04-1169. 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 [phone].

National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program, Phase Four—New—SAMHSA's Center for Mental Health Services (CMHS) is conducting Phase IV of this national evaluation project among grantees newly funded in FY 2002 and 2003. The national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program will collect data on child mental health outcomes, family life, and service system development and performance.

Data will be collected on 32 service systems, and approximately 7,868 children and families. Data collection for this evaluation will be conducted in each site over a five-year period. The core of service system data will be collected every 18 months throughout the 5-year evaluation period, with a sustainability survey conducted in selected years. Service delivery and system variables of interest include the following: maturity of system of care development, adherence to the system of care program model, and client service experience. The length of time that individual families will participate in the study ranges from 18 to 36 months depending on when they enter the evaluation.

Child and family outcomes of interest will be collected at intake and during subsequent follow-up sessions at six-month intervals. The outcome measures include the following: child symptomatology and functioning, family functioning, material resources, and caregiver strain. In addition, an evidence-based treatment study will examine the relative impact of evidence-based treatments focused on substance use prevention within two systems of care. Time-limited studies addressing the cultural competence of services and the role of primary care providers in systems of care will be conducted at selected points during the evaluation period. Internet-based technology will be used for collecting data via Web-based surveys and for data entry and management. The average annual respondent burden is estimated below.

Instrument and respondent	No. of respondents	Avg. # of responses per respondent	Hours per response	Total burden hours	6.5 yr. avg. annual burden hours
System of Care Assessment
Interview Guides and Data Collection Forms: Key site informants	672	3	1	2,016	310
Interagency Collaboration Scale: Key site informants	672	3	0.13	269	41
Cross-sectional Descriptive Study
Descriptive Interview Questionnaire: Caregiver	7,868	6	0.283	10,097	1,279
Child and Family Outcome Study
Caregiver Strain Questionnaire: Caregiver	7,868	6	0.167	7,884	1,213
Child Behavior Checklist: Caregiver	7,868	6	0.333	15,720	2,418
Education Questionnaire: Caregiver	7,868	6	0.1	4,721	726
Living Situations Questionnaire: Caregiver	7,868	6	0.083	3,934	605
The Family Life Questionnaire: Caregiver	7,868	6	0.050	2,360	363
Behavioral and Emotional Rating Scale: Caregiver	7,475	6	0.167	7,490	1,152
Columbia Impairment Scale: Caregiver	7,475	6	0.083	3,737	575
The Vineland Screener: Caregiver	393	6	0.25	590	91
Delinquency Survey: Youth	4,721	6	0.167	4,721	726
Behavioral and Emotional Rating Scale: Youth	4,721	6	0.167	4,721	726
Gain-quick Substance Related Issues: Youth	4,721	6	0.083	2,360	363
Substance Use Scale: Youth	4,721	6	0.100	2,832	436
Revised Children's Manifest Anxiety Scales: Youth	4,721	6	0.050	1,416	218
Reynolds Adolescent Depression Scale-Second Edition: Youth	4,721	6	0.050	1,416	218
Youth Information Questionnaire: Youth	4,721	6	0.167	4,721	629
Service Experience Study
Multi-Sector Service Contacts: Caregiver	7,868	5	0.333	13,113	2,017
Cultural Competence and Service Provision Questionnaire: Caregiver	7,868	5	0.167	6,557	1,009
Youth Services Survey—Family: Caregiver	7,868	5	0.083	3,278	504
Youth Services Survey: Youth	4,721	5	0.083	1,967	303
Treatment Effectiveness Study
Diagnostic Interview Schedule for Children version IV: Caregiver	262	1	1.000	262	40
Treatment Fidelity Protocol: Caregiver	240	5	0.500	600	92
Treatment Fidelity Protocol: Youth	240	5	0.500	600	92
Treatment Fidelity Protocol: Provider	240	5	0.500	600	92
Treatment Outcome Measure: Caregiver	240	6	1.000	1,440	221
Treatment Outcome Measure: Youth	240	6	1.000	1,440	221
System-of-Care Practice Review: Caregiver	80	1	1.000	80	12
System-of-Care Practice Review: Youth	80	1	0.750	60	9
System-of-Care Practice Review: Provider	80	1	1.000	80	12
System-of-Care Practice Review: Informal Provider	80	1	0.250	20	3
Provider Attitudes Survey-Site Selection Screener: Provider	450	1	0.083	37	6
Provider Attitudes Survey:	240	1	0.083	20	3
Sustainability Study
Sustainability Survey: Provider/Administrator	128	3	0.750	288	44
Culturally Competent Practices Study
Culturally Competent Practices Survey: Provider	960	1	0.500	480	74
Culturally Competent Practices Focus Group: Caregiver	36	1	1.500	54	8
Culturally Competent Practices Focus Group: Youth	36	1	1.500	54	8
Culturally Competent Practices Focus Group: Provider/Administrator	60	1	1.500	90	14
Primary Care Providers Study
Primary Care Providers Survey: Provider	960	1	0.333	320	49
Total				112,447	17,299

Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice 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: January 13, 2004.

Anna Marsh,

Acting Executive Officer, SAMHSA.