Agency Information Collection Activities: Proposed Collection; Comment Request, 70663-70665 [E8-27696]
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National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel, Virtual
Reality Simulations to Train Caregivers/
Providers.
Date: December 4, 2008.
Time: 1:30 p.m. to 3:30 p.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; Design
and Synthesis of Treatment Agents for Drug
Abuse.
Date: December 10, 2008.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401. 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; Web
Based Cognitive/Neuropsychological Testing
for Substance Abuse.
Date: December 12, 2008.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel;
Development of Therapeutic Agents for
Substance Use Disorders.
Date: December 16, 2008.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852.
(Telephone Conference Call)
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel;
Pharmaceutical Approaches for Development
of Pharmacotherapies for Drug Addiction.
VerDate Aug<31>2005
14:24 Nov 20, 2008
Jkt 217001
Date: December 17, 2008.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse, Special Emphasis Panel,
Screening, Characterization and Validation
Assays for Protein Capture Reagents.
Date: December 18, 2008.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
Proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; Rapid
Assessment Tools of Sexual and Drug Use
Risk Behaviors.
Date: January 8, 2009.
Time: 9 a.m. to 12 p.m.
Agenda: To review and evaluate contract
proposals.
Place: Courtyard by Marriott Rockville,
2500 Research Boulevard, Rockville, MD
20850.
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel; Tool
Development for New or Improved Capture
Reagents.
Date: January 9, 2009.
Time: 9:30 a.m. to 11:30 a.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institutes of Health, 6101
Executive Boulevard, Rockville, MD 20852
(Telephone Conference Call).
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel;
Development of Science Education Materials
or Programs.
Date: January 13, 2009.
Time: 9 a.m. to 2 p.m.
Agenda: To review and evaluate contract
proposals.
Place: Courtyard by Marriott Rockville,
2500 Research Boulevard, Rockville, MD
20850.
PO 00000
Frm 00052
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Sfmt 4703
70663
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
Name of Committee: National Institute on
Drug Abuse Special Emphasis Panel;
Instrument Development.
Date: January 15, 2009.
Time: 9 a.m. to 12 p.m.
Agenda: To review and evaluate contract
proposals.
Place: Courtyard by Marriott Rockville,
2500 Research Boulevard, Rockville, MD
20850.
Contact Person: Lyle Furr, Contract Review
Specialist, Office of Extramural Affairs,
National Institute on Drug Abuse, NIH,
DHHS, Room 220, MSC 8401, 6101 Executive
Boulevard, Bethesda, MD 20892–8401, (301)
435–1439, lf33c.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.279, Drug Abuse and
Addiction Research Programs, National
Institutes of Health, HHS)
Dated: November 13, 2008.
Jennifer Spaeth,
Director, Office of Federal Advisory
Committee Policy.
[FR Doc. E8–27530 Filed 11–20–08; 8:45 am]
BILLING CODE 4140–01–M
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
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21NON1
70664
Federal Register / Vol. 73, No. 226 / Friday, November 21, 2008 / Notices
dwashington3 on PRODPC61 with NOTICES
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Proposed Project: Evaluation of
Networking Suicide Prevention
Hotlines—Revision (OMB No. 0930–
0274)
This proposed project revision
includes the continuation of two
previously approved data collection
activities [Evaluation of Networking
Suicide Prevention Hotlines Follow-Up
Assessment (OMB No. 0930–0274) and
Call Monitoring of National Suicide
Prevention Lifeline Form (OMB No.
