Changes to Questionnaire

Attachment A.1a — Changes to Questionnaire – 2018 and 2020 N-MHSS

2020 Question #	2018 Survey	2020 Survey	Rationale for change
A1	N/A	Added response category: Treatment for co-occurring disorders plus either serious mental illness (SMI) in adults and/or serious emotional disturbance (SED) in children	In response to questions/concerns from the public, this category was added to provide information on the Locator regarding the facility’s provision of treatment of co-occurring SMI/SED and substance use disorders.
A1	Response category: Substance abuse treatment	Updated response category: Substance use disorder treatment	To use the appropriate term recommended in the field.
A4	Response category: Veterans Administration Medical Center (VAMC) or other VA health care facility	Updated response category: Veterans Affairs Medical Center (VAMC) or other VA health care facility	Updated text to use current name of Department.
A4	N/A	Added response category: Certified Community Behavioral Health Clinic (CCBHC)	As requested by experts in the field and facilities calling the helpline to have this category added.
A7	N/A	Added question: Does this facility, at this location, provide any of the following services?	Incorporated from the BHSIS Augmentation Screener to further identify types and focus of mental health facilities. These screener questions determine eligibility for N-MHSS.
A8	Response categories referencing: Substance abuse treatment	Updated response categories referencing: Substance use treatment	To use the appropriate term recommended in the field.
A12	Question: Which of these mental health treatment approaches are offered at this facility, at this location?	Updated question: Which of these mental health treatment modalities are offered at this facility, at this location?	As suggested by SAMHSA’s Center for Mental Health Services (CMHS), the correct term in the question is “modalities” rather than “approaches.”
A12	Response category: Behavior modification	Updated response category: Cognitive remediation	Proposed by SAMHSA’s CMHS.
A12	Response category: Integrated dual disorders treatment	Updated response category: Integrated mental health and substance use treatment	Proposed by SAMHSA’s CMHS.
A12	N/A	Added response category: Transcranial Magnetic Stimulation (TMS)	Proposed by SAMHSA’s Chief Medical Officer.
A12	N/A	Added response category: Ketamine Infusion Therapy (KIT)	Proposed by SAMHSA’s Chief Medical Officer.
A12	N/A	Added response category: Eye Movement Desensitization and Reprocessing (EMDR) therapy	Based on write-in analysis for this question, this entry had the highest frequency count in prior years.
A12	Response category: Telemedicine/telehealth therapy	Updated response category: Telemedicine/telehealth therapy (including Internet, Web, mobile, and desktop programs)	To further clarify response category.
A12	Response category: Psychotropic medication	Removed response category	This domain is captured in questions A12 and A12a, which are new for 2020.
A12	Response category: None of these mental health treatment approaches are offered	Updated response category: None of these mental health treatment modalities are offered	Changed “approaches” to “modalities” to be consistent with updated question.
A13	N/A	Added question: Does this facility offer pharmacotherapy, that is, the use of antipsychotics for the treatment of serious mental illness (SMI)?	These are brand new questions, based on request from SAMHSA’s Policy Lab. The questions ask about pharmacotherapy and specific first- and second-generation antipsychotics.
A13a	N/A	Added question: Which of the following antipsychotics are used for the treatment of SMI at this facility, at this location?
A14	Response category: Court-ordered outpatient treatment	Updated response category: Court-ordered treatment	Recommended by experts in the field.
A14	N/A	Added response category: Assisted Outpatient Treatment (AOT)	Proposed by Assistant Secretary.
A14	Response category: Consumer-run (peer support) services	Updated response category: Peer support services	Recommended by experts in the field.
A14	N/A	Added response category: Testing for Hepatitis B (HBV)	Proposed by SAMHSA’s Chief Medical Officer.
A14	N/A	Added response category: Testing for Hepatitis C (HCV)	Proposed by SAMHSA’s Chief Medical Officer.
A14	N/A	Added response category: HIV testing	Proposed by SAMHSA’s Chief Medical Officer.
A14	N/A	Added response category: STD testing	Proposed by SAMHSA’s Chief Medical Officer.
A14	N/A	Added response category: TB screening	Proposed by SAMHSA’s Chief Medical Officer.
A14	Response category: Smoking/tobacco cessation counseling	Updated response category: Smoking/vaping/tobacco cessation counseling	Proposed by SAMHSA’s Chief Medical Officer.
A15	N/A	Added question: Did you answer “yes” to treatment for co-occurring mental illness/serious emotional disturbance (SED) in children and substance use disorders in question A1 above (option 5)?	To facilitate respondents answering question A16 only when they respond “yes” to A1 category 5
A16	N/A	Added question: Which of the following services are provided to clients with co-occurring mental health and substance use disorders at this facility?	Proposed by Assistant Secretary.
A17	N/A	Added bullet: If any of the ages that you accept fall within a category below, mark YES to that category.	To further clarify response options.
A17	Response category: Children (12 or younger)	Added response category: Young children (0-5) Added response category: Children (6-12)	Original category was split into two categories. Proposed by SAMHSA’s CMHS.
