Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access Program and the Screening and Treatment for Maternal Mental Health and Substance Use Disorders Program, 81920-81922 [2024-23293]
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Federal Register / Vol. 89, No. 196 / Wednesday, October 9, 2024 / Notices
Dated: October 3, 2024.
Alison Barkoff,
Principal Deputy Administrator for the
Administration for Community Living,
performing the delegable duties of the
Administrator and the Assistant Secretary for
Aging.
[FR Doc. 2024–23377 Filed 10–8–24; 8:45 am]
BILLING CODE 4154–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; Evaluation of the Maternal
and Child Health Bureau Pediatric
Mental Health Care Access Program
and the Screening and Treatment for
Maternal Mental Health and Substance
Use Disorders Program
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995,
HRSA submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period. OMB may act on
HRSA’s ICR only after the 30-day
comment period for this notice has
closed.
DATES: Comments on this ICR should be
received no later than November 8,
2024.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under Review—Open for
Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email
Joella Roland, the HRSA Information
Collection Clearance Officer, at
paperwork@hrsa.gov or call (301) 443–
3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Evaluation of the Maternal and Child
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:05 Oct 08, 2024
Jkt 265001
Health Bureau Pediatric Mental Health
Care Access Program and the Screening
and Treatment for Maternal Mental
Health and Substance Use Disorders
Program, OMB No. 0906–xxxx—New.
Abstract: This notice describes
information collection requests for two
of HRSA’s Maternal and Child Health
Bureau programs: the Pediatric Mental
Health Care Access (PMHCA) program
and the Screening and Treatment for
Maternal Mental Health and Substance
Use Disorders (MMHSUD) program. The
PMHCA program aims to promote
behavioral health integration into
pediatric primary care by developing
and supporting state, regional, and tribal
pediatric mental health care
teleconsultation access programs. The
MMHSUD program aims to support
maternity care providers and clinical
practices by supporting the
development, improvement, and/or
maintenance of statewide or regional
behavioral health networks. Both
programs support health professionals
(HPs) 1 in their delivery of high-quality
and timely screening, assessment,
treatment, and referrals for their targeted
populations (e.g., children, adolescents,
and young adults for PMHCA programs;
pregnant and postpartum people for
MMHSUD programs) through the
provision of clinical behavioral health
teleconsultation, care coordination
support/navigation (i.e., resource
identification and referrals), and
training and education. Additionally,
the PMHCA and MMHSUD programs
focus on reducing racial, ethnic, and
geographic disparities in access to care,
especially in rural and other
underserved areas.
The information will be collected
from PMHCA and MMHSUD award
recipient programs funded in 2021,
2022, or 2023 and from participants in
and stakeholders of those programs:
• The 2021 and 2022 PMHCA
programs are authorized by 42 U.S.C.
254c–19 (sec. 330M of the Public Health
Service Act), using funding provided by
Section 2712 of the American Rescue
Plan Act of 2021 (Pub. L. 117–2).
• The 2023 PMHCA programs are
authorized by 42 U.S.C. 254c–19 (sec.
330M of the Public Health Service Act),
as amended by Section 11005 of the
Bipartisan Safer Communities Act (Pub.
L. 117–159).
1 HPs may include, but are not limited to,
pediatricians, family physicians, adult primary care
clinicians, obstetrician-gynecologists, physician
assistants, advanced practice nurses/nurse
practitioners, licensed practical nurses, registered
nurses, nurse midwives, counselors, behavioral
health clinicians, social workers, care coordinators,
medical assistants, and patient care navigators.
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
• The 2023 MMHSUD programs are
authorized by 42 U.S.C. 247b–13a (sec.
317L–1 of the Public Health Service
Act).
To evaluate progress made toward the
programs’ goals, this data collection will
use the following eight instruments: (1)
HP Survey, (2) Practice-Level Survey,
(3) Program Implementation Survey, (4)
Behavioral Health Consultation Provider
Semi-Structured Interview (SSI), (5)
Care Coordinator SSI, (6) Champion SSI,
(7) Community-Based and Other
Resources SSI, and (8) Program
Implementation SSI.
