Federal Register: October 4, 2010 (Volume 75, Number 191)

DOCID: fr04oc10-37 FR Doc 2010-24847

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration

NOTICE: NOTICES

DOCID: fr04oc10-37

SUBJECT CATEGORY:

Agency Information Collection Activities: Submission for OMB Review; Comment Request

DOCUMENT SUMMARY:

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) 2761243. Proposed Project: Evaluation of Pregnant and Postpartum Women (PPW) Program

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT), is funding 11 fiscal year (FY) 2009 Services Grants for the Residential Treatment for Pregnant and Postpartum Women (PPW) Program. The purpose of the PPW Program is to provide costeffective, comprehensive, residential treatment services for pregnant and postpartum women who suffer from alcohol and other drug use problems, and for their infants and children impacted by the perinatal and environmental effects of maternal substance use and abuse.

Section 508 [290bb1] of the Public Health Service Act mandates the evaluation and dissemination of findings of residential treatment programs for pregnant and postpartum women. This crosssite accountability assessment will assess project activities implemented for these services.

CSAT is requesting approval for a total of 8,404 burden hours for this new data collection. CSAT is requesting approval for a total of 23 instruments. Of these 23 instruments, 18 instruments are clientlevel tools and 5 instruments are processlevel tools. To examine the effectiveness and impact of the PPW program, the current design includes both clientlevel outcomes and process evaluation components. The purpose of the outcome evaluation component is to examine the extent to which grantees accomplish the five core goals specified by the PPW program request for applications (RFA). These goals include:

Decrease the use and/or abuse of prescription drugs, alcohol, tobacco, illicit and other harmful drugs (e.g., inhalants) among pregnant and postpartum women;

Increase safe and healthy pregnancies; improve birth outcomes; and reduce related effects of maternal drug abuse on infants and children;

Improve the mental and physical health of the women and children;

Improve family functioning, economic stability, and quality of life; and

Decrease involvement in and exposure to crime, violence, sexual and physical abuse, and child abuse and neglect.

In order to help interpret clientlevel outcomes, the process evaluation will explore what grantees are actually doing, how well they are doing it, any challenges encountered, and strategies grantees used to address them.

Data collection instruments will be used to collect outcome and process data for this crosssite accountability evaluation, program and treatment planning, and local evaluations. For clients, data will be collected from women at four time points (intake, 6months postintake, discharge, and 6months postdischarge), consistent with the GPRA data collection schedule. The schedule for collecting child data is similar to the mothers, with the addition of a 3month postintake time point. The following interview instruments will be used for women, fathers/ mother's partner, and children:
Women Focused Tools

BASIS24[supreg] (psychological symptomology).

Child Abuse Potential Inventory (overall risk for child physical abuse).

Ferrans and Powers Quality of Life Index (quality of life measure).

Family Support Scale (helpfulness of sources of support to parents raising a young child).

Women's Discharge Tool (services received, length of stay, treatment goals achieved).

Staff Completed Women's Items (pregnancy status, problems and outcomes).

Items Administered to Women (children residing with mother in
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treatment, tobacco use, physical abuse and sexual abuse in the past year).
Father and Partner Focused Tools

Ferrans and Powers Quality of Life Index (quality of life measure).
Child Focused Tools

Brief Infant Toddler Social and Emotional Assessment (children 1235 months; social and emotional assessment).

Child Data Collection Tool (all children; descriptive biopsychosocial measure).

Children's Discharge Tool (all children; services received, length of stay, treatment goals achieved, whether child lived in the facility).

CRAFFT (children 1117; adolescent substance use screen).

Newborn's Medical Record Audit (childen birth3 months; birth outcomes).

Parenting Relationship Questionnaire (children 217 years; parent's relationship with child).

Parenting Stress Index (children 1 month12 years; parenting stress).

Social Skills Improvement System (children 317 years; social skills).

Trauma Symptom Checklist for Young Children (312 years; trauma symptoms).

Staff Completed Child Items (children 017; prematurity, child's recent primary residence, whether child will reside in treatment with mother).

Staff Completed Newborn Items (children 03 months; prematurity, length of stay in hospital, neonatal intensive care unit (NICU), and treatment for neononatal abstinence syndrome).

