Changes to Questionnaire 2019 and 2021

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 co-occurring serious mental illness (SMI)/serious emotional disturbance (SED) and substance use disorders	Updated response category: Treatment for co-occurring disorders plus either serious mental illness (SMI) in adults and/or serious emotional disturbance (SED) in children	To provide additional clarification.
A1	Response category: Substance use 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.
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.
A11	Response category: Telemedicine/telehealth therapy	Updated response category: Telemedicine/telehealth therapy (including Internet, Web, mobile, and desktop programs)	To further clarify response category.
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 first- and 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.
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	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.
A16	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.
A16	Response category: Seniors (65 or older)	Updated response category: Older adults (65 or older)	To make labeling of demographic groups consistent in questions A13 and A14.
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 (LGBTQ) clients	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.
A24	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A24a	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A25	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A25a	Bullet: Not applicable to Veterans Administration facilities.	Updated bullet: Not applicable to Veterans Affairs facilities.	Updated text to use current name of Department.
A26	N/A	Added response category: Federal grants	Proposed by Assistant Secretary.
A26	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.
A27	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.
A28	Question: C1	Renumbered question: A28	To align all facility-level questions.
A28a	Question: C1a	Renumbered question: A28a	To align all facility-level questions.
A28b	Question: C1b	Renumbered question: A28b	To align all facility-level questions.
END	Public Burden Statement: “…15E57-B…”	Updated Public Burden Statement: “…15E54…”	Updated SAMHSA room number.