[Federal Register Volume 77, Number 238 (Tuesday, December 11, 2012)]
[Notices]
[Pages 73668-73669]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29825]
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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
Services Administration (SAMHSA) 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 (240) 276-1243.
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: Monitoring of National Suicide Prevention Lifeline
(OMB No. 0930-0274)--Revision
This proposed project renewal includes the continuation of
previously approved data collection activities Monitoring of National
Suicide Prevention Lifeline Form (OMB No. 0930-0274) in an effort to
advance the understanding of crisis hotline utilization and its impact.
Out of the previously approved 11 data collection instruments and
consents, only 6 will be utilized through this revision. The Substance
Abuse and Mental Health Services Administration's (SAMHSA), Center for
Mental Health Services (CMHS) funds a National Suicide Prevention
Lifeline Network, consisting of a toll-free telephone number that
routes calls from anywhere in the United States to a network of local
crisis centers. In turn, the local centers link callers to local
emergency, mental health, and social service resources.
The overarching purpose of the proposed Monitoring of National
Suicide Prevention Lifeline-- Revision is to examine the impact of
motivational training and safety planning (MI/SP) with callers who have
expressed suicidal desire (i.e., follow-up interviews with callers and
counselors). In total this effort includes three data collection
instruments and three associated data collection consents.
Clearance is being requested to continue the previously approved
data collection activities to continue caller and counselor follow-up
assessment activities which will examine the process and impact of
motivational training and safety planning (MI/SP) with callers who have
expressed suicidal ideation. The data collected through the renewal of
these data collection activities will ultimately help SAMHSA to
understand and direct their crisis hotline lifesaving initiatives. The
data collection activities are enumerated below.
Funded crisis centers will train counselors to implement an
intervention with callers during the initial call to a center, which
incorporates aspects of motivational interviewing and safety planning
(MI/SP) and utilizes an evidence-based practice model to provide
follow-up to callers who have expressed a suicidal desire. An
assessment of MI/SP fidelity and process measures will be incorporated
into the design through the administration of two self-administered
questionnaires to crisis center counselors. The impact assessment of
MI/SP counselor training will include follow-up telephone interviews
with callers to assess their emotions and behaviors following their
interaction with the MI/SP trained counselor.
(1) The MI/SP Counselor Attitude Questionnaire attitude
questionnaire will be administered to counselors at the conclusion of
their MI/SP training and be used as a possible predictor of fidelity of
the MI/SP intervention. Information to be gathered includes (a)
counselors' views of the applicability of the MI/SP for preparing them
to conduct safety planning and follow up with callers; (b) possible
anticipated challenges (i.e., impeding factors) to applying the MI/SP
training in their centers; (c) the relationship of the MI/SP model to
their centers; (d) the extent to which trainees are provided with or
obtain adequate resources to enable them to use MI/SP on the job; (e)
impeding and facilitating factors; and (f) attitudes about counselors'
self-efficacy to use MI/SP and views on its utility. It is expected
that a total of 750 counselors will be trained over the course of 3
years in an effort to maintain 175 counselors at any given time. Thus,
a total of 750 counselors are expected to complete this questionnaire
during the 3-year data collection period. Prior to collecting data from
counselors, crisis counselors must have read and signed the MI/SP
Counselor Consent. This form explains the purpose of the data
collection, privacy, risks and benefits, what the data collection
entails, and participant rights. It is anticipated that 750 consents
and questionnaires will be collected by crisis counselors during the 3-
year data collection period.
(2) At the end of the call and once the counselor deems the
intervention to be complete, counselors will ask all appropriate
callers, using the MI/SP Caller Initial Script, for permission to be
re-contacted by research staff for a follow-up interview. Counselors
will state that the caller may be contacted by the research team if
randomly selected for a follow-up call. A total of 1,500 callers across
the 3-year data collection period will be provided with the MI/SP
Caller Initial Script for their consent to be contacted at a later
time.
(3) Counselors will be asked to complete the MI/SP Counselor
Follow-up Questionnaire for each call that is eligible. The
questionnaire will incorporate an assessment of the outreach,
telephonic follow up and/or other strategies that the center has
proposed to implement, and whether the counselor was able to implement
the center's site plan as originally conceived. The questionnaire will
also include items on the demographic characteristics of the caller,
whether contact was successfully made with the caller, whether the
caller followed through with the safety plan and/or referral given by
the counselor, whether MI/SP was re-implemented during the follow-up
contact, whether another follow-up is scheduled, the educational and
crisis experience of the person attempting re-contact with the caller,
and that person's prior experience with follow-up. Barriers to
implementing the follow-up, as well as types of deviation from the
site's follow-up plan will also be assessed. Open-ended questions about
what led to deviations from the site's follow-up plan will also be
included. In total, it is expected that counselors will complete 3,750
questionnaires across the 3-year data collection period.
(4) Researchers will begin conducting follow-up interviews with
callers
[[Page 73669]]
approximately 6 weeks after the initial call to the center. This
follow-up telephone interview (MI/SP Caller Follow-up Interview) will
be conducted to collect information on demographic characteristics,
gather caller feedback on the initial call made to the center, suicide
risk status at the time of and since the call, current depressive
symptomatology, follow through with the safety plan and referrals made
by the crisis counselor, and barriers to service. Prior to collecting
information during the MI/SP Caller Follow-up Interview, researchers
will read callers the MI/SP Caller Follow-up Consent Script. Taking
into account attrition and the number of callers who do not give
consent, it is expected that the total number of follow-up interviews
conducted by the research team will not exceed 1,107.
The estimated response burden to collect this information is as
follows annualized over the requested 3-year clearance period is
presented below:
Annualized Averages: Respondents, Responses and Hours
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No. of Burden/
Instrument No. of responses per Total number response Annual burden
respondents Respondent * of responses (hours) * (hours)
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MI/SP Caller Initial Script..... 500 1 500 .08 40
MI/SP Caller Follow-up Consent 369 1 369 .17 63
Script.........................
MI/SP Caller Follow-up Interview 369 1 369 .67 247
MI/SP Counselor Consent......... 250 1 250 .08 20
MI/SP Counselor Attitudes 250 1 250 .25 63
Questionnaire..................
MI/SP Counselor Follow-up 250 5 1250 .17 213
Questionnaire..................
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Total....................... 1,988 .............. .............. .............. 646
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* Rounded to the nearest whole number.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 2-1057, One Choke Cherry Road, Rockville, MD 20857 AND email her a
copy at [email protected]. Written comments should be received
within 60 days of this notice.
Summer King,
Statistician.
[FR Doc. 2012-29825 Filed 12-10-12; 8:45 am]
BILLING CODE 4162-20-P