80 FR 28283 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration Federal Register Volume 80, Issue 95 (May 18, 2015)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 80, Issue 95 (May 18, 2015)
| Page Range | 28283-28284 | |
| FR Document | 2015-11893 |
[Federal Register Volume 80, Number 95 (Monday, May 18, 2015)] [Notices] [Pages 28283-28284] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-11893] ----------------------------------------------------------------------- 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 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: Data Resource Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)--Revision The Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Mental Health Services (CMHS) as part of an interagency agreement with the Federal Emergency Management Agency (FEMA) provides a toolkit to be used for the purposes of collecting data on the Crisis Counseling Assistance and Training Program (CCP). The CCP provides supplemental funding to states and territories for individual and community crisis intervention services during a federal disaster. The CCP has provided disaster mental health services to millions of disaster survivors since its inception and, as a result of 30 years of accumulated expertise, it has become an important model for federal response to a variety of catastrophic events. Recent State CCPs include programs in New Jersey and New York following 2012 Hurricane Sandy; two programs in Colorado, one related to a wildfire and the second to a flood; a program in Oklahoma in the aftermath of severe storms and tornadoes in 2013; and programs in Washington and Alaska related to flooding and mudslides in 2014. These programs have primarily addressed the short-term mental health needs of communities through (a) outreach and public education, (b) individual and group counseling, and (c) referral. Outreach and public education serve primarily to normalize reactions and to engage people who might need further care. Crisis counseling assists survivors to cope with current stress and symptoms in order to return to predisaster functioning. Crisis counseling relies largely on ``active listening,'' and crisis counselors also provide psycho-education (especially about the nature of responses to trauma) and help clients build coping skills. Crisis counseling typically continues no more than a few times. Because crisis counseling is time- limited, referral is the third important functions of CCPs. Counselors are expected to refer clients to formal treatment if the person has developed more serious psychiatric problems. Data about services delivered and users of services will be collected throughout the program period. The data will be collected via the use of a toolkit that relies on standardized forms. At the program level, the data will be entered quickly and easily into a cumulative database to yield summary tables for quarterly and final reports for the program. Additionally, we are in the process of developing and testing the feasibility of using mobile devices for data entry purposes. Because the data will be collected in a consistent way from all programs, they can be uploaded or linked into an ongoing national database that likewise provides CMHS [[Page 28284]] and FEMA with a way of producing summary reports of services provided across all programs funded. The components of the tool kit are listed and described below:Encounter logs. These forms document all services provided. Completion of these logs is required by the crisis counselors. There are three types of encounter logs: (1) Individual/ Family or Household Crisis Counseling Services Encounter Log; (2) Group Encounter Log; and (3) Weekly Tally Sheet. [cir] Individual/Family or Household Crisis Counseling Services Encounter Log. Crisis counseling is defined as an interaction that lasts at least 15 minutes and involves participant disclosure. This form is completed by the Crisis Counselor for each service recipient, defined as the person or persons who actively participated in the session (e.g., by verbally participating), not someone who is merely present. The same form may be completed with other family or household members who are actively engaged in the visit. Information collected includes demographics, service characteristics, risk factors, event reactions, and referral data. [cir] Group Encounter Log. This form is used to identify either a group crisis counseling encounter or a group public education encounter. A check at the top identifies the class of activities (i.e., counseling or education). Information collected includes services characteristics, group identity and characteristics, and group activities. [cir] Weekly Tally Sheet. This form documents brief educational and supportive encounters not captured on any other form. Information collected includes service characteristics, daily tallies and weekly totals for brief educational or supportive contacts, and material distribution with no or minimal interaction. Assessment and Referral Tools. This tool provides descriptive information