A 60-day notice was published in the
Federal Register on May 28, 2024, 89
FR 46143–44. HRSA received two
public comments, which included 13
recommendations. All
recommendations were considered, as
detailed below, and no changes were
made to the current information
collection described in this notice as a
result of the recommendations.
Two recommendations focused on
defining terms. One recommended use
of the term ‘‘mental and behavioral
health’’ in place of ‘‘behavioral health’’
and ‘‘infant, child, and adolescent’’ in
place of ‘‘child and adolescent’’ in any
survey language. HRSA selected
‘‘behavioral health’’ as the most concise
and accepted term after consideration of
definitions from national associations,
federal agencies, and experts in the
field. HRSA noted that the ‘‘child and
adolescent’’ terminology is not used in
the surveys for the HRSA evaluation of
the PMHCA and MMHSUD programs.
Another recommended that HRSA
define PMHCA program training
activities. In the Notices of Funding
Opportunity that awardees responded
to, HRSA describes various modalities/
formats for training (e.g., Project
Extension for Community Health Care
Outcomes, Resource for Advancing
Children’s Health, learning
collaboratives, in person, synchronous,
asynchronous) as well as potential
topics for training (e.g., psychiatric
disorders and medications, screening
and treatment protocols, practice
transformation processes, traumainformed care). Reflective of trainingrelated program requirements, HRSA
will collect data on the number of
trainings attended by HPs, modality for
training received, the number of
providers trained, the number of
trainings by topic, training methods,
and materials used. Training is defined
in the surveys using the survey question
response options (e.g., in-person
training event, webinar, self-study with
program resources, video conferencing,
learning collaborative [Project Extension
for Community Health Care Outcomes,
E:\FR\FM\09OCN1.SGM
09OCN1
khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 89, No. 196 / Wednesday, October 9, 2024 / Notices
Resource for Advancing Children’s
Health], and others).
Three recommendations discussed
data: the need for data to be comparable
across PMHCA programs while still
considering differences across these
programs; ensuring data collection is
conducted in a manner that is clear and
relevant for the full range of anticipated
data collection participants (e.g., HPs,
program champions, community
resource representatives); and the value
of data to inform understanding of
differences in rural, urban, and
suburban access to behavioral health
care. No changes will be made to the
information collection forms in
response to these recommendations
because the data collection instruments
are already responsive to these points.
First, HRSA will record and analyze
program differences such as program
structure, funding, history, and size to
help inform data findings across
program types. Second, HRSA will
collect data about settings in which
patients live, and about practice setting,
with response options including urban,
suburban, rural, and frontier. Surveys
also collect the ZIP Code of the primary
clinical practice. While specific data on
travel for mental and behavioral health
care will not be collected, the Care
Coordinator SSIs will provide
qualitative insights on barriers to
referrals, geographic areas of referrals,
and strategies to mitigate barriers, which
may include addressing travel time.
One recommendation expressed
concerns about HRSA’s plan to assess
changes over time in health
practitioners’ capacity to address
patients’ mental and behavioral health
and access to mental and behavioral
health care through screening indicating
that PMHCA programs are typically
most valuable after the need for mental
or behavioral health interventions has
been identified rather than in
conducting initial screenings. For this
data collection, HRSA has
operationalized capacity broadly as
behavioral health knowledge, skills,
practice, and attitudes. Evaluation
questions focus on change in knowledge
and skills; screening, assessment,
treatment, and referral; attitudes about
providing behavioral health care; and
how change over time differed based on
frequency and modality of program
access, treatment location,
demographics, and treatment settings.
These questions allow HRSA to measure
changes in these different aspects of
provider capacity and describe how
these changes differ across the contexts
listed above (e.g., treatment location,
treatment settings).
