[Federal Register Volume 73, Number 175 (Tuesday, September 9, 2008)]
[Notices]
[Pages 52400-52402]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-20884]
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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: 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) will create 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
[[Page 52401]]
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. State CCPs, such as
Project HOPE (after Hurricane Floyd in North Carolina), Project
Heartland (in Oklahoma City after the Murrah Federal Building bombing),
Project Liberty (in New York after 9/11), and Project Outreach for
Recovery (after the Rhode Island nightclub fire) 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 function 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. We have confirmed the feasibility of using scanable forms
for most purposes. Because the data will be collected in a consistent
way from all programs, they can be uploaded into an ongoing national
database that likewise provides CMHS with a way of producing summary
reports of services provided across all programs funded.
The components of the toolkit 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 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. For families, crisis
counselors complete separate forms for all family members who are
actively engaged in the visit. Information collected includes
demographics, service characteristics, risk factors, event reactions,
and referral data.
(2) 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.
(3) 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.
[cir] Assessment and Referral Tools. Generally, the forms are used
as an interview guide with adults or children/youth (i.e., please note
that the child/youth tool is NEW to the data toolkit) who have received
individual crisis counseling on two or more occasions for those
individuals that may need referral to further and more intensive
services. However, these tools may be used at any time that a crisis
counselor suspects that an individual is experiencing serious reactions
to the disaster. Typically, these tools will be used beginning three
months post-disaster and will be completed by the crisis counselor or
team leader.
[cir] Adult Assessment and Referral Tool--This tool includes the
collection of information on characteristics of the encounter, risk
categories, and demographics. The tool also includes the SPRINT-E, an
11-item measure of post-disaster distress including but not limited to
symptoms of post traumatic stress disorder (PTSD).
[cir] Child/Youth Assessment and Referral Tool (NEW)--This tool
includes the collection of information on risk factors, demographics,
and 15 items from the University of California Los Angeles (UCLA)
Reaction Index to assess post-disaster symptoms; additional items are
also included for the parents to rate their child's feelings and
behavior.
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 (i.e., crisis
counselors) anonymously at approximately six months and one year post-
event. The items on this form relate to the training, work environment,
and level of job stress experienced by the crisis counselor. The survey
will be coded on several program-level and worker-level variables to be
shared with program management for review.
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Number of Responses per Total Hours per Total hour Total hour
Data collection point respondents respondent responses response burden Hourly rate cost
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Individual Crisis Counseling Services \1\ 200 \2\ 396 79,200 .08 6,336 $20 $126,720
Encounter Log Form.....................
Group Encounter Log Form................ \3\ 100 \3\ 99 9,900 .04 396 20 7,920
Weekly Tally Sheet...................... \1\ 200 \4\ 33 6,600 .10 660 20 13,200
Assessment & Referral Tools............. \1\ 200 \5\ 158 31,600 .15 4,740 20 94,800
Participant Feedback.................... 1,000 1 1,000 .15 150 20 3,000
[[Page 52402]]
CCP Service Provider Feedback........... \6\ 100 1 100 .15 15 20 300
�����������������������������������������
Total............................... .............. .............. 128,400 .............. 12,297 .............. 245,940
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\1\ 200 is based on typical average of 10 (1.00 FTE) crisis counselors per grant with an approximate average of 20 grants per year (i.e., 10 x 20 =
200).
\2\ Average of 12 forms per week for each crisis counselor at 33 weeks that includes both Immediate Services and Regular Services Programs (i.e., 12 x
33 = 396).
\3\ Average of 3 forms per week for a pair of crisis counselors (i.e., 2 counselors completing 1 form = 100 crisis counselors) at 33 weeks that includes
both Immediate Services and Regular Services Programs (3 x 33 = 99).
\4\ Average of 33 weeks for each grant that includes both Immediate Services and Regular Services Programs.
\5\ On average 30% of crisis encounters may result in the use of this optional tool.
\6\ On average 50% of service providers/crisis counselors may complete or use this optional tool.
Written comments and recommendations concerning the proposed
information collection should be sent by October 9, 2008 to: SAMHSA
Desk Officer, Human Resources and Housing Branch, Office of Management
and Budget, New Executive Office Building, Room 10235, Washington, DC
20503; due to potential delays in OMB's receipt and processing of mail
sent through the U.S. Postal Service, respondents are encouraged to
submit comments by fax to: 202-395-6974.
Dated: August 28, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E8-20884 Filed 9-8-08; 8:45 am]
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