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/ http://youthsuicideprevention.nebraska.edu/ Pre-Post Training Survey – hard copy mail (kspeck@nebraska.edu), web sitekspeck@nebraska.edu Training Exit Survey (TES) – hard copy mail Early Identification, Referral and Follow-up Log (EIRF) - http://youthsuicideprevention.nebraska.edu/ 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/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 1.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)

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: 1.Unduplicated count of # of youth who took screening questionnaire 2.Unduplicated count of # of youth who screened positive on questionnaire only 3.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

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/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 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

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 Center 215 Centennial Mall South, Suite 401 Lincoln, NE 68588-0228 Kate Speck (Training): kspeck@nebraska.edu Mark DeKraai (Evaluation): mdekraai@nebraska.edu mdekraai@nebraska.edu Harmoni Noel (Evaluation): hnoel@nebraska.edu hnoel@nebraska.edu

22. Contact Info Send Pre/Post Training Surveys and TES to: University of Nebraska Public Policy Center 215 Centennial Mall South, Suite 401 Lincoln, NE 68588-0228 Kate Speck (Training): kspeck@nebraska.edu Mark DeKraai (Evaluation): mdekraai@nebraska.edu mdekraai@nebraska.edu Harmoni Noel (Evaluation): hnoel@nebraska.edu