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17:05 Oct 08, 2024
Jkt 265001
Four recommendations supported
collecting patient-level data and the use
of accessible automated collection
techniques and minimally invasive
software and strategies. HRSA disclosed
that patient level data will not be
collected under this information
collection. All technology used for the
survey administration will meet federal
requirements for Section 508
accessibility. Survey data collection for
the evaluation will be primarily through
web-linked survey administered via
email and via survey platform.
Qualitative data collection and SSIs will
be conducted virtually (e.g., Microsoft
Teams, Zoom).
One recommendation supported the
proposed mixed evaluation plan and
approach. HRSA will implement
outcome and process evaluations, using
a mixed-methods design, with primary
and secondary quantitative and
qualitative data collection activities
across all awardees.
One recommendation expressed
support of the estimated burden and
asked how grantees will proceed if they
do not employ a likely respondent.
HRSA will not require participation in
that data collection activity if an
awardee does not employ a likely
respondent.
One recommendation suggested that
HRSA brand HRSA–MMHSUD
programming in marketing leading up to
the evaluation so that providers can
more easily respond to questions. HRSA
has developed a promotion packet of
materials with branding guidance and
customizable messages for awardees to
use to (1) increase HP and practice
engagement with their programs and (2)
encourage participation in evaluation
surveys. Additionally, the surveys will
be customized for each program with
the program name and logo, as
applicable.
Need and Proposed Use of the
Information: HRSA needs this
information to evaluate the PMHCA and
MMHSUD programs to guide future
decisions regarding increasing HPs’
capacity to address patients’ behavioral
health and access to behavioral health
services. Specifically, data collected for
the evaluation will be used to study the
efforts of the PMHCA and MMHSUD
programs to achieve key outcomes (e.g.,
increase in access to behavioral health
services; HPs trained; identification of
community-based resources, including
counselors or family service providers)
and to measure whether and to what
extent awardee programs are associated
with changes in these outcomes. The
evaluation will examine changes over
time across PMHCA and MMHSUD
programs, regarding the PMHCA- and
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Frm 00042
Fmt 4703
Sfmt 4703
81921
MMHSUD-enrolled/participating HPs’
and practices’ (1) capacity to address
patients’ behavioral health and access to
behavioral health care, through
screening, assessment, treatment, and
referral for behavioral health conditions;
and (2) use of program services (e.g.,
consultation, care coordination,
training).
Likely Respondents:
• HP Survey: Pediatricians, family
physicians, obstetrician-gynecologists,
physician assistants, advanced practice
nurses/nurse practitioners, licensed
practical nurses, registered nurses,
counselors, social workers, medical
assistants, and patient care navigators
• Practice-Level Survey: Practice
managers (e.g., office managers, office
leadership, nurse champions)
• Program Implementation Survey:
Cooperative agreement-funded project
directors/principal investigators
• Behavioral Health Consultation
Provider SSI: PMHCA and MMHSUD
program-level behavioral health
consultation providers
• Care Coordinator SSI: PMHCA and
MMHSUD program-level care
coordinators
• Champion SSI: PMHCA and
MMHSUD program champions (e.g.,
HPs, community, and social service
specialists)
• Community-Based and Other
Resources SSI: PMHCA and MMHSUD
program-level community resource
partner representatives (e.g., counselors,
social workers, other community and
social service specialists, other HPs/
support workers, practice/organization
managers)
• Program Implementation SSI:
Cooperative agreement-funded project
directors/principal investigators
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose, or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
The burden estimates below have
changed from the estimates of burden
provided in the previous notice (60-day
notice published on May 28, 2024, 89
E:\FR\FM\09OCN1.SGM
09OCN1
81922
Federal Register / Vol. 89, No. 196 / Wednesday, October 9, 2024 / Notices
FR 46143–44). The estimated burden
total is slightly higher in this revised
notice because it incorporates estimates
for an MMHSUD program that was
funded following submission of the
previous notice.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Total
responses
Average
burden per
response
(in hours)
Total
burden
hours
HP Survey ............................................................................
Practice-Level Survey ..........................................................
Program Implementation Survey .........................................
Behavioral Health Consultation Provider SSI ......................
