Supplemental Information for IRB Protocols Proposing Third-Party

							             "Third-Party Access to Existing Data Protocol" Example
The following Protocol #08-20 was reviewed and authorized by the CSUB IRB. It was
submitted attached to a completed Third-party Access to Existing Data cover page and the two
attachments listed in the added note at the end of the protocol.

                              Request to the CSUB IRB/HSR
               for Waiver of Authorization for Use/Disclosure of Information
                   for Research Purposes: "Third-Party Access to Data"

A. Project Title and Principal Investigator: “Evaluation of Short Term Outcomes of
   ‘Aggression Replacement Training’ in a California Juvenile Detention Facility” The principal
   investigator will be Jason Larkin, MSW student, California State University Bakersfield.

B. Project Summary: The Mental Health (MH) department at Kern County’s Larry J. Rhoades
   Kern Crossroads juvenile detention facility has implemented the “Aggression Replacement
   Training” (ART) program created by Goldstein, Glick, and Gibbs (1998). This project is a
   secondary data analysis to be used for the purpose of program evaluation. Data regarding
   a number of demographic and behavioral variables from both ART participants and non-
   ART participants have been collected by MH. This data will be analyzed by the principal
   investigator to determine if the ART program has been effective in reducing problem
   behaviors in participants. This project will benefit MH by allowing them to determine the
   short term effectiveness of ART implementation. This project will benefit ART participants
   by allowing MH to tailor implementation of the program in a manner that will provide the
   greatest reduction in problem behaviors.

C. Informed Consent/Authorization

   For the original data collection, was informed consent obtained for:

       1. data use for program evaluation?:              Yes* __X__ No
       2. data use for research purposes?:               Yes* __X__ No

   *If "Yes" please append written evidence

D. Data Description: The data to be collected falls into two categories. The first category is
   demographic information which includes age, ethnicity, ART group number, duration of
   commitment, total weeks completed (a combination of hard weeks served and merit weeks
   earned for good behavior), total number of commitments at the facility, zip code of juvenile,
   and gang affiliation. The second category of data is behavioral information which includes
   number of strikes, (a recorded reprimand for a rule violation), number of failed days, (the
   result of serious or repeated violation of facility rules), restrictions, (a curtailment of peer
   interaction and activity), weekly behavior grade (satisfactory, unsatisfactory, or
   probationary), and level of violent behavior . The data collected by MH are recorded in an
   “individual ART record” which is in the format of a Microsoft Word document and includes
   personal identifiers. MH is graciously allowing the collection of the data and does not have
   the time or resources to cleanse the data of personal identifiers before giving it to the
   principal investigator. The data will be collected and cleansed of personal identifiers by the
   principal investigator at the MH office of the facility. No data with personal identifiers will be
   removed from the facility. Instead of personal identifiers each ART participant and non-ART

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     participant whose data will be collected will be assigned a non-identifying number before
     the data is removed from the facility. When the data is taken from the MH offices at the
     facility, it will be stored on the hard disk drive of the personal laptop computer of the
     principal investigator with a backup copy to be kept in a locked file drawer of the project
     sponsor, Dr. Roseanna McCleary. The computer will be password protected and accessible
     only by the principal investigator. Only the principal investigator and the project sponsor will
     have access to this data. The principal investigator has signed a statement of confidentiality
     that will ensure the personal identifiers cleansed from the data will be kept in the utmost
     confidence. The data will be analyzed using the Statistical Package for the Social Sciences
     (SPSS) version 14. Behavioral variables of both ART participants and non-ART participants
     will be analyzed to determine if there is a statistically significant difference in the type and
     amount of problem behaviors of ART participants. Demographic and behavioral variables
     will be analyzed to determine if any correlation exists between variables.

 E. Justification for Data Access: Since Mental Health Services began using the ART
    program, they have administered about five or six 10-week cycles of ART. Data regarding
    each participant in each cycle have been collected by Mental Health and I am seeking
    access to this data. Allowing access to data collected before I began this project is the only
    way I will be able to gather sufficient data to analyze for the agency. If I can only collect
    data that have been gathered after I began the project, then the number of participants’
    data that I would conceivably have access to would be much smaller. It is the desire of the
    agency that I am able to access and analyze all the data they have collected. If I began
    collecting data immediately with consent, I would have very little or no data to work with,
    given the time constraints of the project and the 10-week-cyclic nature of the ART program.
    Consequently, I would be unable to fulfill the desires of the agency concerning this project.

 F. Justification for Waiver of Authorization: Most of the ART participants for which data
     have been collected have been released from the facility to the community. Obtaining
     written authorization from the majority of past ART participants is not feasible because the
     participants are no longer centrally accessible at the facility and are spread throughout the
     community. Obtaining these participants’ consent would require much more time than is
     available for the completion of this project.

 G. No More Than Minimal Risk

     The individuals whose information will be used for this project will not be placed at greater
     than minimal risk by the inclusion of their information. Measures that will ensure this include
     the statement of confidentiality signed by the principal investigator, lack of personal
     identifiers in the data removed from the facility, secure storage of the non-identifying data
     on a password protected private computer, and deletion of the data upon completion of the
     project in June, 2008.

 Goldstein, A. P., Glick, B., & Gibbs, J. C. (1998) Aggression replacement training: A
       comprehensive Intervention for aggressive youth (Rev. ed.) Champaign Illinois:
       Research Press.

[Added Note: The investigator attached to the protocol: [a] a signed “Statement of Confidentiality” promising that
 he will keep confidential all identifying information and [b] a letter from an agency administrator indicating that the
 investigator will be granted full access to the ART data.]



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