[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)
----------------------------------------------------------------------------------------------------------------
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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