Care Coordinator SSI ..........................................................
Champion SSI ......................................................................
Community-Based and Other Resources SSI .....................
Program Implementation SSI ...............................................
23,256
6,172
67
67
67
67
50
134
1
1
1
1
1
1
1
1
23,256
6,172
67
67
67
67
50
134
0.33
0.33
0.33
0.75
0.75
0.50
0.50
1.00
7,674.48
2,036.76
22.11
50.25
50.25
33.50
25.00
134.00
Total ..............................................................................
29,880
........................
29,880
........................
10,026.35
Amy P. McNulty,
Deputy Director, Executive Secretariat.
[FR Doc. 2024–23293 Filed 10–8–24; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute on Drug Abuse;
Notice of Closed Meetings
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, 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.
khammond on DSKJM1Z7X2PROD with NOTICES
Number of
responses per
respondent
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel;
SCORCH (Single Cell Opioid Responses in
the Context of HIV) Program: Data
Coordination, Analysis, and Scientific
Outreach; Data Mining and Functional
Validation.
Date: November 15, 2024.
Time: 10:00 a.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Caitlin Elizabeth Angela
Moyer, Ph.D., Scientific Review Officer,
Scientific Review Branch, National Institute
on Drug Abuse, NIH, 301 North Stonestreet
VerDate Sep<11>2014
17:05 Oct 08, 2024
Jkt 265001
Avenue, MSC 6021, Bethesda, MD 20892,
(301) 443–4577, caitlin.moyer@nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; Ending
the Epidemic: New Models of Integrated HIV/
AIDS, Addiction, and Primary Care Services.
Date: November 15, 2024.
Time: 12:00 p.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Trinh T. Tran, Ph.D.,
Scientific Review Officer, Scientific Review
Branch, Office of Extramural Policy, National
Institute on Drug Abuse, NIH, 301 North
Stonestreet Avenue, MSC 6021, Bethesda,
MD 20892, (301) 827–5843, trinh.tran@
nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; NIH
Support for Conferences and Scientific
Meetings.
Date: November 19, 2024.
Time: 1:30 p.m. to 4:30 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Li Rebekah Feng, Ph.D.,
Scientific Review Officer, Scientific Review
Branch, Office of Extramural Policy, National
Institute on Drug Abuse, NIH, 301 North
Stonestreet Avenue, MSC 6021, Bethesda,
MD 20892, (301) 827–7245, rebekah.feng@
nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; CuttingEdge Basic Research Awards (CEBRA).
Date: November 21, 2024.
Time: 10:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Sheila Pirooznia, Ph.D.,
Scientific Review Officer, Division of
PO 00000
Frm 00043
Fmt 4703
Sfmt 4703
Extramural Review, Scientific Review
Branch, National Institute on Drug Abuse,
NIH, 301 North Stonestreet Avenue, MSC
6021, Bethesda, MD 20892, (301) 496–9350,
sheila.pirooznia@nih.gov.
Name of Committee: National Institute on
Drug Abuse, Special Emphasis Panel; NIDA
Avant-Garde Program for HIV and Substance
Use Disorder Research; NIDA Avenir Award
Program for HIV and Substance Use Disorder
Research.
Date: December 9, 2024.
Time: 9:30 a.m. to 6:30 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Sheila Pirooznia, Ph.D.,
Scientific Review Officer, Division of
Extramural Review, Scientific Review
Branch, National Institute on Drug Abuse,
NIH, 301 North Stonestreet Avenue, MSC
6021, Bethesda, MD 20892, (301) 496–9350,
sheila.pirooznia@nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; NIDA
Avant-Garde Program for HIV and Substance
Use Disorder Research; NIDA Avenir Award
Program for HIV and Substance Use Disorder
Research.
Date: December 12, 2024.
Time: 9:30 a.m. to 6:30 p.m.
Agenda: To review and evaluate grant
applications.
Address: National Institutes of Health,
National Institute on Drug Abuse, 301 North
Stonestreet Avenue, Bethesda, MD 20892.