about intense users of services either child/ youth or adults, defined as all individuals receiving a third individual crisis counseling visit. This tool will be used beginning three months postdisaster and will be completed by the crisis counselor. Participant Feedback. These surveys are completed by and collected from a sample of service recipients, not every recipient. A time sampling approach (e.g., soliciting participation from all counseling encounters one week per quarter) will be used. Information collected includes satisfaction with services, perceived improvements in self-functioning, types of exposure, and event reactions. CCP Service Provider Feedback. These surveys are completed by and collected from the CCP service providers anonymously at six months and one year postevent. The survey will be coded on several program-level as well as worker-level variables. However, the program itself will be identified and shared with program management only if the number of individual workers was greater than 20. There are no changes to the Individual Encounter Log, Group Encounter Log, Weekly Tally, and the Assessment and Referral Tools since the last approval. Revisions include the addition of mobile device questions to the Service Provider Feedback Form and minor revisions to the gender question on the Participant Feedback Form and Service Provider Feedback Form. The table below is the estimates of annualized hour burden. ---------------------------------------------------------------------------------------------------------------- Number of Responses per Hours per Total hour Form respondents respondents responses burden ---------------------------------------------------------------------------------------------------------------- Individual Crisis Counseling Services Encounter 200 196 .13 5,096 Log............................................ Group Encounter Log............................. 100 33 .07 231 Weekly Tally Sheet.............................. 200 33 .2 1,320 Assessment and Referral Tools................... 200 14 .25 700 Participant Feedback Survey..................... 1,000 1 .25 250 Service Provider Feedback Survey................ 100 1 .41 41 --------------------------------------------------------------- Total....................................... 1,800 .............. .............. 7,638 ---------------------------------------------------------------------------------------------------------------- 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 [email protected]. Written comments should be received by July 17, 2015. Summer King, Statistician. [FR Doc. 2015-11893 Filed 5-15-15; 8:45 am] BILLING CODE 4162-20-P
![Federal Register / Vol. 80, No. 95 / Monday, May 18, 2015 / Notices 28283
Responses Burden per
Number of
Respondents per response Total burden
respondents respondent (hours)
Total .......................................................................................................... 548 ........................ ........................ 10,960
Send comments to Summer King, Telephone: (240) 276–1252, Fax: (240) 276– provides supplemental funding to states
SAMHSA Reports Clearance Officer, 2252, Email: holly.berilla@samhsa.hhs.gov. and territories for individual and
Room 2–1057, One Choke Cherry Road, Summer King, community crisis intervention services
Rockville, MD 20857 OR email her a Statistician, SAMHSA.
during a federal disaster.
copy at summer.king@samhsa.hhs.gov. The CCP has provided disaster mental
[FR Doc. 2015–11891 Filed 5–15–15; 8:45 am]
Written comments should be received health services to millions of disaster
BILLING CODE 4162–20–P survivors since its inception and, as a
by July 17, 2015.
result of 30 years of accumulated
Summer King,
expertise, it has become an important
Statistician. DEPARTMENT OF HEALTH AND model for federal response to a variety
[FR Doc. 2015–11894 Filed 5–15–15; 8:45 am] HUMAN SERVICES of catastrophic events. Recent State
BILLING CODE 4162–20–P
Substance Abuse and Mental Health CCPs include programs in New Jersey
Services Administration and New York following 2012 Hurricane
Sandy; two programs in Colorado, one
DEPARTMENT OF HEALTH AND related to a wildfire and the second to
Agency Information Collection
HUMAN SERVICES a flood; a program in Oklahoma in the
Activities: Proposed Collection;
Comment Request aftermath of severe storms and
Substance Abuse and Mental Health
tornadoes in 2013; and programs in
Services Administration In compliance with Section Washington and Alaska related to
3506(c)(2)(A) of the Paperwork flooding and mudslides in 2014. These
Center for Substance Abuse
Treatment; Notice of Meeting Reduction Act of 1995 concerning programs have primarily addressed the
opportunity for public comment on short-term mental health needs of
Pursuant to Public Law 92–463, proposed collections of information, the communities through (a) outreach and
notice is hereby given that the Substance Abuse and Mental Health public education, (b) individual and
Substance Abuse and Mental Health Services Administration will publish group counseling, and (c) referral.
