[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
----------------------------------------------------------------------------------------------------------------
                                                                                    Burden per
            Activity                Number of     Responses  per   Total number      response      Annual burden
                                   respondents      respondent     of responses       (hours)        (hours) *
----------------------------------------------------------------------------------------------------------------
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.................
                                --------------------------------------------------------------------------------
    Total......................             685  ...............           1,274  ..............             264
----------------------------------------------------------------------------------------------------------------
* 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]
 BILLING CODE 4162-20-P