Meeting Format: Virtual Meeting.
Contact Person: Sheila Pirooznia, Ph.D.,
Scientific Review Officer, Division of
Extramural Review, Scientific Review
Branch, National Institute on Drug Abuse,
NIH, 301 North Stonestreet Avenue, MSC
6021, Bethesda, MD 20892, (301) 496–9350,
sheila.pirooznia@nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.277, Drug Abuse Scientist
Development Award for Clinicians, Scientist
Development Awards, and Research Scientist
Awards; 93.278, Drug Abuse National
Research Service Awards for Research
E:\FR\FM\09OCN1.SGM
09OCN1
]]>Agencies
[Federal Register Volume 89, Number 196 (Wednesday, October 9, 2024)]
[Notices]
[Pages 81920-81922]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-23293]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Evaluation of the Maternal
and Child Health Bureau Pediatric Mental Health Care Access Program and
the Screening and Treatment for Maternal Mental Health and Substance
Use Disorders Program
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than November
8, 2024.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under Review--Open for
Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Joella Roland, the HRSA
Information Collection Clearance Officer, at [email protected] or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION: Information Collection Request Title:
Evaluation of the Maternal and Child Health Bureau Pediatric Mental
Health Care Access Program and the Screening and Treatment for Maternal
Mental Health and Substance Use Disorders Program, OMB No. 0906-xxxx--
New.
Abstract: This notice describes information collection requests for
two of HRSA's Maternal and Child Health Bureau programs: the Pediatric
Mental Health Care Access (PMHCA) program and the Screening and
Treatment for Maternal Mental Health and Substance Use Disorders
(MMHSUD) program. The PMHCA program aims to promote behavioral health
integration into pediatric primary care by developing and supporting
state, regional, and tribal pediatric mental health care
teleconsultation access programs. The MMHSUD program aims to support
maternity care providers and clinical practices by supporting the
development, improvement, and/or maintenance of statewide or regional
behavioral health networks. Both programs support health professionals
(HPs) \1\ in their delivery of high-quality and timely screening,
assessment, treatment, and referrals for their targeted populations
(e.g., children, adolescents, and young adults for PMHCA programs;
pregnant and postpartum people for MMHSUD programs) through the
provision of clinical behavioral health teleconsultation, care
coordination support/navigation (i.e., resource identification and
referrals), and training and education. Additionally, the PMHCA and
MMHSUD programs focus on reducing racial, ethnic, and geographic
disparities in access to care, especially in rural and other
underserved areas.
---------------------------------------------------------------------------
\1\ HPs may include, but are not limited to, pediatricians,
family physicians, adult primary care clinicians, obstetrician-
gynecologists, physician assistants, advanced practice nurses/nurse
practitioners, licensed practical nurses, registered nurses, nurse
midwives, counselors, behavioral health clinicians, social workers,
care coordinators, medical assistants, and patient care navigators.
---------------------------------------------------------------------------
The information will be collected from PMHCA and MMHSUD award
recipient programs funded in 2021, 2022, or 2023 and from participants
in and stakeholders of those programs:
The 2021 and 2022 PMHCA programs are authorized by 42
U.S.C. 254c-19 (sec. 330M of the Public Health Service Act), using
funding provided by Section 2712 of the American Rescue Plan Act of
2021 (Pub. L. 117-2).
The 2023 PMHCA programs are authorized by 42 U.S.C. 254c-
19 (sec. 330M of the Public Health Service Act), as amended by Section
11005 of the Bipartisan Safer Communities Act (Pub. L. 117-159).
The 2023 MMHSUD programs are authorized by 42 U.S.C. 247b-
13a (sec. 317L-1 of the Public Health Service Act).
To evaluate progress made toward the programs' goals, this data
collection will use the following eight instruments: (1) HP Survey, (2)
Practice-Level Survey, (3) Program Implementation Survey, (4)
Behavioral Health Consultation Provider Semi-Structured Interview
(SSI), (5) Care Coordinator SSI, (6) Champion SSI, (7) Community-Based
and Other Resources SSI, and (8) Program Implementation SSI.
