[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