80 FR 44981 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration Federal Register Volume 80, Issue 144 (July 28, 2015)
Substance Abuse and Mental Health Services Administration
Federal Register Volume 80, Issue 144 (July 28, 2015)
| Page Range | 44981-44982 | |
| FR Document | 2015-18429 |
[Federal Register Volume 80, Number 144 (Tuesday, July 28, 2015)] [Notices] [Pages 44981-44982] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-18429] ----------------------------------------------------------------------- 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: 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 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. [[Page 44982]] 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 ---------------------------------------------------------------------------------------------------------------- Written comments and recommendations concerning the proposed information collection should be sent by August 27, 2015 to the SAMHSA Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget (OMB). To ensure timely receipt of comments, and to avoid potential delays in OMB's receipt and processing of mail sent through the U.S. Postal Service, commenters are encouraged to submit their comments to OMB via 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. 2015-18429 Filed 7-27-15; 8:45 am] BILLING CODE 4162-20-P
![Federal Register / Vol. 80, No. 144 / Tuesday, July 28, 2015 / Notices 44981
DEPARTMENT OF HEALTH AND Chapter 35). To request a copy of these cumulative database to yield summary
HUMAN SERVICES documents, call the SAMHSA Reports tables for quarterly and final reports for
Clearance Officer on (240) 276–1243. the program. Additionally, we are in the
National Institutes of Health process of developing and testing the
Project: Data Resource Toolkit Protocol
feasibility of using mobile devices for
Center for Scientific Review; Notice of for the Crisis Counseling Assistance
and Training Program (CCP)—Revision data entry purposes. Because the data
Closed Meeting will be collected in a consistent way
The Substance Abuse and Mental from all programs, they can be uploaded
Pursuant to section 10(d) of the
Health Services Administration’s or linked into an ongoing national
Federal Advisory Committee Act, as
(SAMHSA) Center for Mental Health database that likewise provides CMHS
amended (5 U.S.C. App.), notice is
Services (CMHS) as part of an and FEMA with a way of producing
hereby given of the following meeting.
interagency agreement with the Federal summary reports of services provided
The meeting will be closed to the
Emergency Management Agency across all programs funded.
public in accordance with the
(FEMA) provides a toolkit to be used for The components of the tool kit are
provisions set forth in sections
the purposes of collecting data on the listed and described below:
552b(c)(4) and 552b(c)(6), title 5 U.S.C.,
Crisis Counseling Assistance and • Encounter logs. These forms
as amended. The grant applications and
Training Program (CCP). The CCP document all services provided.
the discussions could disclose provides supplemental funding to states
confidential trade secrets or commercial Completion of these logs is required by
and territories for individual and the crisis counselors. There are three
property such as patentable material, community crisis intervention services
and personal information concerning types of encounter logs: (1) Individual/
during a federal disaster. Family or Household Crisis Counseling
individuals associated with the grant The CCP has provided disaster mental
applications, the disclosure of which Services Encounter Log; (2) Group
health services to millions of disaster
would constitute a clearly unwarranted Encounter Log; and (3) Weekly Tally
survivors since its inception and, as a
invasion of personal privacy. result of 30 years of accumulated Sheet.
Name of Committee: Center for Scientific expertise, it has become an important Æ Individual/Family or Household
Review Special Emphasis Panel, Vascular model for federal response to a variety Crisis Counseling Services Encounter
Biology and Hematology AREA. of catastrophic events. Recent State Log. Crisis counseling is defined as an
Date: August 17, 2015. CCPs include programs in New Jersey interaction that lasts at least 15 minutes
Time: 2:00 p.m. to 5:00 p.m. and New York following 2012 Hurricane and involves participant disclosure.
