[Federal Register Volume 80, Number 247 (Thursday, December 24, 2015)]
[Notices]
[Pages 80376-80378]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-32415]


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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: National Outcomes Evaluation of the Garrett Lee Smith Suicide 
Prevention Program--Revision

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA) Center for Mental Health Services (CMHS) is requesting 
clearance for the revision of data collection associated with the 
previously-approved cross-site evaluation of the Garrett Lee Smith 
(GLS) Youth Suicide Prevention and Early Intervention Program (GLS 
Suicide Prevention Program), now entitled National Outcomes Evaluation 
(NOE). The NOE is a proposed redesign of the currently-approved cross-
site evaluation (OMB No. 0930-0286; Expiration, January 2017) that 
builds on prior published GLS evaluation proximal and distal training 
and aggregate findings from program activities (e. g., Condron et al., 
2014; Walrath et al., 2015). As a result of the vast body of 
information collected and analyzed through the cross-site evaluation of 
the two GLS Suicide Prevention Programs components--the GLS State/
Tribal Program and the GLS Campus Program--SAMHSA has identified areas 
for additional investigation and the types of inquiry needed to move 
the evaluation into its next phase.
    The NOE aims to address the field's need for additional evidence on 
the impacts of the GLS Suicide Prevention Program in three areas: (1) 
Suicide prevention training effectiveness, (2) early identification and 
referral on subsequent care follow-up and adherence, and (3) suicide 
safer care practices within health care settings. The evaluation 
comprises three distinct, but interconnected core studies--Training, 
Continuity of Care (COC), and Suicide Safer Environment (SSE). The 
Training and SSE studies also have ``enhanced'' study components. Core 
study data align with required program

[[Page 80377]]

activities across the State/Tribal and Campus programs and provide 
continuity with and utility of data previously collected 
(implementation and proximal outcomes). Enhanced components use 
experimental and quasi-experimental methods (randomized controlled 
trial [RCT] and retrospective cohort study designs) to truly assess 
program impacts on distal outcomes (e. g., identifications and 
referrals, hospitalizations, and suicide attempts and deaths) without 
undue burden on grantees and youth. This outcome- and impact-focused 
design reflects SAMHSA's desire to assess the implementation, outcomes, 
and impacts of the GLS program.
    The NOE builds on information collected through the four-stage 
cross-site evaluation approach (context, product, process, and impact) 
to further the field of suicide prevention and mental health promotion. 
Of notable importance, the design now accounts for differences in 
State/Tribal and Campus program grant funding cycles (i. e., 5-year 
State/Tribal and 3-year Campus programs), while also establishing 
continuity with and maximizing utility of data previously collected. 
Further, the evaluation meets the legislative requirements outlined in 
the GLSMA to inform performance and implementation of programs.
    Eleven data collection activities compose the NOE--two new 
instruments, three previously-approved instruments, and six previously-
approved and improved instruments. As GLS program foci differ by 
grantee type, some instruments will apply to either State/Tribal or 
Campus programs only. Of the 11 instruments, 2 will be administered 
with State/Tribal and Campus grantees (tailored to grantee type), 6 are 
specific to State/Tribal grantees, and 3 pertain only to Campus 
grantees.

Instrument Removals

    Due to the fulfillment of data collection goals, six currently-
approved instruments and their associated burden will be removed. The 
combined estimated annual burden for these instruments is 4,300 hours. 
These include the State/Tribal Training Utilization and Preservation 
Survey (TUP-S) Adolescent Version, Coalition Profile, and Coalition 
Survey, and the Campus Training Exit Survey (TES) Interview Forms, Life 
Skills Activities Follow-up Interview, and the Student Awareness 
Intercept Survey.

Instrument Continuations

    Three instruments will be administered only in OMB Year 1 to 
finalize data collection for the current cross-site evaluation 
protocol. Each instrument was previously approved as part of the four-
stage approach (OMB No. 0930-0286; Expiration, January 2017) and no 
changes are being made. These include the State/Tribal Referral Network 
Survey (RNS), TUP-S Campus Version, and Campus Short Message Service 
Survey (SMSS). Each instrument will be discontinued once the associated 
data collection requirement has been fulfilled.