0930–0275)], and a revision to expand
the scope of the ongoing evaluation in
an effort to advance the understanding
of crisis hotline utilization and its
impact. The Substance Abuse and
Mental Health Services
Administration’s (SAMHSA), Center for
Mental Health Services (CMHS) funds a
National Suicide Prevention Lifeline
Network (NSPL), consisting of two tollfree telephone numbers 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 Evaluation of the Networking
Suicide Prevention Hotlines—Revision
is to (1) continue to monitor and ensure
quality of calls and gather follow-up
information from the callers themselves,
(2) expand the number of centers
participating in order to assess whether
the two national suicide prevention
hotline numbers (i.e., 1–800–273–TALK
and 1–800–SUICIDE) reach similar or
complimentary populations of at risk
callers, and, (3) to evaluate additional
but related activities (e.g., motivational
interviewing and safety planning)
recently funded through a new
cooperative agreement between
SAMHSA and crisis hotline centers in
the NSPL. In total this effort proposed
evaluation includes six data collection
activities.
Clearance is being requested to
continue the following two previously
approved data collection activities to
continue call quality monitoring and
caller follow-up assessment activities.
The number of centers proposed to
participate in these continuing activities
is sufficient to address the additional
question related to use of the two
existing hotline numbers.
(1) To ensure quality, the vast
majority of crisis centers conduct on-site
monitoring of selected calls by
supervisors or trainers using
unobtrusive listening devices. To
monitor the quality of calls and to
VerDate Aug<31>2005
14:24 Nov 20, 2008
Jkt 217001
inform the development of training for
networked crisis centers, the national
Suicide Prevention Lifeline proposes to
remotely monitor calls routed to sixteen
crisis centers during the shifts of
consenting staff. The procedures are
anonymous in that neither staff nor
callers will be identified on the Call
Monitoring Form. The monitor, a
trained crisis worker, will code the type
of problem presented by the caller, the
elements of a suicide risk assessment
that are completed by the crisis worker
as well as what action plan is developed
with and/or what referral(s) are
provided to the caller. No centers will
be identified in the reports.
During the shifts of consenting crisis
staff, a recording will inform callers that
some calls may be monitored for quality
assurance purposes. Previous
comparisons of matched centers that did
and did not play the recordings found
no difference in hang-up rates before the
calls were answered or within the first
15 seconds of the calls.
The 18 centers to be monitored are
selected based on the geographic
region(s) they serve and center call
volume. A total of 1,320 calls will be
monitored during year 1 of the proposed
3-year clearance period.
(2) With input from multiple experts
in the field of suicide prevention, a
telephone interview survey was created
to collect data on follow-up assessments
from consenting individuals calling the
Lifeline network.
During year 1 of the proposed 3-year
clearance period, a total of 1,095 callers
will be recruited from 18 of the
approximately 100 crisis hotline centers
that participate in the Lifeline network.
Trained crisis workers will conduct the
follow-up assessment (‘‘Crisis Hotline
Telephone Follow-Up Assessment’’)
within one month of the initial call.
Assessments will be conducted only one
time for each client. Strict measures to
ensure confidentiality will be followed.
The resulting data will measure (a)
suicide risk status at the time and since
the call, (b) depressive symptoms at
follow-up, (c) service utilization since
the call, (d) barriers to service access,
and (e) the client’s perception of the
efficacy of the hotline intervention.
Clearance is also being requested for
four new activities that are being
proposed to evaluate the process and
impact of motivational training and
safety planning (MI/SP) with callers
who have expressed suicidal desire.
Five 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
PO 00000
Frm 00053
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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
observation of calls via silent
monitoring and the administration of
two self-administered questionnaires to
crisis center counselors. The impact
assessment of MI/SP counselor training
will include silent monitoring of calls
and 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 individuals have time, energy,
and mental space in their work lives to
make changes required to transfer
learning on the job; (e) the degree to
which training has been designed and
delivered to give trainees the ability to
transfer learning to the job; (f) how well
training instructions match job
requirements; (g) the extent to which
trainees are provided with or obtain
adequate resources to enable them to
use training on the job; (h) impeding
and facilitating factors; and (i) attitudes
about counselors’ self-efficacy to use
MI/SP and views on its utility. It is
expected that a total of 225 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 225
counselors are expected to complete this
questionnaire during the 3-year data
collection period.
