[Federal Register Volume 72, Number 60 (Thursday, March 29, 2007)]
[Notices]
[Pages 14825-14827]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-5796]
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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 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 the
respondents, including through the use of automated collection
techniques or other forms of information technology.
Proposed Project: Community Mental Health Services Block Grant
Application Guidance and Instruction, FY 2008-2010 (OMB No. 0930-
0168)--Revisions
Sections 1911 through 1920 of the Public Health Service Act (42
U.S.C. 300x through 300x-9) provide for annual allotments to assist
States to establish or expand an organized, community-based system of
care for adults with serious mental illnesses and children with serious
emotional disturbances. Under these provisions of the law, States may
receive allotments only after an application is submitted and approved
by the Secretary of the Department of Health and Human Services.
For the FY 2008-2010 Community Mental Health Services Block Grant
application cycle, SAMHSA will provide States guidance and instructions
to guide development of comprehensive State applications/plans and
implementation reports. Proposed revisions to the guidance include: (1)
The integration of mental health transformation as a guiding principle
in the development of State mental health plans. State plans for FY
2008-2010 will describe State mental health transformation efforts and
activities within the context of the five (5) legislative criteria,
identify mental health transformation activities funded by the MHBG and
other State funding sources, identify activities of the State mental
health planning council that contribute to and support State
transformation efforts, include one State transformation performance
indicator in the plan, and include a description of the services
provided to older adults under criterion 4 of the State's plan. (2) The
introduction of the Web Block Grant Application System (WebBGAS).
WebBGAS enables States to submit applications/plans, and implementation
reports electronically thus reducing the burden of paperwork required
for submission, revision, and reporting purposes. In FY 2008, all
States and Territories will be encouraged to submit State plans using
WebBGAS. Other advantages to using WebBGAS include:
Eliminating redundancy in data entry by pre-populating the
States' previous year data in the current year's plans and
implementation reports.
Standardizing Mental Health Block Grant data for reporting
and quantitative analysis.
Allowing the States' mental health planning councils to
have access to state plans and implementation reports throughout the FY
as a means to enable councils to meet their Federal mandate of
reviewing the plans and providing recommendations to the State.
Adhering to the Federal government's e-governments and e-
grants initiatives, where applicable.
(3) A requirement for States to report nine CMHS National Outcome
Measures (NOMS) for mental health. All nine measures are derived from
tables in the Uniform Reporting System (URS) which was developed in
collaboration with the States. Four (4) of the nine measures were
established, in concert with OMB PART, to support the long-term goals
of the Mental Health Block Grant program and SAMHSA's Government
Results and Performance Act (GPRA) measures. The nine CMHS measures
are:
Increased access to services.
Reduced utilization of psychiatric inpatient beds for 30
and 180 days.
Number of evidenced-based practices and number of persons
served in these programs.
Client perception of care.
Increased/retained employment or returned to/stayed in
school.
Decreased criminal justice involvement.
Increased stability in housing.
Increased social supports and social connectedness, and
Improved level of functioning.
Two of the NOMS, Increased Social Supports and Social
Connectedness, and Improved Functioning, are currently under
development at SAMHSA. States that are unable to report data on these
or other indicators will be required to describe their current
reporting capacity and efforts underway to make collection of the data
possible. (4) Revisions to tables in the Uniform Reporting System
(URS). Since FY 2001, States have reported annual data on the public
mental health system to the MHBG Program through 21 tables in the URS.
For the past three years, CMHS worked collaboratively with States,
using the Data Infrastructure Grant (DIG) process, to refine the data
and make reporting more meaningful to both States and CMHS. This effort
resulted in a list of revisions to the basic and developmental tables
in the FY 2005-2007 MHBG guidance. The revisions to the URS tables are
described below:
[[Page 14826]]
Revisions to Tables in the Uniform Reporting System
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Table Description
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Table No. Table name Change Proposed change
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Table 1................. Profile of State Population No Change...............
by Diagnosis.
Table 2................. Total Unduplicated Served by Minor................... Combine Age 0-3 with Age 4-
Age, Gender, & Race. 12.
Table 3................. Total Served by Setting, by No Change...............
Age & Gender.
Table 4................. Employment................... Minor................... Add Optional Table 4a.
Reporting of Employment
Status by 5 Diagnostic
Groupings.
Table 5................. Medicaid Status.............. No Change...............
Table 6................. Profile of Client Flow and Minor................... Add Column for Length of Stay
Turnover. for clients in facility more
than 1 year.
Table 7................. State MH Expenditures and No Change...............
Revenues.
Table 8................. Profile of Community MHBG No Change...............
Expenditures.
Table 9................. Public Mental Health Service Major................... New table added, ``Social
System Inventory List Connectedness and Improved
(Deleted in 2005). Functioning'' for SAMHSA's
newest NOMS.
Table 10................ Profile of Agencies receiving No Change...............
MHBG Funds.
Table 11................ Consumer Evaluation of Care*. Minor................... Add revisions to table and
questions to clarify the
survey instrument and
methodology used to collect
data for this domain if the
recommended survey was not
used.
Table 12................ State Mental Health Agency No Change...............
Profile.
Table 13................ Untreated Prevalence of No Change............... Continue as developmental
Mental Illness. until refined by DIG
Workgroup.
Table 14................ Adults with SMI & SED served Minor................... Combine Age 0-3 with Age 4-
by Age, gender, Race, & 12.
Ethnicity.
Table 15................ Living Situation Profile..... No Change...............
Table 16................ EBPs......................... Minor................... Add two questions at the end
of each EBP: (1) Did the
State use the SAMHSA Toolkit
to guide implementation? (2)
Has staff been specifically
trained to implement the
EBP?
Table 17................ EBPs......................... Minor................... Add two questions at the end
of each EBP: (1) Did the
State use the SAMHSA Toolkit
to guide implementation? (2)
Has staff been specifically
trained to implement the
EBP?
Table 18................ Use of New Generation No Change...............
Atypical Antipsychotics.
Table 19................ Outcomes: Criminal Justice & Minor................... Add new questions for two
School Attendance. CMHS NOMS: Arrests, and
School Attendance.
Table 20................ 30 and 180 day state hospital Minor................... Combine Age 0-3 with Age 4-
readmissions. 12.
Table 21................ 30 and 180 day readmission to Minor................... Combine Age 0-3 with Age 4-
any psych bed. 12.
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The future of the SAMHSA/CMHS State mental health data reporting
program continues to evolve with a related plan to implement a State
Client Level Initiative project with a few States to test the
feasibility of implementing client level reporting in the States.
Activities of this pilot in the next three years will include: (1)
Identifying and documenting the States' most promising approaches to
the collection of client-level data; (2) developing recommendations for
expanding client-level data collection systems to incorporate the NOMs;
and (3) pilot testing the most promising approaches with other
interested States to determine their feasibility.
The following table summarizes the annual burden for the revised
application.
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Burden
Part of application Number of Responses/ response Total burden
responses respondent (hrs) hours
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Plan--(Parts B and C)........................... 30 1 180 5,400
1 year...................................... .............. .............. .............. ..............
2 year...................................... 4 1 150 600
3 year...................................... 25 1 110 2,750
Implementation Report (Part D).................. 59 1 80 4,720
Data Tables (Part E)............................ 59 1 40 2,360
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Total....................................... 59 .............. .............. 15,830
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[[Page 14827]]
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857. Written
comments should be received within 60 days of this notice.
Dated: March 23, 2007.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E7-5796 Filed 3-28-07; 8:45 am]
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