A 60-day notice was published in the Federal Register on May 28,
2024, 89 FR 46143-44. HRSA received two public comments, which included
13 recommendations. All recommendations were considered, as detailed
below, and no changes were made to the current information collection
described in this notice as a result of the recommendations.
Two recommendations focused on defining terms. One recommended use
of the term ``mental and behavioral health'' in place of ``behavioral
health'' and ``infant, child, and adolescent'' in place of ``child and
adolescent'' in any survey language. HRSA selected ``behavioral
health'' as the most concise and accepted term after consideration of
definitions from national associations, federal agencies, and experts
in the field. HRSA noted that the ``child and adolescent'' terminology
is not used in the surveys for the HRSA evaluation of the PMHCA and
MMHSUD programs. Another recommended that HRSA define PMHCA program
training activities. In the Notices of Funding Opportunity that
awardees responded to, HRSA describes various modalities/formats for
training (e.g., Project Extension for Community Health Care Outcomes,
Resource for Advancing Children's Health, learning collaboratives, in
person, synchronous, asynchronous) as well as potential topics for
training (e.g., psychiatric disorders and medications, screening and
treatment protocols, practice transformation processes, trauma-informed
care). Reflective of training-related program requirements, HRSA will
collect data on the number of trainings attended by HPs, modality for
training received, the number of providers trained, the number of
trainings by topic, training methods, and materials used. Training is
defined in the surveys using the survey question response options
(e.g., in-person training event, webinar, self-study with program
resources, video conferencing, learning collaborative [Project
Extension for Community Health Care Outcomes,
[[Page 81921]]
Resource for Advancing Children's Health], and others).
Three recommendations discussed data: the need for data to be
comparable across PMHCA programs while still considering differences
across these programs; ensuring data collection is conducted in a
manner that is clear and relevant for the full range of anticipated
data collection participants (e.g., HPs, program champions, community
resource representatives); and the value of data to inform
understanding of differences in rural, urban, and suburban access to
behavioral health care. No changes will be made to the information
collection forms in response to these recommendations because the data
collection instruments are already responsive to these points. First,
HRSA will record and analyze program differences such as program
structure, funding, history, and size to help inform data findings
across program types. Second, HRSA will collect data about settings in
which patients live, and about practice setting, with response options
including urban, suburban, rural, and frontier. Surveys also collect
the ZIP Code of the primary clinical practice. While specific data on
travel for mental and behavioral health care will not be collected, the
Care Coordinator SSIs will provide qualitative insights on barriers to
referrals, geographic areas of referrals, and strategies to mitigate
barriers, which may include addressing travel time.
One recommendation expressed concerns about HRSA's plan to assess
changes over time in health practitioners' capacity to address
patients' mental and behavioral health and access to mental and
behavioral health care through screening indicating that PMHCA programs
are typically most valuable after the need for mental or behavioral
health interventions has been identified rather than in conducting
initial screenings. For this data collection, HRSA has operationalized
capacity broadly as behavioral health knowledge, skills, practice, and
attitudes. Evaluation questions focus on change in knowledge and
skills; screening, assessment, treatment, and referral; attitudes about
providing behavioral health care; and how change over time differed
based on frequency and modality of program access, treatment location,
demographics, and treatment settings. These questions allow HRSA to
measure changes in these different aspects of provider capacity and
describe how these changes differ across the contexts listed above
(e.g., treatment location, treatment settings).
Four recommendations supported collecting patient-level data and
the use of accessible automated collection techniques and minimally
invasive software and strategies. HRSA disclosed that patient level
data will not be collected under this information collection. All
technology used for the survey administration will meet federal
requirements for Section 508 accessibility. Survey data collection for
the evaluation will be primarily through web-linked survey administered
via email and via survey platform. Qualitative data collection and SSIs
will be conducted virtually (e.g., Microsoft Teams, Zoom).
One recommendation supported the proposed mixed evaluation plan and
approach. HRSA will implement outcome and process evaluations, using a
mixed-methods design, with primary and secondary quantitative and
qualitative data collection activities across all awardees.
One recommendation expressed support of the estimated burden and
asked how grantees will proceed if they do not employ a likely
respondent. HRSA will not require participation in that data collection
activity if an awardee does not employ a likely respondent.
One recommendation suggested that HRSA brand HRSA-MMHSUD
programming in marketing leading up to the evaluation so that providers
can more easily respond to questions. HRSA has developed a promotion
packet of materials with branding guidance and customizable messages
for awardees to use to (1) increase HP and practice engagement with
their programs and (2) encourage participation in evaluation surveys.
Additionally, the surveys will be customized for each program with the
program name and logo, as applicable.
Need and Proposed Use of the Information: HRSA needs this
information to evaluate the PMHCA and MMHSUD programs to guide future
decisions regarding increasing HPs' capacity to address patients'
behavioral health and access to behavioral health services.
Specifically, data collected for the evaluation will be used to study
the efforts of the PMHCA and MMHSUD programs to achieve key outcomes
(e.g., increase in access to behavioral health services; HPs trained;
identification of community-based resources, including counselors or
family service providers) and to measure whether and to what extent
awardee programs are associated with changes in these outcomes. The
evaluation will examine changes over time across PMHCA and MMHSUD
programs, regarding the PMHCA- and MMHSUD-enrolled/participating HPs'
and practices' (1) capacity to address patients' behavioral health and
access to behavioral health care, through screening, assessment,
treatment, and referral for behavioral health conditions; and (2) use
of program services (e.g., consultation, care coordination, training).
Likely Respondents:
HP Survey: Pediatricians, family physicians, obstetrician-
gynecologists, physician assistants, advanced practice nurses/nurse
practitioners, licensed practical nurses, registered nurses,
counselors, social workers, medical assistants, and patient care
navigators
Practice-Level Survey: Practice managers (e.g., office
managers, office leadership, nurse champions)
Program Implementation Survey: Cooperative agreement-
funded project directors/principal investigators
Behavioral Health Consultation Provider SSI: PMHCA and
MMHSUD program-level behavioral health consultation providers
Care Coordinator SSI: PMHCA and MMHSUD program-level care
coordinators
Champion SSI: PMHCA and MMHSUD program champions (e.g.,
HPs, community, and social service specialists)
Community-Based and Other Resources SSI: PMHCA and MMHSUD
program-level community resource partner representatives (e.g.,
counselors, social workers, other community and social service
specialists, other HPs/support workers, practice/organization managers)
Program Implementation SSI: Cooperative agreement-funded
project directors/principal investigators
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
The burden estimates below have changed from the estimates of
burden provided in the previous notice (60-day notice published on May
28, 2024, 89
[[Page 81922]]
FR 46143-44). The estimated burden total is slightly higher in this
revised notice because it incorporates estimates for an MMHSUD program
that was funded following submission of the previous notice.
Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
----------------------------------------------------------------------------------------------------------------
HP Survey....................... 23,256 1 23,256 0.33 7,674.48
Practice-Level Survey........... 6,172 1 6,172 0.33 2,036.76
Program Implementation Survey... 67 1 67 0.33 22.11
Behavioral Health Consultation 67 1 67 0.75 50.25
Provider SSI...................
Care Coordinator SSI............ 67 1 67 0.75 50.25
Champion SSI.................... 67 1 67 0.50 33.50
Community-Based and Other 50 1 50 0.50 25.00
Resources SSI..................
Program Implementation SSI...... 134 1 134 1.00 134.00
-------------------------------------------------------------------------------
Total....................... 29,880 .............. 29,880 .............. 10,026.35
----------------------------------------------------------------------------------------------------------------
Amy P. McNulty,
Deputy Director, Executive Secretariat.
[FR Doc. 2024-23293 Filed 10-8-24; 8:45 am]
BILLING CODE 4165-15-P