(2) Research monitors, trained crisis
counselors not affiliated with the
centers in the project, will access a
remote ‘‘real-time’’ monitoring system
through the Internet to conduct silent
monitoring. Monitors will complete the
‘‘MI/SP Silent Monitoring Form,’’ to
gather: (a) Call specifics for each call
such as date, time, and length; (b)
suicide risk status of the caller; (c)
information on elements of safety
planning, such as making the
environment safe and identifying
triggers that led to the caller’s
suicidality; (d) types of referrals the
counselor gave and to what services; (e)
ratings of counselor behaviors and caller
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70665
Federal Register / Vol. 73, No. 226 / Friday, November 21, 2008 / Notices
behavioral changes that occurred; and
(f) re-contact permission status. 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. Only a caller whose call has
been silently monitored is eligible to be
followed by the research team; thus,
counselors will state that the caller may
be contacted by the research team if
randomly selected for a follow-up call.
A total of 1,110 calls will be monitored
across the 3-year data collection period.
(3) Counselors will be asked to
complete the ‘‘MI/SP Counselor Followup Questionnaire’’ for each call that is
monitored. 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 the
questionnaire for each of the calls that
were monitored.
(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. 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 885.
The estimated response burden to
collect this information, annualized
over the requested three year clearance
period, is presented below:
TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS
No. of
respondents
Instrument
No. of responses per
respondent *
Hours/
response
Response burden *
National Suicide Prevention Lifeline—Call Monitoring Form ...........................
Crisis Hotline Telephone Initial Script ..............................................................
Crisis Hotline Telephone Consent Script .........................................................
Crisis Hotline Telephone Follow-up Assessment ............................................
MI/SP Silent Monitoring Form ..........................................................................
MI/SP Caller Initial Script .................................................................................
MI/SP Call Follow-up Consent Script ..............................................................
MI/SP Caller Follow-up Interview ....................................................................
MI/SP Counselor Consent ...............................................................................
MI/SP Counselor Attitudes Questionnaire .......................................................
MI/SP Counselor Follow-up Questionnaire .....................................................
10
365
365
365
10
368
368
295
75
75
175
44
1
1
1
37
1
1
1
1
1
2
.58
.08
.17
.67
.58
.08
.17
.67
.08
.25
.17
249
29
62
245
214
29
63
198
6
19
89
Total ..........................................................................................................
2,471
........................
........................
1,203
* Rounded to the nearest whole number.
Send comments to Summer King,
SAMHSA Reports Clearance Officer,
Room 7–1044, One Choke Cherry Road,
Rockville, MD 20857 AND e-mail her a
copy at summer.king@samhsa.hhs.gov.
Written comments should be received
within 60 days of this notice.
Dated: October 16, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E8–27696 Filed 11–20–08; 8:45 am]
dwashington3 on PRODPC61 with NOTICES
BILLING CODE 4162–20–P
DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
14:24 Nov 20, 2008
Jkt 217001
Comments Due Date: January 20,
2009.
Interested persons are
invited to submit comments regarding
this proposal. Comments should refer to
the proposal by name and/or OMB
Control Number and should be sent to:
Lillian Deitzer, Departmental Reports
Management Officer, QDAM,
Department of Housing and Urban
Development, 451 7th Street, SW.,
Washington, DC 20410; e-mail
Lillian.L.Deitzer@HUD.gov or telephone
(202) 402–8048.
FOR FURTHER INFORMATION CONTACT:
William W. Matchneer III, Associate
Deputy Assistant Secretary for
Regulatory Affairs and Manufactured
Housing, Office of Regulatory Affairs
and Manufactured Housing, Department
of Housing and Urban Development,
451 7th Street, SW., Washington, DC
ADDRESSES:
[Docket No. FR–5191–N–38]
Notice of Proposed Information
Collection: Comment Request;
Manufactured Home Construction and
Safety Standards Act Reporting
Requirements
Office of the Assistant
Secretary for Housing, HUD.
ACTION: Notice.
