Notice2021-21280
Submission for OMB Review; Mental Health Care Services for Unaccompanied Children (New Collection)
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
September 30, 2021
Issuing agencies
Health and Human Services DepartmentChildren and Families Administration
Abstract
The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is inviting public comments on the proposed collection. The request consists of several forms that allow the Unaccompanied Children (UC) Program to provide mental health care services to UC.
Full Text
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<title>Federal Register, Volume 86 Issue 187 (Thursday, September 30, 2021)</title>
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[Federal Register Volume 86, Number 187 (Thursday, September 30, 2021)]
[Notices]
[Pages 54199-54200]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-21280]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Mental Health Care Services for
Unaccompanied Children (New Collection)
AGENCY: Office of Refugee Resettlement, Administration for Children and
Families, Department of Health and Human Services.
ACTION: Request for public comment.
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SUMMARY: The Office of Refugee Resettlement (ORR), Administration for
Children and Families (ACF), U.S. Department of Health and Human
Services (HHS), is inviting public comments on the proposed collection.
The request consists of several forms that allow the Unaccompanied
Children (UC) Program to provide mental health care services to UC.
DATES: Comments due within 30 days of publication. OMB must make a
decision about the collection of information between 30 and 60 days
after publication of this document in the Federal Register. Therefore,
a comment is best assured of having its full effect if OMB receives it
within 30 days of publication.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
SUPPLEMENTARY INFORMATION:
Description: ORR received several comments on this information
collection in response to the Federal Register Notice published on
January 7, 2021, (86 FR 1114) and has provided responses to those
comments in its final submission to OMB. UC Path is critical to program
operations and it is important that rollout of the new system not be
delayed. Therefore, the below description details what will be included
in the initial launch of the UC Path case management system and
revisions based on public comments will be made after initial launch.
ORR plans to conduct a deliberative review of commenters' suggestions
and concerns and submit a request for revisions to this information
collection request in January 2022. The upcoming information collection
request will also include revisions based on feedback from UC Path
system users (i.e., ORR grantee, contractor, and federal staff).
1. Initial Mental Health Evaluation (Form MH-1): This instrument is
used by clinicians to document the UC's mental state upon arrival to
the care provider facility. It includes an
[[Page 54200]]
assessment of the UC's current mental state, psychiatric history, and
substance use history.
2. Columbia Suicide Severity Rating Scale (SSRS) Risk Assessment
(Form MH-2): This instrument is used by clinicians to assess suicide
risk for UC who verbalize or demonstrate suicidal thoughts or behavior.
It is a shorter version of the standard Columbia SSRS used to triage
mental health care for UC, a tool designed to support suicide risk
assessment through a series of simple, plain-language questions that
anyone can ask. The Columbia SSRS includes the most essential,
evidence-supported questions required for a thorough assessment.
Further information about the Columbia SSRS can be found at <a href="https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/">https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/</a>.
3. Mental Health Group Event (Form MH-3): This instrument is used
by clinicians to document group counseling or community meetings held
at the care provider program.
4. Clinical Contact Log (Form MH-4): This instrument is used by
clinicians to document the following mental health services: Individual
counseling, group counseling, community meetings, family counseling
sessions, screenings/evaluations, and collateral contact with services
providers involved in the UC's case. Mental Health Group Events (Form
MH-3) may be linked to a Clinical Contact Log entry.
5. Mental Health Referral (Form MH-5): This instrument is used by
clinicians and/or medical coordinators to refer a UC for community-
based mental health care services (assessments/evaluations,
psychotherapy, medical referrals, and treatment); acute and long-term
psychiatric hospitalizations; and referrals to out-of-network
residential treatment centers.
6. Mental Health Service Report (Form MH-6): This instrument is
used by clinicians and/or medical coordinators to document the
provision of community-based mental health care services (assessments/
evaluations, psychotherapy, medical referrals, and treatment); acute
and long-term psychiatric hospitalizations; and referrals to out-of-
network residential treatment centers. In addition, the UC interview
portion of the Out-of-Network Site Visit Report (Form M-3B), which is
part of a different information collection request, is accessible from
within this instrument.
7. Mental Health Task (Form MH-7): This instrument is auto-
generated to create reminders for clinicians and/or medical
coordinators of tasks that must be completed. Clinicians and/or medical
coordinators may edit the instrument after it is generated.
Revisions:
1. ORR plans to replace the term ``unaccompanied alien child (UC)''
with ``unaccompanied child (UC)'' throughout the instruments in this
collection. The revision in terminology will be made before the UC Path
system is launched.
2. ORR plans to remove the term ``alien'' from the title of this
information collection and revise it to read ``Mental Health Care
Services for Unaccompanied Children.''
Respondents: ORR grantee and contractor staff, and UC.
Annual Burden Estimates
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Annual total Average
Annual total number of burden Annual total
Instrument number of responses per minutes per burden hours
respondents respondent response
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Initial Mental Health Evaluation (Form MH-1).... 216 241 60 52,056
Columbia SSRS Risk Assessment (Form MH-2)....... 216 5 45 810
Mental Health Group Event (Form MH-3)........... 216 156 10 5,616
Clinical Contact Log (Form MH-4)................ 216 11,194 10 402,984
Mental Health Referral (Form MH-5).............. 216 24 45 3,888
Mental Health Service Report (Form MH-6)........ 216 31 45 5,022
Mental Health Task (Form MH-7).................. 216 55 5 990
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Estimated Annual Burden Hours Total:........ .............. .............. .............. 471,366
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Authority: 6 U.S.C. 279; 8 U.S.C. 1232; Flores v. Reno Settlement
Agreement, No. CV85-4544-RJK (C.D. Cal. 1996).
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2021-21280 Filed 9-29-21; 8:45 am]
BILLING CODE 4184-45-P
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