Services Administration’s (SAMHSA’s) periodic summaries of proposed Outreach and public education serve
Center for Substance Abuse Treatment projects. To request more information primarily to normalize reactions and to
(CSAT) National Advisory Council will on the proposed projects or to obtain a engage people who might need further
meet on June 16, 2015, from 2:00 p.m.– copy of the information collection care. Crisis counseling assists survivors
3:15 p.m. (EDT) and June 24, 2016, from plans, call the SAMHSA Reports to cope with current stress and
2:00 p.m.—3:15 p.m. (EDT). Both Clearance Officer on (240) 276–1243. symptoms in order to return to
meetings will be closed to the public. Comments are invited on: (a) Whether predisaster functioning. Crisis
The meetings will include discussion the proposed collections of information counseling relies largely on ‘‘active
and evaluation of grant applications are necessary for the proper listening,’’ and crisis counselors also
reviewed by Initial Review Groups, and performance of the functions of the provide psycho-education (especially
involve an examination of confidential agency, including whether the about the nature of responses to trauma)
financial and business information as information shall have practical utility; and help clients build coping skills.
well as personal information concerning (b) the accuracy of the agency’s estimate Crisis counseling typically continues no
the applicants. Therefore, both meetings of the burden of the proposed collection more than a few times. Because crisis
will be closed to the public, as of information; (c) ways to enhance the counseling is time-limited, referral is
determined by the SAMHSA quality, utility, and clarity of the the third important functions of CCPs.
Administrator, in accordance with Title information to be collected; and (d) Counselors are expected to refer clients
5 U.S.C. 552b(c)(4) and (6) and (c)(9)(B) ways to minimize the burden of the to formal treatment if the person has
and 5 U.S.C. App. 2, Section 10(d). collection of information on developed more serious psychiatric
The meetings will be held virtually. respondents, including through the use problems.
Meeting information and a roster of of automated collection techniques or Data about services delivered and
Council members may be obtained other forms of information technology. users of services will be collected
either by accessing the SAMHSA throughout the program period. The
Council Web site at: http:// Proposed Project: Data Resource data will be collected via the use of a
www.samhsa.gov/about-us/advisory- Toolkit Protocol for the Crisis toolkit that relies on standardized forms.
councils/csat-national-advisory-council Counseling Assistance and Training At the program level, the data will be
or by contacting LCDR Holly Berilla. Program (CCP)—Revision entered quickly and easily into a
Council Name: SAMHSA’s Center for The Substance Abuse and Mental cumulative database to yield summary
Health Services Administration’s tables for quarterly and final reports for
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Substance Abuse Treatment National
Advisory Council. (SAMHSA) Center for Mental Health the program. Additionally, we are in the
Date/Time/Type: June 16, 2015, 2:00 p.m.– Services (CMHS) as part of an process of developing and testing the
3:15 p.m. EDT, CLOSED; June 24, 2015, 2:00 interagency agreement with the Federal feasibility of using mobile devices for
p.m.–3:15 p.m. EDT, CLOSED. Emergency Management Agency data entry purposes. Because the data
Place: Virtual—Teleconference.
Contact: LCDR Holly Berilla, Acting (FEMA) provides a toolkit to be used for will be collected in a consistent way
Designated Federal Official, CSAT National the purposes of collecting data on the from all programs, they can be uploaded
Advisory Council, 1 Choke Cherry Road, Crisis Counseling Assistance and or linked into an ongoing national
Rockville, Maryland 20857 (mail), Training Program (CCP). The CCP database that likewise provides CMHS
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![28284 Federal Register / Vol. 80, No. 95 / Monday, May 18, 2015 / Notices
and FEMA with a way of producing Æ Group Encounter Log. This form is approach (e.g., soliciting participation
summary reports of services provided used to identify either a group crisis from all counseling encounters one
across all programs funded. counseling encounter or a group public week per quarter) will be used.
The components of the tool kit are education encounter. A check at the top Information collected includes
listed and described below: identifies the class of activities (i.e., satisfaction with services, perceived
• Encounter logs. These forms counseling or education). Information improvements in self-functioning, types
document all services provided. collected includes services of exposure, and event reactions.