AGENCY:
SUMMARY: The proposed information
collection requirement described below
will be submitted to the Office of
Management and Budget (OMB) for
review, as required by the Paperwork
Reduction Act. The Department is
soliciting public comments on the
subject proposal.
VerDate Aug<31>2005
DATES:
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Agencies
[Federal Register Volume 73, Number 226 (Friday, November 21, 2008)]
[Notices]
[Pages 70663-70665]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-27696]
-----------------------------------------------------------------------
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
[[Page 70664]]
respondents, including through the use of automated collection
techniques or other forms of information technology.
Proposed Project: Evaluation of Networking Suicide Prevention
Hotlines--Revision (OMB No. 0930-0274)
This proposed project revision includes the continuation of two
previously approved data collection activities [Evaluation of
Networking Suicide Prevention Hotlines Follow-Up Assessment (OMB No.
0930-0274) and Call Monitoring of National Suicide Prevention Lifeline
Form (OMB No. 0930-0275)], and a revision to expand the scope of the
ongoing evaluation in an effort to advance the understanding of crisis
hotline utilization and its impact. The Substance Abuse and Mental
Health Services Administration's (SAMHSA), Center for Mental Health
Services (CMHS) funds a National Suicide Prevention Lifeline Network
(NSPL), consisting of two toll-free telephone numbers 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 Evaluation of the
Networking Suicide Prevention Hotlines--Revision is to (1) continue to
monitor and ensure quality of calls and gather follow-up information
from the callers themselves, (2) expand the number of centers
participating in order to assess whether the two national suicide
prevention hotline numbers (i.e., 1-800-273-TALK and 1-800-SUICIDE)
reach similar or complimentary populations of at risk callers, and, (3)
to evaluate additional but related activities (e.g., motivational
interviewing and safety planning) recently funded through a new
cooperative agreement between SAMHSA and crisis hotline centers in the
NSPL. In total this effort proposed evaluation includes six data
collection activities.
Clearance is being requested to continue the following two
previously approved data collection activities to continue call quality
monitoring and caller follow-up assessment activities. The number of
centers proposed to participate in these continuing activities is
sufficient to address the additional question related to use of the two
existing hotline numbers.
(1) To ensure quality, the vast majority of crisis centers conduct
on-site monitoring of selected calls by supervisors or trainers using
unobtrusive listening devices. To monitor the quality of calls and to
inform the development of training for networked crisis centers, the
national Suicide Prevention Lifeline proposes to remotely monitor calls
routed to sixteen crisis centers during the shifts of consenting staff.
The procedures are anonymous in that neither staff nor callers will be
identified on the Call Monitoring Form. The monitor, a trained crisis
worker, will code the type of problem presented by the caller, the
elements of a suicide risk assessment that are completed by the crisis
worker as well as what action plan is developed with and/or what
referral(s) are provided to the caller. No centers will be identified
in the reports.
During the shifts of consenting crisis staff, a recording will
inform callers that some calls may be monitored for quality assurance
purposes. Previous comparisons of matched centers that did and did not
play the recordings found no difference in hang-up rates before the
calls were answered or within the first 15 seconds of the calls.
The 18 centers to be monitored are selected based on the geographic
region(s) they serve and center call volume. A total of 1,320 calls
will be monitored during year 1 of the proposed 3-year clearance
period.
(2) With input from multiple experts in the field of suicide
prevention, a telephone interview survey was created to collect data on
follow-up assessments from consenting individuals calling the Lifeline
network.
During year 1 of the proposed 3-year clearance period, a total of
1,095 callers will be recruited from 18 of the approximately 100 crisis
hotline centers that participate in the Lifeline network. Trained
crisis workers will conduct the follow-up assessment (``Crisis Hotline
Telephone Follow-Up Assessment'') within one month of the initial call.
Assessments will be conducted only one time for each client. Strict
measures to ensure confidentiality will be followed.
