[Federal Register Volume 81, Number 74 (Monday, April 18, 2016)]
[Notices]
[Pages 22622-22623]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-08864]
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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 the National Suicide Prevention
Lifeline (OMB No. 0930-0274) Revision
The Substance Abuse and Mental Health Services Administration
(SAMHSA) Center for Mental Health Services (CMHS) is requesting
approval for the revision of data collection associated with the
previously-approved Monitoring of the National Suicide Prevention
Lifeline (OMB No. 0930-0274; Expiration, July 31, 2016). The current
request will continue previously-cleared efforts to evaluate process
and impacts of follow-up services provided to suicidal individuals
through the National Suicide Prevention Lifeline Crisis Center Follow-
Up (NSPL Follow-Up) program.
The NSPL, or Lifeline, is SAMHSA's 24-hour crisis hotline (1-800-
273-TALK [8255]) that serves as a central switchboard, seamlessly
connecting callers from anywhere in the U.S. to the closest of its 165
crisis centers within the Lifeline network. Since its inception, the
Lifeline has helped more than 6 million people. In 2008, SAMHSA
launched the NSPL Follow-up program and began awarding cooperative
agreements to crisis centers in the Lifeline network to reconnect with
suicidal callers to offer emotional support and ensure they followed up
with referrals to treatment. In 2013, the program was expanded to
include crisis center follow-up with any suicidal individual referred
from a partnering emergency department (ED) or inpatient hospital.
While previous evaluations of the NSPL demonstrated that suicidal
callers experienced a reduction in hopelessness and suicidal intent
after contacting the Lifeline, 43% of suicidal callers participating in
follow-up assessments reported some recurrence of suicidality (e.g.,
ideation, plan, or attempt) since their crisis call (Gould et al.,
2007). Even so, only about 35% of suicidal callers set up an
appointment and even fewer had been seen by the behavioral health care
system to which they were referred (Gould et al., 2007; Kalafat et al.,
2007). Similarly, while several randomized, controlled trials have
demonstrated that following up by telephone or letter with patients
discharged from inpatient or ED settings can reduce rates of repeat
suicide attempts (Vaiva et al., 2006), as well as completions
(Fleischman et al., 2008; Motto & Bostrom, 2001), suicidal individuals
discharged from EDs rarely link to ongoing care. As many as 70% of
suicide attempters either never attend their first appointment or drop
out of
[[Page 22623]]
treatment after a few sessions (Knesper et al., 2010). Thus, it is
imperative that EDs and inpatient settings link these individuals to
follow-up care.
SAMHSA is addressing this need through the NSPL Follow-Up program.
The Monitoring of the NSPL will continue to assess whether the NSPL
Follow-Up program achieves its intended goals. This revision of the
Monitoring of the NSPL represents SAMHSA's desire to expand this
process and impacts evaluation to assess follow-up with clients
referred to the Lifeline from partnering inpatient hospitals and EDs
and continue to improve the methods and standards of service delivery
to suicidal individuals receiving crisis center services. This effort
will build on information collected through previous and ongoing NSPL
evaluations; expand our understanding of the outcomes associated with
the NSPL Follow-Up program; and continue to contribute to the evidence
base.
This revision requests approval for the removal of one previously-
approved instrument and the continuation and renaming of five
previously-approved activities. Six crisis centers funded through the
NSPL Follow-Up program in FY 2016 will participate in this effort.
Instrument Removal
Due to the completion of the motivational interviewing/safety
planning (MI/SP) training and the fulfillment of data collection goals,
the currently-approved MI/SP Counselor Attitudes Questionnaire and its
associated burden will be removed.
Instrument and Consent Revisions
Each of the five instruments and consents associated with the
Monitoring of the NSPL was previously approved by OMB (No. 0930-0274;
Expiration, July 31, 2016). Revisions include the following: (1) The
term ``caller'' will be replaced with ``client'' to reflect the change
in respondent type to clients referred from partnering EDs and
inpatient hospitals rather than callers, and (2) MI/SP will be removed
from the titles of all instruments and consents. No other changes are
being made.
[ssquf] The MI/SP Caller Follow-up Interview will be renamed
``Client Follow-up Interview.''
[ssquf] The MI/SP Caller Initial Script will be renamed ``Client
Initial Script.''
[ssquf] The MI/SP Caller Follow-up Consent Script will be renamed
``Client Follow-up Consent Script.''
[ssquf] The MI/SP Counselor Follow-up Questionnaire will be renamed
``Counselor Follow-up Questionnaire.''
[ssquf] The MI/SP Counselor Consent will be renamed ``Counselor
Consent.''
The estimated response burden to collect this information
associated with the Monitoring of the NSPL annualized over the
requested 3-year approval period is presented below:
Estimated Annualized Burden
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Burden per
Activity Number of Responses per Total number response Annual burden
respondents respondent of responses (hours) (hours) *
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Client Initial Script.......... 217 1 217 .08 17
Client Initial Script Refusals. 53 1 53 .02 1
Client Follow-up Consent Script 161 1 161 .17 27
Client Follow-up Consent Script 10 1 10 .03 1
Refusals......................
Client Follow-up Interview..... 160 1 160 .67 107
Client Follow-up Interview 1 1 1 .25 1
Refusals......................
Counselor Consent.............. 42 1 42 .08 3
Counselor Follow-up 42 15 630 .17 107
Questionnaire.................
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Total...................... 685 ............... 1,274 .............. 264
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* Rounded to the nearest whole number with 0 rounded to 1.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
5600 Fishers Lane, Room 15E57-B, Rockville, MD, 20857 OR email her a
copy at [email protected]. Written comments should be received
by June 17, 2016.
Summer King,
Statistician.
[FR Doc. 2016-08864 Filed 4-15-16; 8:45 am]
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