[Federal Register Volume 89, Number 176 (Wednesday, September 11, 2024)]
[Notices]
[Pages 73666-73668]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-20435]
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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) 276-0361.
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.
Project: Zero Suicide in Health Systems Evaluation--New Package
The Substance Abuse and Mental Health Services Administration
(SAMHSA) is requesting clearance for the new data collection associated
with the Evaluation of the SAMHSA Zero
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Suicide in Health Systems (Zero Suicide Evaluation). Per the Public
Health Services Act (42 U.S.C. 290bb-43), SAMHSA is required to
evaluate the Zero Suicide grant, specifically (1) ``evaluate the
activities supported by grants awarded, disseminate, as appropriate,
the findings from the evaluation; and (2) provide appropriate
information, training, and technical assistance, as appropriate, to
eligible entities that receive a grant under this section, in order to
help such entities to meet the requirements of this section, including
assistance with selection and implementation of evidence.''
The goal of the Zero Suicide program is reduction of suicide and
suicide attempts across America, focusing on individuals who are 25
years and older. The purpose of this program is to implement the Zero
Suicide intervention and prevention model for adults throughout a
health system or systems. The Zero Suicide model is a comprehensive,
multi-setting approach to suicide prevention in health. To accomplish
this critical, lifesaving work, it is essential that the effectiveness
of these programs be evaluated on an ongoing basis, with implementation
of suicide prevention programs continually informed by high-quality
evaluation results. SAMHSA will use this data to reduce suicide
ideation, suicide attempts, and deaths due to suicide.
SAMHSA has awarded new grants and continued funding to 25 grantees,
Cohort 5 (15 grantees) with project period of Sept 30, 2023, to Sept
29, 2028; and Cohort 4 (10 grantees; includes one tribal organization)
with project period of March 31, 2021, to March 30, 2026. SAMHSA has
requested funding for 11 grantees to be funded as Cohort 6 in the
President's fiscal year 2025 budget.
The Zero Suicide Evaluation is designed to evaluate the
implementation, effectiveness, and overall impact of the Zero Suicide
program upon grantees in the United States. The evaluation will assess
Zero Suicide program activities implemented by grantees and ultimately
provide SAMHSA with the information needed to understand and document
program effectiveness on reducing suicide morbidity and mortality,
specifically among those who encounter the healthcare system. While
acknowledging the lack of evidence for cultural adaptations to
evidence-based and empirically supported treatments and interventions,
and that research has not been conducted with historically marginalized
and underserved communities (e.g., Black, Asian, Autistic, Lesbian,
Gay, Bisexual, Transgender, Queer, and Intersex plus (LGBTQI+), and
others), Zero Suicide pushes systems to ensure that clients' cultural
contexts are considered and honored in what treatments are offered and
how those treatments are adapted. Thus, with behavioral health equity
as a central component woven throughout the Zero Suicide Framework, the
proposed evaluation will ensure that each study includes specific
behavioral health equity tenets to ensure a culturally specific
understanding of Zero Suicide implementation, outcomes, and impacts.
The Zero Suicide Evaluation includes four studies: Systems Change,
Workforce, Consumer Experience, and Impact. The Systems Change Study is
designed to understand how grantees are implementing the Zero Suicide
Program in accordance with the Zero Suicide Framework, the core
activities accomplished, and indicators of sustainable systems change
(i.e., policy and practice changes, infrastructure changes,
organizational culture). The Systems Change Study will leverage two
surveys: the Prevention Strategies Inventory (PSI), and the Behavioral
Health Provider Survey (BHPS). Additionally, the Systems Change Study
will be informed through Case Studies and Cost Sub-Studies, using Key
Informant Interviews to gather information.
The purpose of the Workforce Study is to document staff awareness
and perceptions associated with the Zero Suicide activities implemented
by Zero Suicide-participating Healthcare Organizations (HCOs). This
study also seeks to understand the utilization, outcomes, and
sustainment of training programs intended to increase the knowledge,
confidence, and skills among staff to address suicide, both in the
short and long-term. The Workforce Study will be informed by several
surveys: the Workforce Survey (WS), the Training Activity Summary Page
(TASP), and the Training Utilization and Preservation Survey (TUPS).
The Consumer Experience Study will assess the relationship between
Zero Suicide activities and key clinical outcomes (i.e., suicide risk,
depression), along with consumer perceptions of care, access to care,
services received, and treatment adherence. The Consumer Experience
Study will be informed by the BHPS, Consumer Experience Survey (CES),
Clinical Outcomes Form (COF), and Grantee Performance Data. The CES and
the COF target and follow those receiving services through a Zero
Suicide grantee from the point when they enroll in services to when
they discharge from services.
The Impact Study will use secondary data and quasi-experimental
designs to develop a control group and estimate the causal impact of
the Zero Suicide Program on suicide morbidity and mortality.
Ultimately, the purpose of the Zero Suicide Evaluation is to build
the program's knowledge base of effectiveness by thoroughly describing
the implementation, outcomes, and impact of a program meant to reduce
deaths by suicide.
The total annualized burden is an estimated 15,504 respondents for
the Zero Suicide instruments, with a combined hourly estimate to be
4,902 hours. Burden estimates are based on the data collection
requirements and the number of respondents. The estimated response
burden to collect this information associated with the Zero Suicide
Evaluation annualized over the requested 3-year clearance period is
presented below:
Total and Annualized Averages: Respondents, Responses and Hours
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Number of Burden per
Type of respondent Form respondents Responses per Total number response Annual burden Hourly wage Total cost
per year respondent of responses (hours) (hours) rate
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Project Evaluator 1........................... PSI............................. 40 4 160 1 160 $61.53 $9,845
Grantee/HCO administrator 2................... BHPS............................ 47 1 47 0.5 24 61.53 1,477
Grantee/HCO administrator 2................... KII-Case Studies................ 7 1 7 1 7 61.53 431
HCO Staff 3................................... KII-Case Studies................ 27 1 27 1 27 26.81 724
Grantee/HCO administrator 2................... KII-Cost Sub studies............ 2 1 2 1 2 61.53 123
HCO Staff 3................................... WFS............................. 9,400 1 9,400 0.25 2,350 26.81 63,004
Project Evaluator1............................ TASP............................ 40 10 400 0.25 100 36.67 3,667
[[Page 73668]]
HCO Staff 3................................... TUPS-Baseline................... 3,334 1 3,334 0.25 834 26.81 22,360
HCO Staff 3................................... TUPS-6 month.................... 252 1 252 0.5 126 26.81 3,378
HCO Staff 3................................... TUPS-12 month................... 189 1 189 0.5 95 26.81 2,547
Clinicians.................................... C-SIF........................... 180 8.3 1,494 0.25 374 57.21 21,397
Consumer...................................... CES-Baseline.................... 1,128 1 1,128 0.4 451 7.25 3,270
Consumer...................................... CES-6-month..................... 843 1 843 0.4 337 7.25 2,443
Consumer...................................... C-KII........................... 15 1 15 1 15 7.25 109
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Total..................................... ................................ 15,504 .............. 17,298 .............. 4,902 .............. 134,773
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Abbreviation: HCO=Healthcare Organization
\1\ BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Survey Researchers (code 19-3022); https://www.bls.gov/oes/cuSeetrrent/naics5_541720.htm
\2\ BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Medical and Health Services Managers (code 11-9111); https://www.bls.gov/oes/current/oes119111.htm
\3\ BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Community and Social Service Occupations (code 29-1000); https://www.bls.gov/oes/current/oes210000.htm
\4\ BLS OES May 2022 National Industry-Specific Occupation Employment and Wage Estimates average annual salary for Health Diagnosing and Treating Practitioners (code 29-1000); https://www.bls.gov/oes/current/oes_nat.htm#29-0000
\5\ BLS OES May 2022 Characteristics of minimum wage workers, 2022; https://www.bls.gov/opub/reports/minimum-wage/2022/
home.htm#:~:text=In%202022%2C%2078.7%20million%20workers,wage%20of%20%247.25%20per%20hour.
Send comments to SAMHSA Reports Clearance Officer, 5600 Fisher
Lane, Room 15E45, Rockville, MD 20852 OR email him a copy at
[email protected]. Written comments should be received by
November 12, 2024.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-20435 Filed 9-10-24; 8:45 am]
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