for the Minority
Substance Abuse/HIV Prevention
Program (MAI)—NEW
The Substance Abuse and Mental
Health Services Administration
(SAMHSA), Center for Substance Abuse
Prevention (CSAP) is requesting
approval from the Office of Management
and Budget (OMB) for the collection of
quarterly progress information and
annual community-level outcome data
from CSAP’s Minority AIDS Initiative
(MAI) programs.
This data collection effort supports
two of SAMHSA’s 6 Strategic Initiatives:
Prevention of Substance Abuse and
Mental Illness and Health Care and
Health Systems Integration. The
grantees funded by the MAI and
included in this clearance request are:
• Minority Serving Institutions (MSI)
in Partnerships with Community-Based
Organizations (CBO): 84 grantees
funded up to three years;
• Capacity Building Initiative (CBI):
74 grantees funded up to five years.
MSI CBO grantees are Historically
Black Colleges/Universities, Hispanic
Serving Institutions, American Pacific
Islander Serving Institutions, or Tribal
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Colleges/Universities in partnership
with community based organizations in
their surrounding communities. MSI
CBO grantees are required to provide
integrated substance abuse (SA),
Hepatitis C (HCV), and HIV prevention
services to young adults. The CBI
grantees are community-level domestic,
public and private nonprofit entities,
federally recognized American Indian/
Alaska Native Tribes and tribal
organizations, and urban Indian
organizations. CBI grantees will use
grant funds for building a solid
infrastructure for integrated SA, HIV,
and HCV prevention service provision
and implementing evidence-based
prevention interventions using
SAMHSA’s Strategic Prevention
Framework (SPF) process. The target
population for the CBI grantees will be
at-risk minority adolescents and young
adults. All MAI grantees are expected to
provide leadership and coordination on
the planning and implementation of the
SPF and to target minority populations,
as well as other high risk groups
residing in communities of color with
high prevalence of SA and HIV/AIDS.
The MAI grantees are expected to
provide an effective prevention process,
direction, and a common set of goals,
expectations, and accountabilities to be
adapted and integrated at the
community level. Grantees have
substantial flexibility in choosing their
individual evidence-based programs,
but must base this selection on and
build it into the five steps of the SPF.
These SPF steps consist of assessing
local needs, building service capacity
specific to SA and HIV prevention
services, developing a strategic
prevention plan, implementing
evidence-based interventions, and
evaluating their outcomes. Grantees are
also required to provide HIV and HCV
testing and counseling services and
referrals to appropriate treatment
options. Grantees must also conduct
ongoing monitoring and evaluation of
their projects to assess program
effectiveness including Federal
reporting of the Government
Performance and Results Act (GPRA) of
1993, The GPRA Modernization Act of
2010, SAMHSA/CSAP National
Outcome Measures (NOMs), and the
Department of Health and Human
Services Core HIV Indicators.
The primary objectives of this data
collection effort are to:
• Ensure the correct implementation
of the five steps of the SPF process by
maintaining a continuous feedback loop
between grantees and their POs;
• Promptly respond to grantees’
needs for training and technical
assistance;
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• Assess the fidelity with which the
SPF is implemented;
• Collect aggregate data on HIV
testing to fulfill SAMHSA’s reporting
and accountability obligations as
defined by the Government Performance
and Results Modernization Act (GPRA
Modernization Act) and HHS’s HIV Core
Measures;
• Assess the success of the MAI in
reducing risk factors and increasing
protective factors associated with the
transmission of the Human
Immunodeficiency Virus (HIV),
Hepatitis C Virus (HCV) and other
sexually-transmitted diseases (STD);
• Measure the effectiveness of
evidence-based programs and
infrastructure development activities
such as: Outreach and training,
mobilization of key stakeholders,
substance abuse and HIV/AIDS
counseling and education, testing,
referrals to appropriate medical
treatment, and other intervention
strategies (e. g., cultural enrichment
activities, educational and vocational
resources, motivational interviewing &
brief interventions, social marketing,
and computer-based curricula);
• Investigate intervention types and
features that produce the best outcomes
for specific population groups;
• Assess the extent to which access to
health care was enhanced for
population groups and individuals
vulnerable to behavioral health
disparities residing in communities
targeted by funded interventions;
These objectives support the four
primary goals of the National HIV/AIDS
Strategy which are: (1) Reducing new
HIV infections, (2) increasing access to
care and improving health outcomes for
people living with HIV/AIDS, (3)
reducing HIV-related disparities and
health inequities, and (4) achieving a
coordinated national response to the
HIV epidemic.
The Quarterly Progress Reporting
(QPR) Tool is a modular instrument
structured around the SPF. Each section
or module corresponds to a SPF step
with an additional section dedicated to
cultural competence and efforts to
address behavioral health disparities,
which is an overarching principle of the
framework guiding every step. Grantees
provide quarterly reports of their
progress through the SPF. Each quarter’s
report consists of updates to the
module(s) corresponding to the SPF
steps that the grantee worked on during
that quarter. Grantees are required to
report on their activities,
accomplishments, and barriers
associated with cultural competence
and reduction of health disparities twice
a year, as part of the second- and fourth-
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]]>Agencies
[Federal Register Volume 81, Number 16 (Tuesday, January 26, 2016)]
[Notices]
[Pages 4322-4325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-01480]
-----------------------------------------------------------------------
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: 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
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
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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 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
[[Page 4324]]
(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.........................
-------------------------------------------------------------------------------
Total....................... * 5,522 .............. 7,382 .............. 5,572
----------------------------------------------------------------------------------------------------------------
* This is an unduplicated count of total respondents.
Written comments and recommendations concerning the proposed
information collection should be sent by February 25, 2016 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
[[Page 4325]]
their comments to OMB via email to: OIRA_Submission@omb.eop.gov.
Although commenters are encouraged to send their comments via email,
commenters may also fax their comments to: 202-395-7285. Commenters may
also mail them to: Office of Management and Budget, Office of
Information and Regulatory Affairs, New Executive Office Building, Room
10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2016-01480 Filed 1-25-16; 8:45 am]
BILLING CODE 4162-20-P
