[Federal Register Volume 64, Number 54 (Monday, March 22, 1999)]
[Notices]
[Pages 13806-13808]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-6863]
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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
[[Page 13807]]
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 the SAMHSA
Reports Clearance Officer on (301) 443-7978.
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 respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: State Treatment Outcomes and Performance Pilot
Studies Enhancement (TOPPS II)--New--The Center for Substance Abuse
Treatment (CSAT) will develop a standardized approach that
systematically measures the treatment outcomes of clients as they
progress through State substance abuse treatment systems funded by the
Substance Abuse Prevention and Treatment Block Grant (SAPT BG). The
goal underlying TOPPS II is to enable Single State Authorities (SSAs)
to collect information on SAPT BG funded treatment services and to
monitor common substance abuse treatment effectiveness data measures
across various State management information systems (MISs). The TOPPS
II program supports initiatives to design or enhance State MISs or
outcomes monitoring systems (OMS) which assess treatment outcomes
measures and costs for providing treatment services. Nineteen SSAs are
planning to conduct and pilot test studies of specific components of
substance abuse treatment systems by incorporating common data measures
across all nineteen States on an inter-State (i.e., with the States
acting mutually together) basis. The TOPPS II study furthers the work
begun by CSAT under TOPPS I. Ten of the nineteen TOPPS II States had
received TOPPS I funding. Most of these States are now using the
treatment outcomes assessment instruments developed during the TOPPS I
project. All such instruments received OMB approval (OMB control number
0930-0182).
During TOPPS II initial project implementation, a consensus-derived
core data set has been designed to identify key performance measures in
two domains: Effectiveness and efficiency. Within these domains, data
will be collected that will permit States and CSAT to assess client
outcomes (improvement) for indicators such as confinement in a
controlled environment, frequency of overnight hospitalizations and
emergency room visits, pregnancy status, child care responsibilities,
employment patterns, participation in vocational training or
educational programs, arrests, living arrangements, and drug use
patterns. These data will be collected through completion of the
client-oriented core data set.
The inter-State evaluation design for TOPPS II participants will be
a pre-test/post-test design that collects standardized data at client
intake, discharge, and again at follow-up. This time frame is necessary
to allow treatment providers the opportunity to assess the complex
causal links between program processes and client outcomes and to
monitor common substance abuse treatment effectiveness data measures
across various State MISs. In addition, all State-specific designs will
incorporate measures of client satisfaction at selected intervals,
which is essential to the assessing the quality, efficiency and
efficacy of services.
This initiative is crucial to support CSAT in developing State
substance abuse treatment accountability measures. The inter-State data
base will incorporate standardized outcome measures which will be
voluntarily reported on by States in their Fiscal Year 2000 SAPT BG
applications. It will also comply with GPRA reporting requirements to
establish measurable performance goals for SAPT BG recipients. Through
these efforts, TOPPS II will contribute to the future development of a
standardized national approach that measures the effectiveness and
efficiency of public substance abuse treatment system. The estimated
annualized burden for TOPPS II core data set collection for the inter-
State evaluation design, over the next three years is presented below.
Three-Year Reporting Burden
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Number of
State and study Number of responses/ Total Hours per Total hour
respondents respondent responses response burden
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Arizona:
TOPPS II Core Data Elements. 600 4 2,400 0.17 408
Client Satisfaction......... 600 1 600 0.08 48
Arkansas:
TOPPS II Core Data Elements. 1,125 3 3,375 0.17 574
Client Satisfaction......... 1,125 1 1,125 0.08 90
California:
TOPPS II Core Data Elements. 2,700 3 8,100 0.17 1,377
Client Satisfaction......... 2,700 1 2,700 0.08 216
Connecticut:
TOPPS II Core Data Elements. 240 3 720 0.17 122
Client Satisfaction......... 240 1 240 0.08 19
Illinois:
TOPPS II Core Data Elements. 2,000 3 6,000 0.17 1,020
Client Satisfaction......... 2,000 1 2,000 0.08 160
Iowa:
TOPPS Core Data Elements.... 500 3 1.500 0.17 255
Client Satisfaction......... 500 1 500 0.08 40
Kentucky:
TOPPS II Core Data Elements. 600 3 1,800 0.17 306
Client Satisfaction......... 600 1 600 0.08 48
Maryland:
Client Satisfaction......... 5,100 1 5,100 0.08 408
Massachusetts:
[[Page 13808]]
TOPPS II Core Data Elements. 1,532 3 4,596 0.17 781
Client Satisfaction......... 1,532 1 1,532 0.08 123
Missouri:
TOPPS Core Data............. 500 3 1,500 0.17 255
Client Satisfaction......... 500 1 500 0.08 40
New Jersey:
TOPPS II Core Data Elements. 1,200 3 3,600 0.17 612
Client Satisfaction......... 1,200 1 1,200 0.08 96
New Hampshire:
TOPPS II Core Data Elements. 657 3 1971 0.17 335
Client Satisfaction......... 657 1 657 0.08 53
New York:
TOPPS II Core Data Elements. 1,875 3 5,625 0.17 956
Client Satisfaction......... 1,875 1 1,875 0.08 150
Oklahoma:
Client Satisfaction......... 8,400 1 8,400 0.08 672
Rhode Island:
TOPPS II Core Data Elements. 1,200 3 3,600 0.17 612
Client Satisfaction......... 1,200 1 1,200 0.08 96
Texas:
TOPPS II Core Data Elements. 1,750 3 5,250 0.17 893
Client Satisfaction......... 1,750 1 1,750 0.08 140
Utah:
TOPPS II Core Data Elements. 1,050 3 3,150 0.17 536
Client Satisfaction......... 1,050 1 1,050 0.08 84
Virginia:
TOPPS II Core Data Elements. 1,600 3 4,800 0.17 816
Client Satisfaction......... 1,600 1 1,600 0.08 128
Washington:
Client Satisfaction......... 32,000 1 32,00 0.08 2560
Total 3-Year Burden......... .............. .............. .............. .............. 15,029
Annualized Burden........... .............. .............. .............. .............. 5,010
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Send comments to Nancy Pearce, SAMHSA Reports Clearance Officer,
Room 16-105, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.
Written comments should be received within 60 days of this notice.
Dated: March 16, 1999
Richard Kopanda,
Executive Officer, SAMHSA.
[FR Doc. 99-6863 Filed 3-19-99; 8:45 am]
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