Completion of these logs is required by characteristics, group identity and • CCP Service Provider Feedback.
the crisis counselors. There are three characteristics, and group activities. These surveys are completed by and
types of encounter logs: (1) Individual/ Æ Weekly Tally Sheet. This form collected from the CCP service
Family or Household Crisis Counseling documents brief educational and providers anonymously at six months
Services Encounter Log; (2) Group supportive encounters not captured on and one year postevent. The survey will
Encounter Log; and (3) Weekly Tally any other form. Information collected be coded on several program-level as
Sheet. includes service characteristics, daily well as worker-level variables. However,
Æ Individual/Family or Household tallies and weekly totals for brief the program itself will be identified and
Crisis Counseling Services Encounter educational or supportive contacts, and shared with program management only
Log. Crisis counseling is defined as an material distribution with no or if the number of individual workers was
interaction that lasts at least 15 minutes minimal interaction. greater than 20.
and involves participant disclosure. • Assessment and Referral Tools.
This form is completed by the Crisis This tool provides descriptive There are no changes to the
Counselor for each service recipient, information about intense users of Individual Encounter Log, Group
defined as the person or persons who services either child/youth or adults, Encounter Log, Weekly Tally, and the
actively participated in the session (e.g., defined as all individuals receiving a Assessment and Referral Tools since the
by verbally participating), not someone third individual crisis counseling visit. last approval. Revisions include the
who is merely present. The same form This tool will be used beginning three addition of mobile device questions to
may be completed with other family or months postdisaster and will be the Service Provider Feedback Form and
household members who are actively completed by the crisis counselor. minor revisions to the gender question
engaged in the visit. Information • Participant Feedback. These on the Participant Feedback Form and
collected includes demographics, surveys are completed by and collected Service Provider Feedback Form.
service characteristics, risk factors, from a sample of service recipients, not The table below is the estimates of
event reactions, and referral data. every recipient. A time sampling annualized hour burden.
Responses
Number of Hours per Total hour
Form per
respondents responses burden
respondents
Individual Crisis Counseling Services Encounter Log ................................... 200 196 .13 5,096
Group Encounter Log .................................................................................... 100 33 .07 231
Weekly Tally Sheet ........................................................................................ 200 33 .2 1,320
Assessment and Referral Tools .................................................................... 200 14 .25 700
Participant Feedback Survey ......................................................................... 1,000 1 .25 250
Service Provider Feedback Survey ............................................................... 100 1 .41 41
Total ........................................................................................................ 1,800 ........................ .......................... 7,638
Send comments to Summer King, DEPARTMENT OF HOMELAND Management Agency, 500 C Street, SW.,
SAMHSA Reports Clearance Officer, SECURITY Washington, DC 20472, (202) 646–2833.
Room 2–1057, One Choke Cherry Road, SUPPLEMENTARY INFORMATION: The notice
Rockville, MD 20857 OR email her a Federal Emergency Management
of a major disaster declaration for the
copy at summer.king@samhsa.hhs.gov. Agency
State of Maine is hereby amended to
Written comments should be received [Internal Agency Docket No. FEMA–4208– include the following area among those
by July 17, 2015. DR; Docket ID FEMA–2015–0002] areas determined to have been adversely
affected by the event declared a major
Summer King, Maine; Amendment No. 1 to Notice of disaster by the President in his
Statistician. a Major Disaster Declaration declaration of March 12, 2015.
[FR Doc. 2015–11893 Filed 5–15–15; 8:45 am]
AGENCY: Federal Emergency Sagadahoc County for Public
BILLING CODE 4162–20–P Management Agency, DHS. Assistance.
ACTION: Notice. Sagadahoc County for snow assistance
under the Public Assistance program for any
SUMMARY: This notice amends the notice continuous 48-hour period during or
asabaliauskas on DSK5VPTVN1PROD with NOTICES
of a major disaster declaration for the proximate the incident period.
State of Maine (FEMA–4208–DR), dated The following Catalog of Federal Domestic
March 12, 2015, and related Assistance Numbers (CFDA) are to be used
determinations. for reporting and drawing funds: 97.030,
Community Disaster Loans; 97.031, Cora
DATES: Effective Date: May 4, 2015.
Brown Fund; 97.032, Crisis Counseling;
FOR FURTHER INFORMATION CONTACT: 97.033, Disaster Legal Services; 97.034,
Dean Webster, Office of Response and Disaster Unemployment Assistance (DUA);
Recovery, Federal Emergency 97.046, Fire Management Assistance Grant;
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Document Created: 2015-12-16 07:39:26
Document Modified: 2015-12-16 07:39:26
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 28283 |
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