Agency Information Collection Activities: Submission for OMB Review; Comment Request, 82389-82392 [2023-25922]
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Federal Register / Vol. 88, No. 225 / Friday, November 24, 2023 / Notices
‘‘abuse’’ has been replaced by ‘‘use.’’
This revision also aligns with the White
House Office of National Drug Control
Policy 2017 Memo on ‘‘Changing
Federal Terminology regarding
Substance Use and Substance Use
Disorders.’’
N–SUMHSS EHR Supplement
SAMHSA proposes a new N–
SUMHSS EHR Supplement to collect
information once from facilities
providing substance use and/or mental
health treatment services on health IT
adoption, use, and interoperability.
There are 15 questions in the proposed
new N–SUMHSS EHR Supplement.
Augmentation Screener Questionnaire
• Replace existing ‘‘substance abuse’’
term with ‘‘substance use.’’
• Update the locator reference to
‘‘FindTreatment.gov.’’
• Update the reference of ‘‘Mental
Health Survey’’ and ‘‘Substance Abuse
Survey’’ to ‘‘N–SUMHSS’’ to improve
accuracy.
• Revise the statue citation to be more
specific on the level of protection of the
information collected from the
Augmentation Screener Questionnaire.
• Update the OMB number.
I–TF Facility Registration Application
Form
• Update the locator reference to
‘‘FindTreatment.gov,’’ and the reference
years associated with reporting client
count data.
• Replace existing ‘‘substance abuse’’
term with a clinically accurate, nonstigmatizing language for ‘‘substance
use,’’ throughout the form, to help
reduce stigma and support treatment for
substance use disorders. This revision
aligns with the current edition of The
Diagnostic and Statistical Manual of
Mental Disorders (5th ed., American
Psychiatric Association, 2013), where
Information collection title
• Update the reference of I–BHS to I–
TF throughout the form.
Responses
per
respondent
Number of
respondents
N–SUMHSS Questionnaire (either SU or MH) .......................
N–SUMHSS Questionnaire
(both SU and MH) ..................
N–SUMHSS Between Cycle
Questionnaire .........................
N–SUMHSS VA Supplement .....
N–SUMHSS EHR Supplement *
I–TF Facility Registration Application Form ............................
Augmentation Screener Questionnaire ..................................
I–TF Online State Add Update
Form .......................................
Totals ..................................
I–TF Online State Add/Update Form
Total
responses
Hours per
response
(in hours)
• Update the new SAMHSA logo
design throughout the form.
• Replace existing ‘‘substance abuse’’
term with ‘‘substance use.’’
• Add ‘‘Intake 1a and Intake 2a’’
fields to the ‘‘Facility Information’’
section and add ‘‘Director’s Email’’ field
to the ‘‘Director Information’’ section, to
capture more comprehensive
information about the new facilities and
facility directors.
• Move existing data fields ‘‘State
Approved,’’ ‘‘State Reviewed,’’
‘‘National Directory Eligible,’’ and
‘‘Facility Surveys’’ to create a new
section ‘‘Directory/Locator Eligibility’’
and add a new ‘‘Date Reviewed’’ field to
improve response efficiency and
accuracy.
• Move existing ‘‘Old-ITF ID’’ and
add ‘‘Parent I–TF ID’’ to the ‘‘Other
Facilities Details’’ section to improve
response efficiency.
The estimated annual burden for the
N–SUMHSS and I–TF activities is as
follows:
Total burden
hours
Average
hourly wage
Total annual
cost
32,000
1
32,000
0.83
26,560
$48.72
$1,294,003
5,000
1
5,000
1.28
6,400
48.72
311,808
1,500
800
37,000
1
1
1
1,500
800
37,000
0.75
0.05
0.12
1,125
40
4,440
48.72
48.72
48.72
54,810
1,949
216,317
1,500
1
1,500
0.08
120
26.71
3,205
1,300
1
1,300
0.08
104
26.71
2,778
61
50
3,050
0.08
244
26.71
6,517
......................
......................
82,150
......................
39,033
......................
1,891,387
* The N–SUMHSS EHR Supplement will be administered one time during the three-year period.
ddrumheller on DSK120RN23PROD with NOTICES1
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. 2023–25918 Filed 11–22–23; 8:45 am]
BILLING CODE 4162–20–P
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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.
PO 00000
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Project: GLS State/Tribal Evaluation of
the Garrett Lee Smith (GLS) State/
Tribal Youth Suicide Prevention and
Early Intervention Program
Reinstatement
The Substance Abuse and Mental
Health Services Administration
(SAMHSA) Center for Mental Health
Services (CMHS) is requesting clearance
for the reinstatement of data collection
associated with the previously approved
evaluation of the Garrett Lee Smith
(GLS) Youth Suicide Prevention and
Early Intervention Program (GLS
Suicide Prevention Program). The GLS
State/Tribal Evaluation is a proposed
redesign of the previous evaluation
(OMB No. 0930–0286; Expiration,
March 31, 2019) that builds on prior
published GLS evaluation proximal and
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distal outcomes and aggregate findings
from program activities (e.g., Condron,
Godoy-Garraza, Walrath, McKeon, &
Heilbron, 2014; Walrath, GodoyGarraza, Reid, Goldston, & McKeon,
2015; Godoy-Garraza, Walrath, Kuiper,
Goldston, & McKeon, 2018; Condron,
Godoy-Garraza, Kuiper, Sukumar,
Walrath, & McKeon, 2018; GodoyGarraza, Kuiper, Goldston, McKeon, &
Walrath, 2019; Godoy-Garraza, Kuiper,
Cross, Hicks, & Walrath, 2020; Goldston
& Walrath, 2023). As a result of the vast
body of information collected and
analyzed through the previous cross-site
evaluation, SAMHSA has identified
areas for additional investigation and
the types of inquiry needed to move the
evaluation into its next phase.
The purpose of the GLS State/Tribal
Suicide Prevention Program is to
facilitate a comprehensive public health
approach to prevent suicide. Passed by
Congress in 2004, the Garrett Lee Smith
Memorial Act (GLSMA) was the first
legislation to provide funding for states,
tribes, and institutions of higher
education to develop, improve, and
evaluate early intervention and suicide
prevention programs. GLSMA mandates
that the effectiveness of the GLS Suicide
Prevention Program be evaluated
through both cross-site and local
evaluation and reported to Congress.
The GLS State/Tribal Evaluation is
designed to gather detailed outcome and
impact data to provide SAMHSA with
the data and information needed to
understand what works, why it works,
and under what conditions, relative to
program activities.
The purpose of the GLS Evaluation is
to build the program’s knowledge base
by expanding on information gathered
through the prior evaluation related to
the process, products, context, and
impacts of the GLS State/Tribal
Program.
The GLS Evaluation incorporates
three areas of evaluation to provide a
robust understanding of the
implementation, outcomes, and impacts
of the GLS State/Tribal Program. A
behavioral health equity and cultural
equity lens will be applied to each area
of evaluation to ensure a culturally
specific understanding of intervention
implementation, outcomes, and
impacts.
The Implementation Evaluation
inventories the array of strategies and
services implemented by grantees and
answers questions about the extent to
which grantees are implementing
required and allowed prevention
strategies and services, including related
settings, populations, and degree of
fidelity to their work plan.
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The Outcome Evaluation includes
three studies related to trainings,
youths’ experience of services, and the
continuity of care for at-risk youths—
i.e., the Training Outcomes Study;
Youth Experience, Outcomes, and
Resiliency Study (Youth Study); and
Continuity of Care Study. These studies
will provide a deeper examination of
the effectiveness of these strategies as
they relate to the long-term gains in
trainee skills to identify and manage
youths at risk for suicide; youths’
perspectives, including an assessment of
how youths experience services,
supports and facets that encourage
building resilience, stress tolerance, and
self-management skills; and the
effectiveness of a continuum of care that
connects youths to treatment services
and supports, and post-discharge
follow-up.
Finally, the Impact Evaluation will
combine data from the Implementation
and Outcome Evaluations to assess the
effectiveness of the GLS State/Tribal
Program on decreasing suicide
morbidity and mortality. Through
implementation of this evaluation
design, it will be possible to isolate
prevention strategy impacts and explain
cross-program impacts on short-term
(e.g., change in self-efficacy to identify
change in the number of youths
identified as at risk) and long-term
program outcomes such as suicide
attempts and deaths by suicide.
Nine data collection activities
compose the GLS Evaluation—4 revised
data collection instruments and 5 new
data collection instruments.
Instrument Removals
The current GLS Evaluation does not
include data collection with campus
grantees, so all campus-specific
instruments are being removed.
Additionally, due to SAMHSA’s current
research priorities and the fulfillment of
previous data collection requirements, 7
previously approved instruments are
being revised or removed from the
evaluation. These include: Behavioral
Health Provider Survey (BHPS),
Prevention Strategies Inventory (PSI)
Campus, Student Behavioral Health
Form (SBHF), Treatment as Prevention
(TASP) Campus, Early Identification,
Referral, Follow-up, and Treatment
Individual Form, Early Identification,
Referral, Follow-up, and Treatment
Screening Form, Sustainability OneYear Follow-up (SFUP), SFUP Consentto-Contact, and Training Utilization and
Preservation—Survey (TUP–S) Campus.
Instrument Revisions
D PSI: the PSI is a web-based survey
that captures all state/tribal program
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prevention strategies and products. Data
include strategy types and products
distributed, intended audiences or
populations of focus, and expenditures
across major categories (e.g., outreach
and awareness, gatekeeper training,
screening programs). Each major
strategy includes sub-strategies,
enabling grantees to specify and provide
details about the sub-strategy, including
implementation setting/location,
timeframe, and intended audiences or
populations of focus. The PSI is
completed by grantee staff each quarter.
PSI data will inform the Training
Outcomes Study and Continuity of Care
Study. Compared to the prior version of
the PSI, the revised PSI includes all
previous strategies and integrates new
or revised questions related to the
following areas of interest: (1) grantees
use of emerging technologies (2)
implementation of evidence based
practices (EBPs), (3) cultural adaptations
and health equity practices, and (4)
program sustainability. In addition, we
have revised the PSI to optimize the
assessment of implementation
timeframe and location and the
alignment of audiences more precisely
with grantee strategies implemented.
D TASP: the TASP is a web-based
survey collecting aggregate-level
training data from all state/tribal
grantees. Data include information
about the type of training delivered, the
number and roles of training
participants, and the setting of the
training, including ZIP code where the
training is held (for use in analysis of
GLS program impact). The TASP also
assesses intended outcomes, as well as
the number of online trainings
completed, train-the-trainer events held,
and booster trainings that follow the
initial training. The TASP also gathers
information about the inclusion of
behavioral rehearsal or role-play and
resources provided at the training as
these elements have been found to
improve retention of knowledge and
skills post-training. Additionally, the
TASP collects information about
resources or materials provided to
trainees (e.g., mobile or online tools or
applications for suicide prevention, fact
or resource sheets, and wallet card
information) to improve understanding
of how skills can be maintained over
time with materials provided at
trainings (Cross et al., 2011). A TASP is
completed by grantee program staff
within 2 weeks of each in-person
training activity and quarterly for virtual
training activities. The revised TASP
includes more refined assessment of
training format including (1) in person;
(2) virtual (facilitated on a specific date)
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and (3) virtual (self-directed; trainee
completes training at own pace) and
revisions to align with updated
Government Performance and Results
Act (GPRA) indicators.
D EIRFT–I: the web-based EIRFT–I
gathers existing data for each at-risk
youth identified as a result of the GLS
Suicide Prevention Program (via a GLStrained gatekeeper, a GLS-sponsored
screening identification, or via a
discharge from an emergency room or
inpatient psychiatric treatment). Initial
follow-up information (whether a
service was received after referral or
not) is obtained along with details on all
services received in the 6 months
following identification. Ensuring
adequate resources and services for
referral to care is a best practice for both
screenings and gatekeeper trainings. In
addition, a response system that ensures
timely referrals is part of GLS grant
requirements. Data can be extracted
from case records or other existing data
sources, including any organizational
staff, community members, or family
members who make a mental health
identification and referral. Respondents
include grant program staff and service
providers representing all grantees in all
funding years. Data collection is
ongoing for each youth identified at
risk, screened positive, or discharged
from an emergency room or hospital for
a suicide attempt and/or suicidal
ideation. No personal identifiers are
requested on the EIRFT–I. Grantee
program staff enter EIRF–I data on an
ongoing basis. EIRFT–I data will inform
the Training Outcomes and Continuity
of Care Studies. This instrument builds
upon the previous EIRF–I, with the
addition of data collection on follow-up
post-discharge from emergency
departments or psychiatric
hospitalization and additional
information on treatment.
D EIRFT–S: the web-based EIRFT–S
gathers aggregate information about all
screening activities conducted as part of
the GLS program. Data include aggregate
information on the number of youths
screened for suicide risk through the
GLS program, and the number screening
positive. On an ongoing basis, the
grantee will submit EIRFT–S forms.
EIRFT–S forms are completed once per
implementation of a screening tool in a
group setting, once per month for
clinical screenings, and once per month
for one-on-one screenings. For each
screening event in which multiple
youths are screened at a given time, one
EIRFT–S should be completed for the
event. For one-on-one screenings in a
clinical or other setting, one aggregated
EIRFT–S is completed per month to
reflect screening outcomes of all youths
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screened during the month. Grantees
develop systems locally to gather
identification and referral data,
including extracting data from existing
electronic health records or forms. No
personal identifiers are requested on the
EIRFT–S. EIRFT–S data will inform the
Continuity of Care Study. This
instrument continues the previous
EIRF–S.
Instrument Additions
Five instruments will augment the
evaluation.
D TSA–P: the Training Skills
Assessment-Post Training (TSA–P) is a
web-based survey to assess trainee
confidence in identifying and managing
youth at risk for suicide after
participation in a training event. At the
conclusion of all training events,
trainees will be asked to complete the
TSA–P. The instrument is designed to
assess baseline confidence following the
training, knowledge of suicide
prevention, confidence in identifying
and managing suicidal youth, and
pretraining behaviors related to
identifying and managing youths at risk
of suicide. As part of the TSA–P,
trainees will be asked to complete a
consent-to-contact web form indicating
their willingness to be contacted by the
GLS Evaluation team to participate in
the TSA–F and TSA–PS. If a trainer is
unable to administer the survey or
consent-to-contact form electronically,
or a trainee does not have access to a
mobile device or computer, they may
also complete the survey and consentto-contact form on paper. The grantee
will submit this information to ICF,
through direct data entry into the
Suicide Prevention Data Center (SPDC),
within 2 weeks of the training event.
Once consent to contact has been
received, ICF will create a random
sample of participants for the phone
simulation and the 6- and 12-month
follow-up surveys. TSA–P data will
inform the Training Outcomes Study.
D TSA–F: The Training Skills
Assessment-Follow up (TSA–F) is a
follow-up web-based survey to assess
trainees’ sustained confidence and skills
in identifying and managing youth at
risk for suicide, as well as experience
with managing at-risk youth since
training (interventions with youths,
additional training, etc.). The survey
will be administered to a sample of
training participants at 6- and 12months after the initial TSA–P is
completed. TSA–F data will inform the
Training Outcomes Study.
D TSA–PS: The Training Skills
Assessment-Phone Simulation (TSA–
PS) is a follow-up phone simulation
using standardized interaction to assess
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82391
trainee skills in identification and
management of a youth in suicidal
crisis. A random subsample of training
participants will be contacted by the
evaluation team to participate in a
simulated conversation with a youth in
suicidal crisis portrayed by a trained
actor. These simulations will occur
between 3 and 6 months following their
initial training. The simulated
conversation between the training
participant and actor will last
approximately 10 to 30 minutes
(community gatekeeper sessions will
likely be shorter than the clinician
interactions). In total, the session will be
scheduled for 45 minutes to allow for
consent, instructions, and a debrief.
These phone sessions will be
administered via tele video and
recorded for additional post-simulation
scoring and analysis. All sessions will
be attended by the training participant,
an actor, and an evaluation team
member (observer), who will be
responsible for facilitating the
interaction, administering the consent,
scoring the interaction (both in real time
and based on the recording), and
providing a short debrief to the training
participant. TSA–PS data will inform
the Training Outcomes Study.
D YORS: the Youth Outcomes and
Resiliency Survey (YORS) is a webbased survey assessing the experience
and outcomes of those youth who are
served by the GLS Program. The
instrument is designed to assess
suicidality, positive youth development,
satisfaction with services received,
youth engagement experience, and
family and school dynamics. Youth
between the ages of 14–24 years who
receive a positive screening result (as
part of the GLS program activities) and
receive a referral to a mental health
service, or youths who attend skillsbased training will be considered
eligible for the study. A sample of
eligible youth will be enrolled in the
Youth Study. The age of the youth
respondent will dictate how consent is
obtained for the YORS. All youths
under the age of 18 at selected grantee
sites will be asked to have their parent
complete consent-to-contact forms and
participate in the YORS and Youth
Experience Reflective (YER) Journal
when they consent to receiving
screening from the grantee. Youths over
the age of 18 will be asked to complete
consent-to-contact forms at the time of
initial referral and screening (after
gatekeeper identification). The YORS
will be administered at 3-, 6-, and 12months post enrollment, with
enrollment occurring no later than 1
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month following referral to a behavioral
health service.
D YER Journal: the YER Journal is a
web-based survey consisting of a weekly
journal prompt that youth can respond
to with a photo and corresponding
narrative interpretation of the photo. For
example, youths may be asked to reflect
on a recent experience receiving
services. The youth would be asked to
submit a photo that represents that
experience, followed by a prompt that
asks: ‘‘What words come to mind? How
did it make you feel?’’ The narrative
sent to youths for 6 weeks post
enrollment to discover, for example,
which components of what youths are
receiving are meaningful and helpful,
and how youths may be utilizing skills
or services following the initial
screening, both in the short and long
terms.
The estimated response burden to
collect this information associated with
the redesigned GLS Evaluation is as
follows annualized over the requested 3year clearance period is presented
below: 1
description of what the photo represents
will be analyzed using qualitative
methodologies. Up to 25 youths will be
recruited to participate in the YER
Journal each year. Youths participating
in the YORS will be invited to join the
YER Journal via contact through the
YORS data collection activities. For
example, a youth may complete their
third quarterly YORS follow-up, and be
invited to join the YER Journal study
simultaneously. Our team will leverage
innovative data collection technology to
engage youth. Weekly prompts will be
TOTAL AND ANNUALIZED AVERAGES: RESPONDENTS, RESPONSES AND HOURS
Type of respondent
Instrument
Project Evaluator .....
Project Evaluator .....
Project Evaluator .....
PSI ..........................
TASP .......................
EIRFT-Individual
Form.
EIRFT-Screening
Form.
TSA Consent to
Contact.
TSA–P .....................
TSA 6-month ...........
TSA 12-month .........
TSA–PS ..................
YORS baseline .......
YORS 3-month ........
YORS 6-month ........
YORS 12-month ......
YER Journal ............
.................................
Project Evaluator .....
Provider Trainee ......
Provider Trainee ......
Provider Trainee ......
Provider Trainee ......
Provider Trainee ......
Youth .......................
Youth .......................
Youth .......................
Youth .......................
Youth .......................
Total .........................
Responses
per
respondent
Number of
respondents
Burden per
response
(hours)
Total number
of responses
Annual burden
(hours)
Hourly wage
rate
($)
Total cost
($)
31
31
31
4
10
4
124
310
124
1.25
0.25
2
155
78
248
1 37.11
37.11
37.11
$5,752
2,876
9,203
31
4
124
0.75
93
37.11
3,451
10,000
1
10,000
0.08
800
$27.46
21,968
10,000
187
140
101
300
240
192
115
25
21,424
1
1
1
1
1
1
1
1
6
........................
10,000
187
140
101
300
240
192
115
150
22,107
0.3
0.3
0.3
0.75
0.5
0.5
0.5
0.5
0.25
........................
3000
56
42
76
150
120
96
58
38
5,008
27.46
27.46
27.46
27.46
7.25
7.25
7.25
7.25
7.25
........................
82,380
1,541
1,153
2,080
1,088
870
696
417
272
133,747
* Rounded to the nearest whole number.
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. 2023–25922 Filed 11–22–23; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
ddrumheller on DSK120RN23PROD with NOTICES1
[Docket No. USCG–2023–0872]
National Merchant Marine Personnel
Advisory Committee; December 2023
Virtual Meeting
United States Coast Guard,
Department of Homeland Security.
AGENCY:
1 BLS OES May 2022 National Industry-Specific
Occupation Employment and Wage Estimates
VerDate Sep<11>2014
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Jkt 262001
Notice of open Federal advisory
committee virtual meeting.
ACTION:
The National Merchant
Marine Personnel Advisory Committee
(Committee) will conduct a virtual
meeting to discuss issues relating to
personnel in the United States Merchant
Marine including the training,
qualifications, certification,
documentation, and fitness of mariners.
The virtual meeting will be open to the
public.
DATES:
Meeting: The Committee will meet
virtually on Tuesday, December 12,
2023, from 10:00 a.m. until 2:30 p.m.
Eastern Standard Time, (EST). The
virtual meeting may adjourn early if the
Committee has completed its business.
Comments and supporting
documentation: To ensure your
comments are received by Committee
members before the virtual meeting,
submit your written comments no later
than December 5, 2023.
ADDRESSES: To join the virtual meeting
or to request special accommodations,
contact the individual listed in the FOR
SUMMARY:
average annual salary for Survey Researchers (code
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section
no later than 1 p.m. EST on December
5, 2023, to obtain the needed
information.
The Committee is committed to
ensuring all participants have equal
access regardless of disability status. If
you require reasonable accommodation
due to a disability to fully participate,
please email Ms. Pamela Moore
pamela.j.moore@uscg.mil or call 202–
372–1361 as soon as possible.
Instructions: You are free to submit
comments at any time, including orally
at the meeting as time permits, but if
you want Committee members to review
your comment before the virtual
meeting, please submit your comments
no later than December 5, 2023. We are
particularly interested in comments
regarding the topics in the ‘‘Agenda’’
section below. We encourage you to
submit comments through the Federal
Decision Making Portal at https://
www.regulations.gov. To do so, go to
https://www.regulations.gov, type
USCG–2023–0872 in the search box and
click ‘‘Search.’’ Next, look for this
FURTHER INFORMATION CONTACT
19–3022); https://www.bls.gov/oes/current/naics5_
541720.htm.
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]]>Agencies
[Federal Register Volume 88, Number 225 (Friday, November 24, 2023)]
[Notices]
[Pages 82389-82392]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-25922]
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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: GLS State/Tribal Evaluation of the Garrett Lee Smith (GLS)
State/Tribal Youth Suicide Prevention and Early Intervention Program
Reinstatement
The Substance Abuse and Mental Health Services Administration
(SAMHSA) Center for Mental Health Services (CMHS) is requesting
clearance for the reinstatement of data collection associated with the
previously approved evaluation of the Garrett Lee Smith (GLS) Youth
Suicide Prevention and Early Intervention Program (GLS Suicide
Prevention Program). The GLS State/Tribal Evaluation is a proposed
redesign of the previous evaluation (OMB No. 0930-0286; Expiration,
March 31, 2019) that builds on prior published GLS evaluation proximal
and
[[Page 82390]]
distal outcomes and aggregate findings from program activities (e.g.,
Condron, Godoy-Garraza, Walrath, McKeon, & Heilbron, 2014; Walrath,
Godoy-Garraza, Reid, Goldston, & McKeon, 2015; Godoy-Garraza, Walrath,
Kuiper, Goldston, & McKeon, 2018; Condron, Godoy-Garraza, Kuiper,
Sukumar, Walrath, & McKeon, 2018; Godoy-Garraza, Kuiper, Goldston,
McKeon, & Walrath, 2019; Godoy-Garraza, Kuiper, Cross, Hicks, &
Walrath, 2020; Goldston & Walrath, 2023). As a result of the vast body
of information collected and analyzed through the previous cross-site
evaluation, SAMHSA has identified areas for additional investigation
and the types of inquiry needed to move the evaluation into its next
phase.
The purpose of the GLS State/Tribal Suicide Prevention Program is
to facilitate a comprehensive public health approach to prevent
suicide. Passed by Congress in 2004, the Garrett Lee Smith Memorial Act
(GLSMA) was the first legislation to provide funding for states,
tribes, and institutions of higher education to develop, improve, and
evaluate early intervention and suicide prevention programs. GLSMA
mandates that the effectiveness of the GLS Suicide Prevention Program
be evaluated through both cross-site and local evaluation and reported
to Congress.
The GLS State/Tribal Evaluation is designed to gather detailed
outcome and impact data to provide SAMHSA with the data and information
needed to understand what works, why it works, and under what
conditions, relative to program activities.
The purpose of the GLS Evaluation is to build the program's
knowledge base by expanding on information gathered through the prior
evaluation related to the process, products, context, and impacts of
the GLS State/Tribal Program.
The GLS Evaluation incorporates three areas of evaluation to
provide a robust understanding of the implementation, outcomes, and
impacts of the GLS State/Tribal Program. A behavioral health equity and
cultural equity lens will be applied to each area of evaluation to
ensure a culturally specific understanding of intervention
implementation, outcomes, and impacts.
The Implementation Evaluation inventories the array of strategies
and services implemented by grantees and answers questions about the
extent to which grantees are implementing required and allowed
prevention strategies and services, including related settings,
populations, and degree of fidelity to their work plan.
The Outcome Evaluation includes three studies related to trainings,
youths' experience of services, and the continuity of care for at-risk
youths--i.e., the Training Outcomes Study; Youth Experience, Outcomes,
and Resiliency Study (Youth Study); and Continuity of Care Study. These
studies will provide a deeper examination of the effectiveness of these
strategies as they relate to the long-term gains in trainee skills to
identify and manage youths at risk for suicide; youths' perspectives,
including an assessment of how youths experience services, supports and
facets that encourage building resilience, stress tolerance, and self-
management skills; and the effectiveness of a continuum of care that
connects youths to treatment services and supports, and post-discharge
follow-up.
Finally, the Impact Evaluation will combine data from the
Implementation and Outcome Evaluations to assess the effectiveness of
the GLS State/Tribal Program on decreasing suicide morbidity and
mortality. Through implementation of this evaluation design, it will be
possible to isolate prevention strategy impacts and explain cross-
program impacts on short-term (e.g., change in self-efficacy to
identify change in the number of youths identified as at risk) and
long-term program outcomes such as suicide attempts and deaths by
suicide.
Nine data collection activities compose the GLS Evaluation--4
revised data collection instruments and 5 new data collection
instruments.
Instrument Removals
The current GLS Evaluation does not include data collection with
campus grantees, so all campus-specific instruments are being removed.
Additionally, due to SAMHSA's current research priorities and the
fulfillment of previous data collection requirements, 7 previously
approved instruments are being revised or removed from the evaluation.
These include: Behavioral Health Provider Survey (BHPS), Prevention
Strategies Inventory (PSI) Campus, Student Behavioral Health Form
(SBHF), Treatment as Prevention (TASP) Campus, Early Identification,
Referral, Follow-up, and Treatment Individual Form, Early
Identification, Referral, Follow-up, and Treatment Screening Form,
Sustainability One-Year Follow-up (SFUP), SFUP Consent-to-Contact, and
Training Utilization and Preservation--Survey (TUP-S) Campus.
Instrument Revisions
[ssquf] PSI: the PSI is a web-based survey that captures all state/
tribal program prevention strategies and products. Data include
strategy types and products distributed, intended audiences or
populations of focus, and expenditures across major categories (e.g.,
outreach and awareness, gatekeeper training, screening programs). Each
major strategy includes sub-strategies, enabling grantees to specify
and provide details about the sub-strategy, including implementation
setting/location, timeframe, and intended audiences or populations of
focus. The PSI is completed by grantee staff each quarter. PSI data
will inform the Training Outcomes Study and Continuity of Care Study.
Compared to the prior version of the PSI, the revised PSI includes all
previous strategies and integrates new or revised questions related to
the following areas of interest: (1) grantees use of emerging
technologies (2) implementation of evidence based practices (EBPs), (3)
cultural adaptations and health equity practices, and (4) program
sustainability. In addition, we have revised the PSI to optimize the
assessment of implementation timeframe and location and the alignment
of audiences more precisely with grantee strategies implemented.
[ssquf] TASP: the TASP is a web-based survey collecting aggregate-
level training data from all state/tribal grantees. Data include
information about the type of training delivered, the number and roles
of training participants, and the setting of the training, including
ZIP code where the training is held (for use in analysis of GLS program
impact). The TASP also assesses intended outcomes, as well as the
number of online trainings completed, train-the-trainer events held,
and booster trainings that follow the initial training. The TASP also
gathers information about the inclusion of behavioral rehearsal or
role-play and resources provided at the training as these elements have
been found to improve retention of knowledge and skills post-training.
Additionally, the TASP collects information about resources or
materials provided to trainees (e.g., mobile or online tools or
applications for suicide prevention, fact or resource sheets, and
wallet card information) to improve understanding of how skills can be
maintained over time with materials provided at trainings (Cross et
al., 2011). A TASP is completed by grantee program staff within 2 weeks
of each in-person training activity and quarterly for virtual training
activities. The revised TASP includes more refined assessment of
training format including (1) in person; (2) virtual (facilitated on a
specific date)
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and (3) virtual (self-directed; trainee completes training at own pace)
and revisions to align with updated Government Performance and Results
Act (GPRA) indicators.
[ssquf] EIRFT-I: the web-based EIRFT-I gathers existing data for
each at-risk youth identified as a result of the GLS Suicide Prevention
Program (via a GLS-trained gatekeeper, a GLS-sponsored screening
identification, or via a discharge from an emergency room or inpatient
psychiatric treatment). Initial follow-up information (whether a
service was received after referral or not) is obtained along with
details on all services received in the 6 months following
identification. Ensuring adequate resources and services for referral
to care is a best practice for both screenings and gatekeeper
trainings. In addition, a response system that ensures timely referrals
is part of GLS grant requirements. Data can be extracted from case
records or other existing data sources, including any organizational
staff, community members, or family members who make a mental health
identification and referral. Respondents include grant program staff
and service providers representing all grantees in all funding years.
Data collection is ongoing for each youth identified at risk, screened
positive, or discharged from an emergency room or hospital for a
suicide attempt and/or suicidal ideation. No personal identifiers are
requested on the EIRFT-I. Grantee program staff enter EIRF-I data on an
ongoing basis. EIRFT-I data will inform the Training Outcomes and
Continuity of Care Studies. This instrument builds upon the previous
EIRF-I, with the addition of data collection on follow-up post-
discharge from emergency departments or psychiatric hospitalization and
additional information on treatment.
[ssquf] EIRFT-S: the web-based EIRFT-S gathers aggregate
information about all screening activities conducted as part of the GLS
program. Data include aggregate information on the number of youths
screened for suicide risk through the GLS program, and the number
screening positive. On an ongoing basis, the grantee will submit EIRFT-
S forms. EIRFT-S forms are completed once per implementation of a
screening tool in a group setting, once per month for clinical
screenings, and once per month for one-on-one screenings. For each
screening event in which multiple youths are screened at a given time,
one EIRFT-S should be completed for the event. For one-on-one
screenings in a clinical or other setting, one aggregated EIRFT-S is
completed per month to reflect screening outcomes of all youths
screened during the month. Grantees develop systems locally to gather
identification and referral data, including extracting data from
existing electronic health records or forms. No personal identifiers
are requested on the EIRFT-S. EIRFT-S data will inform the Continuity
of Care Study. This instrument continues the previous EIRF-S.
Instrument Additions
Five instruments will augment the evaluation.
[ssquf] TSA-P: the Training Skills Assessment-Post Training (TSA-P)
is a web-based survey to assess trainee confidence in identifying and
managing youth at risk for suicide after participation in a training
event. At the conclusion of all training events, trainees will be asked
to complete the TSA-P. The instrument is designed to assess baseline
confidence following the training, knowledge of suicide prevention,
confidence in identifying and managing suicidal youth, and pretraining
behaviors related to identifying and managing youths at risk of
suicide. As part of the TSA-P, trainees will be asked to complete a
consent-to-contact web form indicating their willingness to be
contacted by the GLS Evaluation team to participate in the TSA-F and
TSA-PS. If a trainer is unable to administer the survey or consent-to-
contact form electronically, or a trainee does not have access to a
mobile device or computer, they may also complete the survey and
consent-to-contact form on paper. The grantee will submit this
information to ICF, through direct data entry into the Suicide
Prevention Data Center (SPDC), within 2 weeks of the training event.
Once consent to contact has been received, ICF will create a random
sample of participants for the phone simulation and the 6- and 12-month
follow-up surveys. TSA-P data will inform the Training Outcomes Study.
[ssquf] TSA-F: The Training Skills Assessment-Follow up (TSA-F) is
a follow-up web-based survey to assess trainees' sustained confidence
and skills in identifying and managing youth at risk for suicide, as
well as experience with managing at-risk youth since training
(interventions with youths, additional training, etc.). The survey will
be administered to a sample of training participants at 6- and 12-
months after the initial TSA-P is completed. TSA-F data will inform the
Training Outcomes Study.
[ssquf] TSA-PS: The Training Skills Assessment-Phone Simulation
(TSA-PS) is a follow-up phone simulation using standardized interaction
to assess trainee skills in identification and management of a youth in
suicidal crisis. A random subsample of training participants will be
contacted by the evaluation team to participate in a simulated
conversation with a youth in suicidal crisis portrayed by a trained
actor. These simulations will occur between 3 and 6 months following
their initial training. The simulated conversation between the training
participant and actor will last approximately 10 to 30 minutes
(community gatekeeper sessions will likely be shorter than the
clinician interactions). In total, the session will be scheduled for 45
minutes to allow for consent, instructions, and a debrief. These phone
sessions will be administered via tele video and recorded for
additional post-simulation scoring and analysis. All sessions will be
attended by the training participant, an actor, and an evaluation team
member (observer), who will be responsible for facilitating the
interaction, administering the consent, scoring the interaction (both
in real time and based on the recording), and providing a short debrief
to the training participant. TSA-PS data will inform the Training
Outcomes Study.
[ssquf] YORS: the Youth Outcomes and Resiliency Survey (YORS) is a
web-based survey assessing the experience and outcomes of those youth
who are served by the GLS Program. The instrument is designed to assess
suicidality, positive youth development, satisfaction with services
received, youth engagement experience, and family and school dynamics.
Youth between the ages of 14-24 years who receive a positive screening
result (as part of the GLS program activities) and receive a referral
to a mental health service, or youths who attend skills-based training
will be considered eligible for the study. A sample of eligible youth
will be enrolled in the Youth Study. The age of the youth respondent
will dictate how consent is obtained for the YORS. All youths under the
age of 18 at selected grantee sites will be asked to have their parent
complete consent-to-contact forms and participate in the YORS and Youth
Experience Reflective (YER) Journal when they consent to receiving
screening from the grantee. Youths over the age of 18 will be asked to
complete consent-to-contact forms at the time of initial referral and
screening (after gatekeeper identification). The YORS will be
administered at 3-, 6-, and 12-months post enrollment, with enrollment
occurring no later than 1
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month following referral to a behavioral health service.
[ssquf] YER Journal: the YER Journal is a web-based survey
consisting of a weekly journal prompt that youth can respond to with a
photo and corresponding narrative interpretation of the photo. For
example, youths may be asked to reflect on a recent experience
receiving services. The youth would be asked to submit a photo that
represents that experience, followed by a prompt that asks: ``What
words come to mind? How did it make you feel?'' The narrative
description of what the photo represents will be analyzed using
qualitative methodologies. Up to 25 youths will be recruited to
participate in the YER Journal each year. Youths participating in the
YORS will be invited to join the YER Journal via contact through the
YORS data collection activities. For example, a youth may complete
their third quarterly YORS follow-up, and be invited to join the YER
Journal study simultaneously. Our team will leverage innovative data
collection technology to engage youth. Weekly prompts will be sent to
youths for 6 weeks post enrollment to discover, for example, which
components of what youths are receiving are meaningful and helpful, and
how youths may be utilizing skills or services following the initial
screening, both in the short and long terms.
The estimated response burden to collect this information
associated with the redesigned GLS Evaluation is as follows annualized
over the requested 3-year clearance period is presented below: \1\
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\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/current/naics5_541720.htm.
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 Hourly wage Total cost
respondents respondent of responses (hours) (hours) rate ($) ($)
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Project Evaluator............................. PSI............................. 31 4 124 1.25 155 \1\ 37.11 $5,752
Project Evaluator............................. TASP............................ 31 10 310 0.25 78 37.11 2,876
Project Evaluator............................. EIRFT-Individual Form........... 31 4 124 2 248 37.11 9,203
Project Evaluator............................. EIRFT-Screening Form............ 31 4 124 0.75 93 37.11 3,451
Provider Trainee.............................. TSA Consent to Contact.......... 10,000 1 10,000 0.08 800 $27.46 21,968
Provider Trainee.............................. TSA-P........................... 10,000 1 10,000 0.3 3000 27.46 82,380
Provider Trainee.............................. TSA 6-month..................... 187 1 187 0.3 56 27.46 1,541
Provider Trainee.............................. TSA 12-month.................... 140 1 140 0.3 42 27.46 1,153
Provider Trainee.............................. TSA-PS.......................... 101 1 101 0.75 76 27.46 2,080
Youth......................................... YORS baseline................... 300 1 300 0.5 150 7.25 1,088
Youth......................................... YORS 3-month.................... 240 1 240 0.5 120 7.25 870
Youth......................................... YORS 6-month.................... 192 1 192 0.5 96 7.25 696
Youth......................................... YORS 12-month................... 115 1 115 0.5 58 7.25 417
Youth......................................... YER Journal..................... 25 6 150 0.25 38 7.25 272
Total......................................... ................................ 21,424 .............. 22,107 .............. 5,008 .............. 133,747
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* Rounded to the nearest whole number.
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. 2023-25922 Filed 11-22-23; 8:45 am]
BILLING CODE 4162-20-P
