Welcome to the Youth Suicide Prevention Webinar: The Nuts and Bolts of Data Collection Forms

1. Welcome to the Youth Suicide Prevention Webinar: The Nuts and Bolts of Data Collection Forms For Audio: call 1-866-244-8528 and enter participant code: 643494

2. Youth Suicide Prevention Webinar: The Nuts and Bolts of Data Collection Forms July 1, 2010

4. Evaluation Tools Covered Today • Products and Services Inventory (PSI) - http://youthsuicideprevention.nebraska.edu/ • Pre-Post Training Survey – hard copy mail (kspeck@nebraska.edu), web site • Training Exit Survey (TES) – hard copy mail • Early Identification, Referral and Follow-up Log (EIRF) - http://youthsuicideprevention.nebraska.edu/

5. Products and Services Inventory (PSI) • What is it? • Survey that captures all products and services purchased, developed, or utilized by your suicide prevention program • Importance? • Keep track of what is being produced from grant funding

6. Products and Services Inventory (PSI) • How/When is it administered? • Seed Grantees: • Online survey: http://youthsuicideprevention.nebraska.edu/ • Due Quarterly – June 30, Sept 30, Dec 30, March 30 • Trainers: • None – PPC will get training info from TES

7. Products and Services Inventory (PSI) • ID – fill out coalition name • Part 1 – fill out separate survey for each product and inventory • Part 2 – Fill out one survey for your project

8. Products and Services Inventory (PSI) • Part 1: Enter all products, services, and activities implemented in suicide prevention program • Outreach and Awareness (e.g., website with suicide prevention information; printed materials; media) • Training (e.g., QPR; screening; assessment) • Policy and Protocol Development (e.g., screening protocols; research support materials) • Direct Services (e.g., screening; assessments; mental health services; postvention services) • Other Prevention Infrastructure (e.g., building a suicide prevention coalition)

9. Products and Services Inventory (PSI) • Identify Target Population • Description of Service/Product • Identify if Service/Product is EBP • Method of Evaluation • Plan to Continue Use after Funding • Was the Product Service Used at Beginning

10. Products and Services Inventory (PSI) • Part 2: Dollar amount of GLS funds spent and the % of funds expended on each of the 5 categories from Part 1.

11. Pre/Post Training Survey • What is it? • Pre and post survey created to assess knowledge gained from QPR training. • Importance? • Measure increase in knowledge about suicide prevention as an outcome of training.

12. Pre/Post Training Survey • How/When is it administered? • Trainers: • Administer paper pre-survey at the beginning of QPR training • Administer paper post-survey at the end of QPR training • Mail pre/post surveys into PPC along with TES (see last slide for contact info) • Continuously, but deadline is Quarterly – June 30, Sept 30, Dec 30, March 30

13. Training Exit Survey (TES) • What is it? • Instrument created to assess the content of the training, the participants’ intended use of the skills and knowledge learned, and satisfaction with their training experience • Importance? • Keep track of training activities

14. Training Exit Survey (TES) • How/When is it administered? • Trainers: • Administer paper survey to all training participants at the end of training • Reminder: make sure they use a #2 pencil (no pens) and fill in bubbles completely otherwise they can’t be scanned • Fill out TES cover page for each training • Mail TES surveys and cover pages to PPC (see last slide for contact info) • Continuously, but deadline is Quarterly – June 30, Sept 30, Dec 30, March 30

15. Early Identification and Referral Form (EIRF) • What is it? • Form used to track early identification activities, referrals for service, and received services • Importance? • Ability to connect youth at risk for suicide to appropriate services and follow-up on services received

16. Early Identification and Referral Form (EIRF) - Aggregate • How/When is it administered? • Seed Grantees: • If doing a formal screening process like Teen Screen then you will need to keep track of: • Unduplicated count of # of youth who took screening questionnaire • Unduplicated count of # of youth who screened positive on questionnaire only • Unduplicated count of # of youth who screened positive on questionnaire OR one-on-one interview OR self identify as suicidal at any point • Gender and race for all youth screened • Report to PPC Quarterly – June 30, Sept 30, Dec 30, March 30

17. Early Identification and Referral Form (EIRF) - Individual • How/When is it administered? • Trainers: • Instruct gatekeepers to fill out online survey: http://youthsuicideprevention.nebraska.edu/ • Every time a referral is made a new EIRF should be filled out • Referral follow-up can be reported with referral or up to 3 months later (email reminders will be sent) • Complete Continuously, but deadline is Quarterly – June 30, Sept 30, Dec 30, March 30

18. EIRF- Individual Referral Information • Participant ID • Setting – mental health agency • Source – screening • Age/Gender/Ethnicity/Race • Screening Results • MH Referral/Referral date/Type of agency • Non-mental health referral • Reason for non-referral

19. EIRF- Individual Referral Follow UpInformation • Completed up to three months after referral • Follow up information • Referred to MH? • If no, why • If yes, what did they receive? • Date of initial service

20. The End! • Thank you all for participating in our webinar! • We will post this webinar on the Youth Suicide Prevention website for your reference.

21. Contact Info • University of Nebraska Public Policy Center215 Centennial Mall South, Suite 401 Lincoln, NE  68588-0228 • Kate Speck (Training): • kspeck@nebraska.edu • Mark DeKraai (Evaluation): mdekraai@nebraska.edu • Harmoni Noel (Evaluation): hnoel@nebraska.edu

22. Contact Info • Send Pre/Post Training Surveys and TES to: University of Nebraska Public Policy Center215 Centennial Mall South, Suite 401 Lincoln, NE  68588-0228 • Kate Speck (Training): • kspeck@nebraska.edu • Mark DeKraai (Evaluation): mdekraai@nebraska.edu • Harmoni Noel (Evaluation): • hnoel@nebraska.edu