The resulting data will measure (a) suicide risk status at the time
and since the call, (b) depressive symptoms at follow-up, (c) service
utilization since the call, (d) barriers to service access, and (e) the
client's perception of the efficacy of the hotline intervention.
Clearance is also being requested for four new activities that are
being proposed to evaluate the process and impact of motivational
training and safety planning (MI/SP) with callers who have expressed
suicidal desire. Five 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 observation of calls via silent monitoring
and the administration of two self-administered questionnaires to
crisis center counselors. The impact assessment of MI/SP counselor
training will include silent monitoring of calls and 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 individuals have time, energy,
and mental space in their work lives to make changes required to
transfer learning on the job; (e) the degree to which training has been
designed and delivered to give trainees the ability to transfer
learning to the job; (f) how well training instructions match job
requirements; (g) the extent to which trainees are provided with or
obtain adequate resources to enable them to use training on the job;
(h) impeding and facilitating factors; and (i) attitudes about
counselors' self-efficacy to use MI/SP and views on its utility. It is
expected that a total of 225 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 225 counselors are expected to complete this
questionnaire during the 3-year data collection period.
(2) Research monitors, trained crisis counselors not affiliated
with the centers in the project, will access a remote ``real-time''
monitoring system through the Internet to conduct silent monitoring.
Monitors will complete the ``MI/SP Silent Monitoring Form,'' to gather:
(a) Call specifics for each call such as date, time, and length; (b)
suicide risk status of the caller; (c) information on elements of
safety planning, such as making the environment safe and identifying
triggers that led to the caller's suicidality; (d) types of referrals
the counselor gave and to what services; (e) ratings of counselor
behaviors and caller
[[Page 70665]]
behavioral changes that occurred; and (f) re-contact permission status.
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. Only a caller whose call has been
silently monitored is eligible to be followed by the research team;
thus, counselors will state that the caller may be contacted by the
research team if randomly selected for a follow-up call. A total of
1,110 calls will be monitored across the 3-year data collection period.
(3) Counselors will be asked to complete the ``MI/SP Counselor
Follow-up Questionnaire'' for each call that is monitored. 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 the
questionnaire for each of the calls that were monitored.
(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. 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 885.
The estimated response burden to collect this information,
annualized over the requested three year clearance period, is presented
below:
Total and Annualized Averages: Respondents, Responses and Hours
----------------------------------------------------------------------------------------------------------------
No. of
Instrument No. of responses per Hours/ Response
respondents respondent * response burden *
----------------------------------------------------------------------------------------------------------------
National Suicide Prevention Lifeline--Call 10 44 .58 249
Monitoring Form................................
Crisis Hotline Telephone Initial Script......... 365 1 .08 29
Crisis Hotline Telephone Consent Script......... 365 1 .17 62
Crisis Hotline Telephone Follow-up Assessment... 365 1 .67 245
MI/SP Silent Monitoring Form.................... 10 37 .58 214
MI/SP Caller Initial Script..................... 368 1 .08 29
MI/SP Call Follow-up Consent Script............. 368 1 .17 63
MI/SP Caller Follow-up Interview................ 295 1 .67 198
MI/SP Counselor Consent......................... 75 1 .08 6
MI/SP Counselor Attitudes Questionnaire......... 75 1 .25 19
MI/SP Counselor Follow-up Questionnaire......... 175 2 .17 89
---------------------------------------------------------------
Total....................................... 2,471 .............. .............. 1,203
----------------------------------------------------------------------------------------------------------------
* Rounded to the nearest whole number.
Send comments to Summer King, SAMHSA Reports Clearance Officer,
Room 7-1044, One Choke Cherry Road, Rockville, MD 20857 AND e-mail her
a copy at summer.king@samhsa.hhs.gov. Written comments should be
received within 60 days of this notice.
Dated: October 16, 2008.
Elaine Parry,
Acting Director, Office of Program Services.
[FR Doc. E8-27696 Filed 11-20-08; 8:45 am]
BILLING CODE 4162-20-P