Note that all child focused tools are records reviews or administered as maternal interviews with the exception of CRAFFT, which is administered to the children directly.
Process Evaluation Tools

Biannual Project Director Telephone Interview (interview with grantee project directors to clarify information reported in their biannual progress reports);

Site Visit ProtocolClient Focus Group (focus groups with clients to gather information about their experience in the program);

Site Visit ProtocolClinical Director(s)/Supervisor(s) (interviews with both the director of clinical services for women and the director of clinical services for children to gather more specific information about clinical services);

Site Visit ProtocolCounselor(s) (interviews with counselors to gather information related to daily treatment operations and their experience in providing services); and

Site Visit ProtocolProgram Director (interview with grantee program directors to gather information about overall PPW programmatic issues).

All data will be collected using a combination of observation, records review, questionnaires, and personal interviews. CSAT will use this data for accountability reporting, and program monitoring to inform public policy, research, and programming as they relate to the provision of women's services. Data produced by this study will provide direction to the type of technical assistance that will be required by service providers of women's programming. In addition, the data will be used by individual grantees to support progress report efforts.

The total annualized burden to respondents for all components of the PPW program is estimated to be 8,404 hours. Table A1 presents a detailed breakdown of the annual burden for all data collection instruments for all respondents (i.e., mother, child, project staff, partner/father (family members), medical staff, project director, clinical director, counselor, program director). The number of respondents for all childfocused tools is weighted, based on the percentage of children within the appropriate age bracket in the prior PPW evaluation. With the exception of the CRAFFT, all childfocused tools are completed for the child by the mother or project staff. The burden estimates, also summarized in Table A2, are based on the reported experience of the 2006 cohort, proprietary instrument developer estimates and experience, pretesting of the additional items completed by staff and administered to women, and pretesting of process evaluation measures. There are no direct costs to respondents other than their time to participate.
Table A1Detailed Annual Burden for All Interviews & Surveys Number of Interviews and surveys Respondent respondents Responses per Total Burden per Total burden \1\ respondent responses resp. (hrs.) (hrs.) Child Focused Interviews:

CRAFFT (1117 yrs) \2\................ Child....................... 70 5 350 0.08 28

Brief Infant Toddler Social and Mother...................... 141 5 705 0.17 120 Emotional Assessment (1235 mos) \3\.

Child Data Collection Tool (017 yrs) Mother...................... 440 2 880 0.75 660 \4\.

Parenting Relationship Questionnaire Mother...................... 387 5 1,935 0.25 484 (217 yrs) \5\.

Parenting Stress Index (1 month12 Mother...................... 418 10 4,180 0.5 2,090 yrs) \6\.

Social Skills Improvement System (317 Mother...................... 326 5 1,630 0.42 685 yrs) \7\.

Trauma Symptom Checklist for Young Mother...................... 290 5 1,450 0.33 479 Children (312 yrs) \8\.

Women Focused Interviews:

BASIS24[reg]......................... Mother...................... 440 4 1,760 0.25 440

Child Abuse Potential Inventory....... Mother...................... 440 4 1,760 0.33 581

Family Support Scale.................. Mother...................... 440 4 1,760 0.17 299

Ferrans and Powers Quality of Life Mother...................... 440 4 1,760 0.17 299 Index (Women).

Items Administered to Women........... Mother...................... 440 4 1,760 0.17 299 Partners/Fathers Interview:

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Ferrans and Powers Quality of Life Partner/Father.............. 110 2 220 0.17 37 Index (Partners).
Staff Completed Items/Record Reviews at 11

Facilities:

Children's Discharge Tool (017 yrs) Project Staff............... 11 80 880 0.58 510 \9\.

Women's Discharge Tool................ Project Staff............... 11 40 440 0.58 255

Newborn's Medical Record Audit (03 Medical Staff............... 11 25 275 0.08 22 mos) \10\.

Staff Completed Newborn Items......... Medical Staff............... 11 25 275 0.25 69

Staff Completed Child Items (017 yrs) Project Staff............... 11 400 4,400 0.08 352 \11\.