Agenda: To review and evaluate grant This form is completed by the Crisis
Sandy; two programs in Colorado, one
applications. Counselor for each service recipient,
Place: National Institutes of Health, 6701 related to a wildfire and the second to
a flood; a program in Oklahoma in the defined as the person or persons who
Rockledge Drive, Bethesda, MD 20892, actively participated in the session (e.g.,
(Virtual Meeting). aftermath of severe storms and
Contact Person: Larry Pinkus, Ph.D., tornadoes in 2013; and programs in by verbally participating), not someone
Scientific Review Officer, Center for Washington and Alaska related to who is merely present. The same form
Scientific Review, National Institutes of flooding and mudslides in 2014. These may be completed with other family or
Health, 6701 Rockledge Drive, Room 4132, programs have primarily addressed the household members who are actively
MSC 7802, Bethesda, MD 20892, (301) 435– short-term mental health needs of engaged in the visit. Information
1214, pinkusl@csr.nih.gov. communities through (a) outreach and collected includes demographics,
(Catalogue of Federal Domestic Assistance public education, (b) individual and service characteristics, risk factors,
Program Nos. 93.306, Comparative Medicine; group counseling, and (c) referral. event reactions, and referral data.
93.333, Clinical Research, 93.306, 93.333, Æ Group Encounter Log. This form is
Outreach and public education serve
93.337, 93.393–93.396, 93.837–93.844, used to identify either a group crisis
93.846–93.878, 93.892, 93.893, National primarily to normalize reactions and to
engage people who might need further counseling encounter or a group public
Institutes of Health, HHS)
care. Crisis counseling assists survivors education encounter. A check at the top
Dated: July 22, 2015. to cope with current stress and identifies the class of activities (i.e.,
David Clary, symptoms in order to return to counseling or education). Information
Program Analyst, Office of Federal Advisory predisaster functioning. Crisis collected includes services
Committee Policy. counseling relies largely on ‘‘active characteristics, group identity and
[FR Doc. 2015–18421 Filed 7–27–15; 8:45 am] listening,’’ and crisis counselors also characteristics, and group activities.
BILLING CODE 4140–01–P provide psycho-education (especially Æ Weekly Tally Sheet. This form
about the nature of responses to trauma) documents brief educational and
and help clients build coping skills. supportive encounters not captured on
DEPARTMENT OF HEALTH AND Crisis counseling typically continues no any other form. Information collected
HUMAN SERVICES more than a few times. Because crisis includes service characteristics, daily
counseling is time-limited, referral is tallies and weekly totals for brief
Substance Abuse and Mental Health the third important functions of CCPs. educational or supportive contacts, and
Services Administration Counselors are expected to refer clients material distribution with no or
to formal treatment if the person has minimal interaction.
Agency Information Collection
developed more serious psychiatric • Assessment and Referral Tools.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Activities: Submission for OMB
problems. This tool provides descriptive
Review; Comment Request
Data about services delivered and information about intense users of
Periodically, the Substance Abuse and users of services will be collected services either child/youth or adults,
Mental Health Services Administration throughout the program period. The defined as all individuals receiving a
(SAMHSA) will publish a summary of data will be collected via the use of a third individual crisis counseling visit.
information collection requests under toolkit that relies on standardized forms. This tool will be used beginning three
OMB review, in compliance with the At the program level, the data will be months postdisaster and will be
Paperwork Reduction Act (44 U.S.C. entered quickly and easily into a completed by the crisis counselor.
VerDate Sep<11>2014 19:17 Jul 27, 2015 Jkt 235001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 E:\FR\FM\28JYN1.SGM 28JYN1](https://thefederalregister.org/doc/80_FR_45125/page/1.svg)
![44982 Federal Register / Vol. 80, No. 144 / Tuesday, July 28, 2015 / Notices
• Participant Feedback. These • CCP Service Provider Feedback. There are no changes to the Individual
surveys are completed by and collected These surveys are completed by and Encounter Log, Group Encounter Log,
from a sample of service recipients, not collected from the CCP service Weekly Tally, and the Assessment and
every recipient. A time sampling providers anonymously at six months Referral Tools since the last approval.
approach (e.g., soliciting participation and one year postevent. The survey will Revisions include the addition of
from all counseling encounters one be coded on several program-level as mobile device questions to the Service
week per quarter) will be used. well as worker-level variables. However, Provider Feedback Form and minor
Information collected includes the program itself will be identified and revisions to the gender question on the
satisfaction with services, perceived shared with program management only Participant Feedback Form and Service
improvements in self-functioning, types if the number of individual workers was Provider Feedback Form.
of exposure, and event reactions. greater than 20. The table below is the estimates of
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
Written comments and proposed collections of information, the information technologies to support
recommendations concerning the Substance Abuse and Mental Health integrated behavioral health care,
proposed information collection should Services Administration (SAMHSA) SAMHSA has been working to develop
be sent by August 27, 2015 to the will publish periodic summaries of questions that will examine HIT
SAMHSA Desk Officer at the Office of proposed projects. To request more adoption by behavioral health service
Information and Regulatory Affairs, information on the proposed project or providers who are implementing
Office of Management and Budget to obtain a copy of the information SAMHSA grant programs. The selected
(OMB). To ensure timely receipt of collection plans, call the SAMHSA programs are funded by the by the
comments, and to avoid potential delays Reports Clearance Officer on (240) 276– Center for Mental Health Services
in OMB’s receipt and processing of mail 1243. (CMHS), the Center for Substance Abuse
sent through the U.S. Postal Service, Comments are invited on: (a) Whether Prevention (CSAP), and (CSAT).
commenters are encouraged to submit the proposed collection of information This project seeks to expand data
their comments to OMB via email to: is necessary for the proper performance necessary to inform the Agency’s
OIRA_Submission@omb.eop.gov. of the functions of the agency, including strategic initiative that focuses on
Although commenters are encouraged to whether the information shall have fostering the adoption of health
send their comments via email, practical utility; (b) the accuracy of the information technologies in community
commenters may also fax their agency’s estimate of the burden of the behavioral health services. The
comments to: 202–395–7285. proposed collection of information; (c) qualitative activities will elicit success
Commenters may also mail them to: ways to enhance the quality, utility, and stories, challenges to adopting health
Office of Management and Budget, clarity of the information to be information technologies, and lessons
Office of Information and Regulatory collected; and (d) ways to minimize the learned regarding SAMHSA grantee
Affairs, New Executive Office Building, burden of the collection of information access to and use of health information
Room 10102, Washington, DC 20503. on respondents, including through the technology and will provide valuable
use of automated collection techniques information to inform the behavioral
Summer King,
or other forms of information health information technology
Statistician. technology. literature.
[FR Doc. 2015–18429 Filed 7–27–15; 8:45 am] Approval of this data collection effort
BILLING CODE 4162–20–P
Proposed Project Behavioral Health by the Office of Management and
Information Technologies and Budget (OMB) will allow SAMHSA to
Standards—In-Depth Qualitative Data identify the current status of health
DEPARTMENT OF HEALTH AND Collection Activity—NEW information technology adoption and
HUMAN SERVCES The Substance Abuse and Mental use among a select group of grantees
Health Services Administration who have demonstrated success in at
Substance Abuse and Mental Health (SAMHSA) Center for Substance Abuse least one of the identified health
Services Administration Treatment (CSAT) and Center for information technology categories:
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Behavioral Health Statistics and Quality Certified electronic health records,
Agency Information Collection
(CBHSQ) are proposing to conduct telehealth technologies, mobile health,
Activities: Proposed Collection;
qualitative data collection activities (i.e., and social media-based consumer
Comment Request
focus group and site visits) to assess engagement tools. Data from the focus
In compliance with section health information technology (HIT) groups and site visits will allow
3506(c)(2)(A) of the Paperwork adoption practices among SAMHSA SAMHSA to enhance the health
Reduction Act of 1995 concerning grantees. As part of its Strategic information technology-related
opportunity for public comment on Initiative to advance the use of health programmatic activities among its
VerDate Sep<11>2014 19:17 Jul 27, 2015 Jkt 235001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\28JYN1.SGM 28JYN1](https://thefederalregister.org/doc/80_FR_45125/page/2.svg)
Document Created: 2018-02-23 09:28:29
Document Modified: 2018-02-23 09:28:29
| 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 44981 |
2024 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR