[Federal Register Volume 89, Number 224 (Wednesday, November 20, 2024)]
[Notices]
[Pages 91775-91776]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-27065]
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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) 276-0361.
Project: Zero Suicide in Health Systems Evaluation--New Package
The Substance Abuse and Mental Health Services Administration
(SAMHSA)'s Center for Mental Health Services (CMHS) is requesting
clearance for the new data collection associated with the evaluation of
the SAMHSA Zero Suicide in Health Systems (Zero Suicide Evaluation).
The Zero Suicide program is authorized under the CURES Act. 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 the 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 systems. 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
fiscal year 2025.
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, Intersex, and Asexual Plus
(LGBTQIA+), 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,
Work Force, Consumer Experience, and Impact. The purpose of the Systems
Change Study is to understand how grantees are implementing the Zero
Suicide Program. The Systems Change Study collection instruments
include the: Prevention Strategies Inventory (PSI), Behavioral Health
Provider Survey (BHPS), Case Studies, and Cost Sub-Studies.
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). The
Workforce Study instruments include the: Work Force Survey (WFS),
Training Activity Summary Page (TASP), and the Training Utilization and
Preservation Survey (TUPS).
The purpose of Consumer Experience Study is to understand 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 instruments include the: BHPS, Consumer
Experience Survey (CES), Clinical Outcomes Form (COF), and Grantee
Performance Data.
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:
[[Page 91776]]
Total and Annualized Averages: Respondents, Responses and Hours
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Number of Responses Total Burden per Annual Hourly
Type of respondent Form respondents per number of response burden wage Total
per year respondent responses (hours) (hours) rate cost
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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 Evaluator \1\.................... TASP........................ 40 10 400 0.25 100 36.67 3,667
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.
Written comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
to www.reginfo.gov/public/do/PRAMain. Find this particular information
collection by selecting ``Currently under 30-day Review--Open for
Public Comments'' or by using the search function.
Alicia Broadus,
Public Health Advisor.
[FR Doc. 2024-27065 Filed 11-19-24; 8:45 am]
BILLING CODE 4162-20-P