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

Youth Suicide Prevention Webinar: The Nuts and Bolts

of Data Collection Forms July 1, 2010

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/

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

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

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

Products and Services Inventory (PSI)

• Part 1: Enter all products, services, and activities implemented in suicide prevention program1. Outreach and Awareness (e.g., website with suicide

prevention information; printed materials; media)2. Training (e.g., QPR; screening; assessment)3. Policy and Protocol Development (e.g., screening

protocols; research support materials)4. Direct Services (e.g., screening; assessments;

mental health services; postvention services)5. Other Prevention Infrastructure (e.g., building a

suicide prevention coalition)

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

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.

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.

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

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

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

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

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:1. Unduplicated count of # of youth who took screening

questionnaire2. Unduplicated count of # of youth who screened positive on

questionnaire only3. Unduplicated count of # of youth who screened positive on

questionnaire OR one-on-one interview OR self identify as suicidal at any point

4. Gender and race for all youth screened• Report to PPC Quarterly – June 30, Sept 30, Dec 30, March 30

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

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

EIRF- Individual Referral Follow Up Information

• 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

The End!• Thank you all for participating in our

webinar!• We will post this webinar on the Youth

Suicide Prevention website for your reference.

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

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