A17	Response category: Seniors (65 or older)	Updated response category: Older adults (65 or older)	To make labeling of demographic groups consistent in questions A14 and A15.
A18	Response category: Transitional age young adults	Updated response category: Young adults
A18	Response category: Seniors or older adults	Updated response category: Older adults
A18	N/A	Added response category: Persons experiencing first-episode psychosis	Proposed by SAMHSA’s CMHS.
A18	N/A	Added response category: Persons who have experienced intimate partner violence, domestic violence	Proposed by SAMHSA’s Chief Medical Officer.
A18	Response category: Lesbian, gay, bisexual, or transgender clients (LGBT)	Updated response category: Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) clients	Proposed by SAMHSA’s Chief Medical Officer.
A20	N/A	Added question: Does this facility offer services for psychiatric emergencies onsite?	Proposed by SAMHSA’s CMHS.
A21	N/A	Added question: Does this facility offer mobile/off-site psychiatric crisis services?	Proposed by SAMHSA’s CMHS.
A24	Response category: Periodic utilization review	Updated response category: Continuous quality improvement processes	Recommended by SAMHSA’s CMHS.
A24	N/A	Added response category: Clinical provider peer review (CPPR)	Proposed by SAMHSA’s Chief Medical Officer.
A24	N/A	Added response category: Root cause analysis (RCA)	Proposed by SAMHSA’s Chief Medical Officer.
A27	Question: For each of the following activities, please indicate if staff members routinely use computer or electronic resources, paper only, or a combination of both to accomplish their work.	Updated question: Please indicate what method staff members routinely use to accomplish the following work activities.	Updated question to reflect addition of category response options.
A27	Response columns: COMPUTER/ELECTRONIC ONLY PAPER ONLY BOTH ELECTRONIC AND PAPER NA	Updated response columns: ELECTRONIC HEALTH RECORDS (EHR) COMPUTER-BASED (NON-EHR) PAPER NA	Proposed by Assistant Secretary.
A27	N/A	Added response category: Updating availability of beds	Proposed by SAMHSA’s CMHS.
A28	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A28a	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A29	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A29a	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A30	Question instruction: MARK “YES,” “NO” OR “DON’T KNOW” FOR EACH	Question instruction: MARK ALL THAT APPLY	To reduce response burden.
A30	N/A	Added response category: Federal grants	Proposed by Assistant Secretary.
A30	N/A	Added response category: Private or Community foundation	Based on write-in analysis for this question, this entry had the highest frequency count in prior years.
A31	Question instruction: MARK “YES,” “NO” OR “DON’T KNOW” FOR EACH	Question instruction: MARK ALL THAT APPLY	To reduce response burden.
A31	N/A	Added response category: We do not have licensing, certification, or accreditation from any of these organizations	To allow a “none of the above” response for the MARK ALL THAT APPLY question.
A32	Question: C1	Renumbered question: A32	To align all facility-level questions.
A32	Question: If eligible, does this facility want to be listed in SAMHSA’s online Behavioral Health Treatment Services Locator?	Updated question: If eligible, does this facility want to be listed in SAMHSA’s online Behavioral Health Treatment Services Locator and Mental Health Directory?	Make question text consistent with the N-SSATS.
A32a	Question: C1a	Renumbered question: A32a	To align all facility-level questions.
A32a	N/A	Added question: Does this facility want the street address and/or mailing address to be listed in SAMHSA’s online Behavioral Health Treatment Services Locator and Mental Health Directory?	This question was added to give facilities the option to list which address they wanted to make available in the Locator/directories, as some facilities expressed not wanting to share their physical location for security purposes or mailing address to avoid junk mail.
A32b	Question: C1b	Renumbered question: A32b	To align all facility-level questions.
A32b	Question: To increase public awareness of behavioral health services, SAMHSA may be sharing facility contact information with large commercially available Internet search engines, such as Google, Bing, Yahoo!, etc. Do you want your facility information shared on these Internet search engines?	Question: To increase public awareness of behavioral health services, SAMHSA may be sharing facility information with large commercially available Internet search engines (such as Google, Bing, Yahoo!, etc.), businesses (such as any .com, .org, .edu, etc.) or individuals asking for this information for any purpose. Do you want your facility information shared?	To provide a more comprehensive list of entities with which this information might be shared.
A32b	Bullet: Information to be shared would be: facility name, location address, telephone number, and website address.	Updated bullet: Information to be shared would be: facility name, location address, telephone number, website address, and all asterisked items in the questionnaire.	To elaborate on the information that might be shared with entities.
B3b	Category header: GENDER	Updated category header: SEX	Proposed by OMB.
B4b	Category header: GENDER	Updated category header: SEX	Proposed by OMB.
B5b	Category header: GENDER	Updated category header: SEX	Proposed by OMB.
END	Public Burden Statement: “…15E57-B…”	Updated Public Burden Statement: “…15E54…”	Updated SAMHSA room number.