Staff Completed Women's Items \12\.... Project Staff............... 11 160 1,760 0.17 299 Process Evaluation:

Biannual Project Director Telephone Project Director............ 11 2 22 1 22 Interview.

Site Visit ProtocolClient Focus Mother...................... 176 1 176 1.5 264 Group \13\.

Site Visit ProtocolClinical Director/ Clinical Director/Supervisor 22 1 22 2 44 Supervisor.

Site Visit ProtocolCounselor(s)..... Counselor................... 33 1 33 1 33

Site Visit ProtocolProgram Director. Program Director............ 11 1 11 3 33
Total............................. ............................ 4,701 .............. 28,444 .............. 8,404 \1\ Data will be collected from women at four time points (intake, 6months postintake, discharge, and 6months postdischarge), consistent with the GPRA data collection schedule. Figures in this table are based on 40 mothers per site with 2 children and 0.25 father/partner per mother. The schedule for collecting child data is similar to the mother's with the addition of a 3months postintake time point with selected tools for a total of five time points. All child focused tools are completed by the mother or project staff, with the exception of CRAFFT. For fathers and partners, data will be collected at two points (intake and discharge).
\2\ Based on 8% of 880 minor children ages 11 to 17 at intake, 3 months, 6 months, discharge, and 6months postdischarge. \3\ Based on 16% of 880 minor children ages 1235 months at intake, 3 months, 6 months, discharge, and 6months postdischarge. \4\ Based on 440 mothers having 2 minor children at intake and/or delivery. \5\ Based on 44% of 880 minor children ages 2 to 17 at intake, 3 months, 6 months, discharge, and 6months postdischarge. \6\ Based on 95% of 880 minor children ages 1 month to 12 years (n = 836). For simplicity, this calculation assumes that 95% of mothers have two children in this age group and complete the tool for each child at intake, 3 months, 6 months, discharge, and 6months postdischarge. \7\ Based on 37% of 880 minor children ages 3 to 17 at intake, 3 months, 6 months, discharge, and 6months postdischarge. \8\ Based on 33% of 880 minor children ages 3 to 12 at intake, 3 months, 6 months, discharge, and 6months postdischarge. \9\ Based on 1 staff member at each of the 11 programs completing the tool for 80 children at discharge. \10\ Based on 31% of 880 minor children ages 03 months at intake or delivery. \11\ Based on 80 minor children per site ages 0 to 17 at intake, 3 months, 6 months, discharge, and 6months postdischarge. \12\ Based on 1 staff member at each of the 11 programs completing items for 40 women at intake, 6 months, discharge, and 6months postdischarge. \13\ Based on 2 focus groups with 8 mothers at each site.
Table A2Summary Total Annual Respondent Burden Number of Responses per Total Hours per Total hour Respondent respondents respondent responses response burden Mothers......................... 440 .............. 19,756 .............. 6,700 Partners/Fathers................ 110 .............. 220 .............. 37 Children (1117 yrs)............ 70 .............. 350 .............. 28 Medical Staff................... 11 .............. 550 .............. 91 Project Staff................... 11 .............. 7,480 .............. 1,416 Project Director................ 11 .............. 22 .............. 22 Clinical Director/Supervisor.... 22 .............. 22 .............. 44 Counselor....................... 33 .............. 33 .............. 33 Program Director................ 11 .............. 11 .............. 33

Total....................... 719 .............. 28,444 .............. 8,404

Note: Total number of respondents represents the number of each type of respondent that will be completing at least one tool across eleven sites over one year of data collection. The number of respondents (719) reported on this table differs from Table A1 total number of respondents (4,701) which reflects completion of all tools across eleven sites over one year of data collection.

Written comments and recommendations concerning the proposed information collection should be sent by November 3, 2010 to: SAMHSA Desk Officer, Human
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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: 2023957285.

Dated: September 28, 2010.
Elaine Parry,
Director, Office of Management, Technology and Operations.
[FR Doc. 201024847 Filed 10110; 8:45 am]
BILLING CODE 416220P

SUMMARY:

Agency Information Collection Activities; Proposals, Submissions, and Approvals

DOCUMENT BODY 2: