Federal Register / Vol. 73, No. 160 / Monday, August 18, 2008 / Notices 48223 

Capacity for Alternatives to Restraint 

and Seclusion (OMB No. 0930–0271)—

Revision 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA) Center for Mental Health 

Services has funded a Data Collection 

and Analysis for the Alternatives to 

Restraint and Seclusion Grant Program. 

This contract is an evaluation of 

SAMHSA’s State Incentive Grants to 

Build Capacity for Alternatives to 

Restraint and Seclusion. These grants 

are designed to promote the 

implementation and evaluation of best 

practice approaches to reducing the use 

of restraint and seclusion in mental 

health facilities. Grantees consist of 8 

sites (state mental health agencies), all 

of which will be implementing 

interventions in multiple facilities (a 

total of 21 facilities). These include 

facilities serving adults and those 

serving children and/or adolescents, 

with various subgroups such as forensic 

and sexual offender populations. 

With input from multiple experts in 

the field of restraint and seclusion and 

alternatives to restraint and seclusion, 

the project created a common core of 

data collection instruments that will be 

used for this cross-site project. The 

facilities will complete three different 

instruments over a 3-year time period: 

(1) Facility/Program Characteristics 

Inventory (information about type of 

facilities, characteristics of persons 

served, staffing patterns, and unit 

specific data); (2) Inventory of Seclusion 

and Restraint Reduction Interventions; 

(3) Seclusion and Restraint Event Data 

Matrix (data about restraint and 

seclusion rates within facilities and 

units). Data will be submitted by the 

sites electronically via a secured Web 

site. 

The Facility/Program Characteristics 

Inventory and Inventory of Seclusion 

and Restraint Reduction Intervention 

will be collected annually. The 

Seclusion and Restraint Event Data 

Matrix will be collected monthly. 

The resulting data will help to 

identify the: (1) Number of programs 

adopting best practices involving 

alternative approaches to restraint and 

seclusion; and (2) program’s impact of 

reducing restraint and seclusion use and 

adoption of alternative practices. The 

estimated maximal annual response 

burden to collect this information is by 

grant year. 

TABLE 1. ESTIMATES OF MAXIMAL ANNUALIZED HOUR BURDEN, BY GRANT YEAR

Instrument No. of 

respondents 

Responses 

per 

respondent 

Total 

responses 

Average hours 

per response 

Total annual 

burden 

(hours) 

Grant Year 1 

Facility/Program Characteristic Inventory ............................ 21 1 21 2 42 

Inventory of Restraint and Seclusion Reduction Interventions .................................................................................. 21 1 21 8 168 

Seclusion and Restraint Event Data Matrix ......................... Not given during Year 1 a

Total Annual .................................................................. 21 ........................ ........................ ........................ 210 

Grant Year 2 

Facility/Program Characteristic Inventory ............................ Not given during Year 2 

Inventory of Restraint and Seclusion Reduction Interventions .................................................................................. 21 1 21 8 168 

Seclusion and Restraint Event Data Matrix ......................... 21 29 609 8 4,872 

Total Annual .................................................................. 21 ........................ ........................ ........................ 5,040 

Grant Year 3 

Facility/Program Characteristic Inventory ............................ Not given during Year 3 

Inventory of Restraint and Seclusion Reduction Interventions .................................................................................. 21 2 42 8 336 

Seclusion and Restraint Event Data Matrix ......................... 21 18 378 8 3,024 

Total Annual .................................................................. 21 ........................ ........................ ........................ 3,360 

aThis instrument may be given during Year 1 pending timely OMB approval. If this is the case, some of the responses allotted to Year 2 may 

be shifted to Year 1 in order to lessen the burden to respondent burden. 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent by September 17, 2008 to: 

SAMHSA Desk Officer, Human 

Resources and Housing Branch, Office 

of Management and Budget, New 

Executive Office Building, Room 10235, 

Washington, DC 20503; due to potential 

delays in OMB’s receipt and processing 

of mail sent through the U.S. Postal 

Service, respondents are encouraged to 

submit comments by fax to: 202–395–

6974. 

Dated: August 11, 2008. 

Elaine Parry, 

Acting Director, Office of Program Services. 

[FR Doc. E8–19052 Filed 8–15–08; 8:45 am] 

BILLING CODE 4162–20–P 

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 


sroberts on PROD1PC70 with NOTICES
48224 Federal Register / Vol. 73, No. 160 / Monday, August 18, 2008 / Notices 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) 

will publish periodic summaries of 

proposed projects. To request more 

information on the proposed projects or 

to obtain a copy of the information 

collection plans, call the SAMHSA 

Reports Clearance Officer on (240) 276–

1243. 

Comments are invited on: (a) Whether 

the proposed collections of information 

are necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Proposed Project: Evaluation of the 

Native American Rehabilitation 

Association of the Northwest, Inc. 

(NARA–NW) Native Youth Suicide 

Prevention Program (NYSP) funded 

through the Garrett Lee Smith State/ 

Tribal Youth Suicide Prevention and 

Early Intervention Program—New. 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA), Center for Mental Health 

Services (CMHS) is conducting an 

evaluation of program activities being 

conducted for a 2005-funded Garrett Lee 

Smith (GLS) State/Tribal Youth Suicide 

Prevention and Early Intervention 

Program grantee. This evaluation effort 

is planned for the Native Youth Suicide 

Prevention Program of the Native 

American Rehabilitation Association of 

the Northwest, Inc. (NARA–NW) in 

Oregon, and builds upon their existing 

local evaluation that is being 

implemented and funded through the 

GLS grant program. The data collected 

through this evaluation will address the 

process and impact of program activities 

for Tribal youth in Oregon. The purpose 

of the proposed evaluation is to evaluate 

intermediate- and long-term outcomes 

associated with suicide prevention 

program activities being implemented 

with nine Tribes that NARA–NW serves. 

The following describes the specific 

data collection activities and the data 

collection instruments to be used, 

followed by a summary table of the 

number of respondents and the 

respondent burden: 

• Native American Rehabilitation 

Association of the Northwest, Inc. 

(NARA–NW) Oregon Native Youth 

Survey. This component of the 

evaluation will assess suicide-related 

risk and protective factors at the 

individual, family, school, and 

community levels. The survey will be 

administered to a convenience sample 

of 300 youth in targeted communities. 

Survey participants will be drawn from 

the estimated 840 eligible youth 

members in these nine Tribal 

communities. The exact number of 

youth recruited from any given Tribe 

will depend on the size of the youth 

population, the success of recruitment 

activities, and the availability of 

parents/guardians from whom informed 

consent can be obtained. The survey 

includes questions related to risk and 

protective factors at the individual, 

family, school, and community levels. 

Risk factors measured by the survey 

include alienation, rebelliousness, early 

and persistent antisocial behavior, drug 

and alcohol abuse in the home, criminal 

and violent behavior, poverty, 

neighborhood cohesion, and community 

drug use, violence and crime. The 

survey questions and format were 

derived primarily from State and 

Federal surveys currently in use with 

this population. Additional questions 

on protective factors were developed by 

NARA–NW evaluators. The survey 

includes 110 multiple choice, Likert 

scale, and open-ended questions which 

will take approximately 45 minutes to 

complete. 

• Native Youth Suicide Prevention 

Program Focus Group Moderators 

Guide. This component will assess the 

degree to which prevention activities 

sponsored by Tribes’ grant programs 

had an impact on various risk and 

protective factors and will help 

researchers more fully understand the 

community context in which the Oregon 

Native Youth Survey is administered. 

Questions address the degree to which 

youth feel supported by their 

community and build on the list of risk 

and protective factors covered in the 

survey. One focus group per 

participating Tribe (for a total of up to 

nine focus groups) will be conducted in 

FY 2008. Youth, ages 12–19, who 

participated in one of the prevention 

activities undertaken by the Native 

Youth Suicide Prevention Program in 

their tribal community, will be recruited 

for each focus group. Recruitment will 

be conducted in collaboration with the 

agency/community group that 

sponsored the prevention activity. A 

group of up to 12 participants per 

participating Tribe will be randomly 

selected from the pool of eligible youth 

participants with the informed consent 

of their parents. The total number of 

focus group participants will not exceed 

72. Groups will last approximately 90 

minutes. 

ANNUALIZED BURDEN: RESPONDENTS, RESPONSES AND HOURS

Measure name Number of 

respondents 

Number of 

responses/ 

respondent 

Hours/ 

response 

Response 

burden 

Survey .............................................................................................................. 300 1 0.75 225 

Focus group ..................................................................................................... 72 1 1.5 108 

Total .......................................................................................................... 372 ........................ ........................ 333 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 73, No. 160 / Monday, August 18, 2008 / Notices 48225 

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: August 11, 2008. 

Elaine Parry, 

Acting Director, Office of Program Services. 

[FR Doc. E8–19060 Filed 8–15–08; 8:45 am] 

BILLING CODE 4162–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Substance Abuse and Mental Health 

Services Administration 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995 concerning 

opportunity for public comment on 

proposed collections of information, the 

Substance Abuse and Mental Health 

Services Administration (SAMHSA) 

will publish periodic summaries of 

proposed projects. To request more 

information on the proposed projects or 

to obtain a copy of the information 

collection plans, call the SAMHSA 

Reports Clearance Officer on (240) 276–

1243. 

Comments are invited on: (a) Whether 

the proposed collections of information 

are necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Proposed Project: Garrett Lee Smith 

Campus Case Studies funded through 

the Garrett Lee Smith Youth Suicide 

Prevention and Early Intervention 

Programs—New. 

The Substance Abuse and Mental 

Health Services Administration’s 

(SAMHSA), Center for Mental Health 

Services (CMHS) is conducting up to six 

campus cases studies with Garrett Lee 

Smith (GLS) Youth Suicide Prevention 

and Early Intervention Campus Program 

grantees. The GLS Campus Case Studies 

(CCS) build upon campus’ existing local 

evaluation being implemented and 

funded through the GLS grant program. 

The goal of the CCS is to understand 

how a public health approach is 

successfully applied as a model for 

campus suicide prevention efforts, and 

will explore, in a systematic manner: 

the suicide prevention related 

infrastructures and supports (e.g., 

clinical and non-clinical) that exist on 

up to six selected GLS-funded 

campuses; the various student-level 

factors that are related to suicide 

prevention efforts (e.g., protective 

factors, coping strategies, social norms, 

and facilitators and barriers to student 

access and receipt of behavioral 

healthcare); campus interdepartmental 

collaboration and the relationship 

between various efforts to promote 

student mental health and wellness; and 

the extent to which the campus 

infrastructures and supports promote 

and address these factors. 

The data collected through this 

project will contribute to the knowledge 

base regarding a successful model for 

suicide prevention that integrates 

multiple prevention programs targeting 

risk and protective behaviors which 

place students at risk for a host of 

negative mental and physical health 

outcomes correlated with suicide, 

including violence, stress, untreated 

depression and mental illness, and 

academic failure. The strategies 

targeting various populations on 

campus will also be discussed, as well 

as the campus policies and procedures 

which facilitate campus efforts related 

to mental health promotion and crisis 

response. The CCS design includes 

three data collection strategies: (1) Case 

study key informant interviews (CSIs); 

(2) focus groups with students, faculty, 

and staff; and (3) an Enhanced Module 

to the OMB-approved Suicide 

Prevention Exposure, Awareness and 

Knowledge Survey—Student Version 

(OMB No. 0930–0286) administered to a 

sample of students. Data collection is 

planned to commence in fall 2008. CCS 

activities will be implemented on up to 

six GLS-funded campuses. 

The following describes the specific 

data collection activities and the data 

collection instruments to be used, 

followed by a summary table of the 

number of respondents and the 

respondent burden: 

• Enhanced Module for the SPEAKS. 

The Enhanced Module will be added to 

the OMB-approved Suicide Prevention 

Exposure, Awareness, and Knowledge 

Survey (SPEAKS)—Student Version 

(OMB No. 0930–0286). The Enhanced 

Module examines coping strategies, 

help-seeking behaviors, awareness of 

available mental health services, and 

risk and protective factors across the 

student population. Questions include 

the availability of resources to provide 

assistance to those at risk for suicide; 

the types of coping strategies they use 

when experiencing stress; from whom, 

if anyone, they would seek help; if they 

have dealt with mental health issues, 

sought help, and experienced trauma; 

and their use of protective factors. The 

Enhanced Module is Web-based and 

includes multiple-choice, Likert-scale, 

and yes/no questions. The Enhanced 

Module includes 16 items and will take 

approximately 10 minutes to complete. 

The Enhanced Module will be 

administered at each campus once in 

conjunction with the SPEAKS—Student 

Version to a random sample of 200 

students. 

• Student Focus Group Moderator’s 

Guide. This component will assess 

student risk and protective factors 

related to mental health, help-seeking 

behaviors, and knowledge of prevention 

activities on campus and their perceived 

effectiveness. This will help researchers 

more fully understand student-level 

factors in relation to population-level 

factors addressed by the Enhanced 

Module for the SPEAKS. Questions 

address stressors that different groups of 

students face while in college, barriers 

to seeking help, attitudes and stigma 

related to seeking help, and the 

accessibility of the campus counseling 

center. Six of the following seven 

groups of students will participate in 

focus groups on each campus, as 

decided by the campus: (1) First-year 

students, (2) athletes, (3) international 

students, (4) Lesbian, Gay, Bisexual, and 

Transgender (LGBT) students, (5) Greek 

life students, (6) graduate students, and 

(7) residential advisors/peer educators. 

Recruitment will be conducted by 

campus project staff. Focus groups will 

include a maximum of 9 students. Thus, 

the total number of student focus group 

participants will not exceed 324. Groups 

will last approximately 90 minutes. 

• Faculty/Staff Focus Group 

Moderator’s Guide. The faculty and staff 

focus groups will assess the campus’

approach to prevention, attitudes and 

stigma around student mental health 

and wellness on campus, campus 

infrastructure supports for students who 

need mental health help, and the 

general campus climate around mental 

health and wellness. Faculty and staff 

will also describe their knowledge of 

prevention activities on campus and 

their perceived effectiveness of these 

efforts. Local campus staff will recruit 

appropriate respondents for the faculty 

and staff focus groups to include a 

maximum of 9 respondents per group. 

The total number of participants will 


sroberts on PROD1PC70 with NOTICES