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pdfAttachment 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 cooccurring mental illness/serious emotional disturbance
(SED) in children and substance use disorders
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
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.
2020
Question #
2018 Survey
2020 Survey
Rationale for change
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: 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 firstand 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.
2020
Question #
2018 Survey
2020 Survey
Rationale for change
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
Response category: Children (12 or
younger)
Added response category: Young children (0-5)
Original category was split into two
categories. Proposed by SAMHSA’s
CMHS.
Added response category: Children (6-12)
A17
Response category: Seniors (65 or older)
Updated response category: Older adults (65 or
older)
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 clients (LGBTQ)
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.
To make labeling of demographic
groups consistent in questions A14
and A15.
2020
Question #
2018 Survey
2020 Survey
Rationale for change
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.
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.
C1
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.
2020
Question #
2018 Survey
2020 Survey
Rationale for change
C1a
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.
C1b
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.
C1b
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.
Attachment A.2a — Changes to Questionnaire – 2019 and 2021 N-MHSS
2021
Question #
2019 Survey
2021 Survey
Rationale for change
A1
Response category: Treatment for cooccurring serious mental illness
(SMI)/serious emotional disturbance (SED)
and substance use disorders
Updated response category: Treatment for cooccurring mental illness/serious emotional disturbance
(SED) in children and substance use disorders
Proposed by Assistant Secretary.
A1
Response category: Substance use
treatment
Updated response category: Substance use disorder
treatment
To use the appropriate term
recommended in the field.
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.
A11
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.”
A11
Response category: Behavior modification
Updated response category: Cognitive remediation
Proposed by SAMHSA’s CMHS.
A11
Response category: Integrated dual
disorders treatment
Updated response category: Integrated mental
health and substance use treatment
Proposed by SAMHSA’s CMHS.
A11
N/A
Added response category: Transcranial Magnetic
Stimulation (TMS)
Proposed by SAMHSA’s Chief Medical
Officer.
A11
N/A
Added response category: Ketamine Infusion
Therapy (KIT)
Proposed by SAMHSA’s Chief Medical
Officer.
A11
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.
2021
Question #
2019 Survey
2021 Survey
Rationale for change
A11
Response category: Psychotropic
medication
Removed response category
This domain is captured in questions
A11 and A11a, which are new for
2021.
A11
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.
A12
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 firstand second-generation antipsychotics.
A12a
N/A
Added question: Which of the following antipsychotics
are used for the treatment of SMI at this facility, at this
location?
A13
Response category: Court-ordered
outpatient treatment
Updated response category: Court-ordered
treatment
Recommended by experts in the field.
A13
N/A
Added response category: Assisted Outpatient
Treatment (AOT)
Proposed by Assistant Secretary.
A13
Response category: Consumer-run (peer
support) services
Updated response category: Peer support services
Recommended by experts in the field.
A13
N/A
Added response category: Testing for Hepatitis B
(HBV)
Proposed by SAMHSA’s Chief Medical
Officer.
A13
N/A
Added response category: Testing for Hepatitis C
(HCV)
Proposed by SAMHSA’s Chief Medical
Officer.
A13
N/A
Added response category: HIV testing
Proposed by SAMHSA’s Chief Medical
Officer.
A13
N/A
Added response category: STD testing
Proposed by SAMHSA’s Chief Medical
Officer.
A13
N/A
Added response category: TB screening
Proposed by SAMHSA’s Chief Medical
Officer.
A13
Response category: Smoking/tobacco
cessation counseling
Updated response category:
Smoking/vaping/tobacco cessation counseling
Proposed by SAMHSA’s Chief Medical
Officer.
2021
Question #
2019 Survey
2021 Survey
Rationale for change
A14
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
A15
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.
A16
Response category: Children (12 or
younger)
Added response category: Young children (0-5)
Original category was split into two
categories. Proposed by SAMHSA’s
CMHS.
Added response category: Children (6-12)
A16
Response category: Seniors (65 or older)
Updated response category: Older adults (65 or
older)
A17
Response category: Transitional age
young adults
Updated response category: Young adults
A17
Response category: Seniors or older
adults
Updated response category: Older adults
A17
N/A
Added response category: Persons experiencing
first-episode psychosis
Proposed by SAMHSA’s CMHS.
A17
N/A
Added response category: Persons who have
experienced intimate partner violence, domestic
violence
Proposed by SAMHSA’s Chief Medical
Officer.
A17
Response category: Lesbian, gay,
bisexual, or transgender clients (LGBT)
Updated response category: Lesbian, gay, bisexual,
transgender, or queer/questioning clients (LGBTQ)
Proposed by SAMHSA’s Chief Medical
Officer.
A19
N/A
Added question: Does this facility offer services for
psychiatric emergencies onsite?
Proposed by SAMHSA’s CMHS.
A20
N/A
Added question: Does this facility offer mobile/off-site
psychiatric crisis services?
Proposed by SAMHSA’s CMHS.
A26
N/A
Added response category: Federal grants
Proposed by Assistant Secretary.
To make labeling of demographic
groups consistent in questions A13
and A14.
2021
Question #
A26
2019 Survey
N/A
2021 Survey
Added response category: Private or Community
foundation
Rationale for change
Based on write-in analysis for this
question, this entry had the highest
frequency count in prior years.
| File Type | application/pdf |
| Author | Matt Potts |
| File Modified | 2019-10-29 |
| File Created | 2019-10-29 |