Instrument Revisions

    Six currently-approved instruments will be revised for the NOE. 
Each of the instruments, or an iteration thereof, has received approval 
through multiple cross-site evaluation packages cleared by OMB. As 
such, the information gathered has been, and will continue to be, 
crucial to this effort and to the field of suicide prevention and 
mental health promotion.
    [ssquf] Prevention Strategies Inventory (PSI): The PSI has been 
updated to enhance the utility and accuracy of the data collected. 
Changes capture different strategies implemented and products 
distributed by grantee programs, the population of focus for each 
strategy, total GLS budget expenditures, and the percent of funds 
allocated by the activity type.
    [ssquf] Training Activity Summary Page (TASP): New items on the 
TASP gather information about the use of behavioral rehearsal and/or 
role-play and resources provided at trainings--practices that have been 
found to improve retention of knowledge and skills posttraining. In 
addition, understanding how skills can be maintained over time with 
materials provided at trainings (e.g., video reminders, wallet cards, 
online and phone applications) is an area suggested for further study 
(Cross et al., 2011).
    [ssquf] Training Utilization and Preservation Survey (TUP-S) 3 and 
6-month follow up: The TUP-S has been improved to examine posttraining 
behaviors and utilization of skills by training participants--factors 
known to improve understanding of the comprehensive training process 
and the impact of training on identifications, referrals, and service 
use. The survey now requests information about training resources 
received, practice components, trainee participation in role play, and 
previous suicide prevention trainings attended; experience intervening 
with a suicidal individual (from QPR evaluation tool), intended use of 
the training, and referral behaviors; and previous contact and quality 
of relationships with youth. Broad items about training others, the 
use/intended use of skills, and barriers/facilitators have been 
removed. The consent-to-contact form has been modified to add brief 
items about the trainee and previous identifications/referrals. The 
TUP-S will be administered at 3 and 6 months post-training to a random 
sample of training participants via CATI (2000 ST TUP-S 3-mo/600 ST 
TUP-S 6-mo per year).
    [ssquf] Early Intervention, Referral, and Follow-up Individual Form 
(EIRF-I): The EIRF-I has been improved to gather initial follow-up 
information about youth identified as being at risk as a result of the 
State/Tribal GLS program (whether or not a service was received after 
referral). In addition, EIRF-I (1) data elements have been expanded to 
include screening practices, screening tools, and screening results of 
youth identified as at-risk for suicide; (2) response options have been 
expanded/refined (i.e., setting/source of identification, mental health 
and non-mental health referral locations, and services received); (3) 
tribal-specific data elements have been added; and (4) sources of 
information used has been removed.
    [ssquf] EIRF Screening Form (EIRF-S): Data elements have been added 
to indicate whether State/Tribal screenings were performed at the 
individual- or group-level. New response options have been added under 
``screening tool'' and ``false positive'' has been removed.
    [ssquf] Student Behavioral Health Form (SBHF): the SBHF (formerly 
entitled the MIS) has been expanded and renamed. The Campus form has 
been enhanced to include referral and follow-up procedure questions 
(rather than simply counts); numbers screened, identified at risk, 
receiving suicide-specific services, referred, and receiving follow-up; 
and age and gender breakdowns of suicide attempts and deaths. Student 
enrollment/retention items have been removed; these will be obtained 
through the Integrated Postsecondary Education Data System. The SBHF 
will require closer involvement with campus behavioral health/health 
providers to gather data on procedural questions and screenings, risk 
assessment, services, referrals, and follow-ups.

Instrument Additions

    Four instruments will augment the evaluation--two are newly 
developed instruments and two represent new versions of existing 
instruments.
    [ssquf] TUP-S RCT (Baseline and 12-Month versions): the TUP-S RCT 
refers to versions administered as part of the Training Study RCT. The 
RCT collects TUP-S data at baseline (pre-training) and 3, 6, and 12 
months after training.

[[Page 80378]]

Because the surveys are conducted at different times, each version 
refers the participant to a specific time period. All trainees from 
States/Tribes participating in the RCT and who consent to be contacted 
will be surveyed until the desired sample size of 1332 respondents is 
achieved. The consent-to-contact form will describe the RCT and the 4 
assessment periods. The consent-to-contact form will describe the RCT 
and the 4 assessment periods.
    [ssquf] Behavior Health Provider Survey (BHPS): the BHPS is a new 
State/Tribal data collection activity and the first to specifically 
target behavioral health providers partnering with GLS grantees. Data 
will include information about referrals for at-risk youth, SSE care 
practices implemented, and client outcomes (number of suicide attempts 
and deaths). A total of 1-10 respondents from each State/Tribal 
grantee's partnering behavioral health provider will participate 
annually.
    The estimated response burden to collect this information 
associated with the redesigned National Outcomes Evaluation is as 
follows annualized over the requested 3-year clearance period is 
presented below:

                                             Total and Annualized Averages: Respondents, Responses and Hours
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                                                                                                                            Burden per
            Type of respondent                       Instrument              Number of    Responses  per   Total number      response      Annual burden
                                                                            respondents      respondent    of responses       (hours)         (hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                State/Tribal Instruments
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Project Evaluator.........................  PSI.........................              43               4             172          0. 750             129
Project Evaluator.........................  TASP........................              43               4             172          0. 250              43
Project Evaluator.........................  EIRF-Individual Form........              43               4             172          0. 750             129
Project Evaluator.........................  EIRF Screening Form.........              43               4             172          0. 750             129
Provider Trainee..........................  TUP-S Consent to Contact....           6,000               1            6000          0. 167            1000
Provider Trainee..........................  TUP-S 3 Month Version.......           2,000               1            2000          0. 500            1000
Provider Trainee..........................  TUP-S 6 Month Version.......             600               1             600          0. 417             250
Provider Trainee..........................  TUP-S RCT BL Version........             444               1             444          0. 417             185
Provider Trainee..........................  TUP-S RCT 3 Month Version...             444               1             444          0. 500             222
Provider Trainee..........................  TUP-S RCT 6 Month Version...             444               1             444          0. 417             185
Provider Trainee..........................  TUP-S RCT 12 Month Version..             444               1             444          0. 417             185
Provider Stakeholder......................  RNS.........................              26               1              26          0. 667              17
Behavioral Health Provider................  BHPS........................             407               1             407          0. 750             305
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                                                                   Campus Instruments
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Project Evaluator.........................  PSI.........................              56               4             224          0. 750             168
Project Evaluator.........................  TASP........................              56               4             224          0. 250              56
Project Evaluator.........................  SBHF........................              56               1              56          0. 667              37
Student...................................  TUP-S Campus Version........             167               1             167          0. 167              28
Student...................................  SMSS........................             734               1             734          0. 083              61
                                                                         -------------------------------------------------------------------------------
    Total...............................................................          12,050  ..............          12,902  ..............           4,129
--------------------------------------------------------------------------------------------------------------------------------------------------------
* Rounded to the nearest whole number

    Written comments and recommendations concerning the proposed 
information collection should be sent by January 25, 2016 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: 
OIRA_Submission@omb. eop.gov. 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. 2015-32415 Filed 12-23-15; 8:45 am]
 BILLING CODE 4162-20-P