[Federal Register Volume 78, Number 29 (Tuesday, February 12, 2013)]
[Notices]
[Pages 9933-9934]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-03197]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and Mental Health Services
Administration (SAMHSA) will publish a summary of information
collection requests under OMB review, in compliance with the Paperwork
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these
documents, call the SAMHSA Reports Clearance Officer on (240) 276-1243.
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
[[Page 9934]]
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 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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Number of Burden/ Annual
Instrument Number of responses per Total number Response 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..................
Total....................... 1,988 .............. .............. .............. 646
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* rounded to the nearest whole number
Written comments and recommendations concerning the proposed
information collection should be sent by March 14, 2013 to the SAMHSA
Desk Officer at the Office of Information and Regulatory Affairs,
Office of Management and Budget (OMB). To ensure timely receipt of
comments, and to avoid potential delays in OMB's receipt and processing
of mail sent through the U.S. Postal Service, commenters are encouraged
to submit their comments to OMB via email to: [email protected]. Although commenters are encouraged to send
their comments via email, commenters may also fax their comments to:
202-395-7285. Commenters may also mail them to: Office of Management
and Budget, Office of Information and Regulatory Affairs, New Executive
Office Building, Room 10102, Washington, DC 20503.
Summer King,
Statistician.
[FR Doc. 2013-03197 Filed 2-11-13; 8:45 am]
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