[Federal Register Volume 76, Number 6 (Monday, January 10, 2011)]
[Notices]
[Pages 1446-1448]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-209]
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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: Program Evaluation for Assertive Adolescent & Family Treatment
(AAFT) Program--NEW
The Substance Abuse and Mental Health Services Administration's
(SAMHSA), Center for Substance Abuse Services (CSAT) has implemented
the Assertive Adolescent and Family Treatment (AAFT) program to promote
the adoption of evidence-based practices by community providers in the
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area of adolescent substance use treatment. The AAFT program provides
evidence-based substance use services to adolescents and their
families, as well as to transition-age youth (TAY), caregivers, and
their families/mentors. This program is based on evidence that
families/caregivers and other appropriate adults are an integral part
of the treatment process and their inclusion in services increases the
likelihood of successful treatment and reintegration of adolescents/
TAYs into their communities following treatment. AAFT requires grantees
to implement the Adolescent Community Reinforcement Approach (A-CRA)
coupled with Assertive Continuing Care (ACC) to provide treatment that
is context-specific, family-centered, and community-based. Grantees are
also required to use the Global Appraisal of Individual Needs (GAIN) as
the common assessment instrument across programs to improve intake
assessment, clinical interpretation, monitoring, and data management.
The GAIN is used for diagnosis and to assist in placement, treatment
planning, local evaluation, and continuous quality improvement for
programs. In supporting AAFT and to ensure that each implementation
activity required by AAFT is implemented well and as faithfully as
possible by grantees, CSAT has provided, through Chestnut Health
Systems, a well-thought-out package of implementation supports,
including manual-assisted training in and certification for clinical
staff on A-CRA and ACC, training/certification in GAIN, monitoring/
coaching/mentoring/support for clinicians and supervisors,
implementation calls and monthly progress reports, and topical
workgroups that share ideas and resources among grantees. The
overarching objective of the multi-site, Assertive Adolescent and
Family Treatment (AAFT) process and outcome evaluation is to assess and
document the process of implementation in the 2009 cohort of AAFT
grantees and to explore the role that implementation supports play in
how well these programs evolve.
CSAT is requesting approval from the Office of Management and
Budget (OMB) to implement a data collection document, the Annual
Program Survey, to gather longitudinal data (end of each of 3 project
years) from a range of grantee personnel to evaluate the
implementation, expansion, and sustainability of adolescent substance
use services developed under the AAFT program.
The current proposal requests implementing the Annual Program
Survey to collect information in the following areas:
a. Attitudes toward evidence-based practices generally, and AAFT
model components in particular (e.g., attitudes toward using a
treatment manual, achieving certification);
b. Grantee involvement with the implementation supports provided by
Chestnut Health Systems and their reactions to those implementation
supports;
c. Perceived changes in clinical practice/behavior indicating
movement toward full A-CRA/ACC implementation;
d. Perceived barriers encountered in implementation and
compensatory strategies;
e. Report on project progress, including activities related to the
AAFT program, changes to program plans, project accomplishments, and
efforts to plan for sustainability of the program.
This information would be collected annually--in October/November
of each project year. The survey has three versions tailored to address
the respondents' roles in the grant (Principal Investigator/Program
Director, Clinical Supervisor/Clinician, and Evaluator/Data Manager).
Staffing patterns at each grantee site vary greatly; therefore, CSAT is
only able to estimate the total number of respondents for each category
based on initial grantee proposals. CSAT expects to conduct surveys
with approximately 21 administrators, 56 clinical staff, and 28
evaluators/data managers. The total number of respondents--105
individuals--represent project staff at three distinct levels across 14
grantee sites.
The burden estimate for completing the Annual Program Survey is as
follows:
Annual Reporting Burden--Summary Table
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Number of
Data collection activity respondents Responses per Total Average hours Total hour Wage rate Total hour
\1\ respondent \2\ responses per response burden (hourly) cost ($)
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CY 2010-12 Annual Reporting Burden
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AAFT Implementation Survey--Principal 21 1 21 0.75 15.75 50 787.50
Investigator/Program Director............
AAFT Implementation Survey--Clinical 56 1 56 0.75 42 26 1,092.00
Supervisor/Clinician.....................
AAFT Implementation Survey--Evaluator/Data 28 1 28 0.75 21 15 315.00
Manager..................................
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Annual Total.......................... 105 .............. 105 .............. 78.75 .............. 2,194.50
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\1\ Represents project staff at three distinct levels--administrators, clinical staff, evaluators--across 14 grantee sites. Number of respondents is an
average of respondents per role based on staffing patterns described in grantee proposals.
\2\ The AAFT Implementation Survey will be completed once by respondents at all 14 sites at the end of each project year.
Written comments and recommendations concerning the proposed
information collection should be sent by February 9, 2011 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: 202-395-5806.
[[Page 1448]]
Dated: January 3, 2011.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 2011-209 Filed 1-7-11; 8:45 am]
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