Notice2022-06414
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 28, 2022
Issuing agencies
Health and Human Services DepartmentSubstance Abuse and Mental Health Services Administration
Full Text
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<title>Federal Register, Volume 87 Issue 59 (Monday, March 28, 2022)</title>
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[Federal Register Volume 87, Number 59 (Monday, March 28, 2022)]
[Notices]
[Pages 17313-17315]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-06414]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Periodically, the Substance Abuse and Mental Health Services
Administration (SAMHSA) will publish a summary of information
collection requests under OMB review, in compliance with the Paperwork
Reduction Act (44 U.S.C. Chapter 35). To request a copy of these
documents, call the SAMHSA Reports Clearance Officer at (240) 276-0361.
Project: Mental and Substance Use Disorders Prevalence Study (MDPS)
Grant Funded by SAMHSA, Grant Number H79FG000030
SAMHSA is requesting from the Office of Management and Budget (OMB)
approval to conduct recruitment activities and clinical interviews with
household respondents and non-household facilities and respondents as
part of the Mental and Substance Use Disorders Prevalence Study (MDPS)
pilot program. Activities conducted will include: A household rostering
and mental health screening of household participants and a clinical
interview of both household and non-household participants. The
information gathered by the clinical interview will be used to
determine prevalence estimates of schizophrenia or schizoaffective
disorder; bipolar I disorder; major depressive disorder; generalized
anxiety disorder; posttraumatic stress disorder (PTSD); obsessive-
compulsive disorder; anorexia nervosa; and alcohol, benzodiazepine,
opioid, stimulant, and cannabis use disorders among U.S. adults ages 18
to 65 years.
Household Rostering
The household rostering includes inquiries about all adults ages 18
and older residing in the household, to assess eligibility for
inclusion in the study, and then selecting up to two adults for the
household mental health screening. The total number of household
members and numbers of adults and children are first asked, followed by
the first name, age and sex of all adult household members, as well as
whether any adult in the household has had a serious medical condition.
The best time to be interviewed is collected as well. The computerized
roster can be completed online, by phone, on paper, or in-person. The
target population is adults ages 18-65 residing in U.S. households; it
is estimated that 45,000 household rosters will be completed. The
primary objective of the household roster is to select up to two age-
eligible participants for the mental health screening interview.
Household Mental Health Screening
The household mental health screening interview utilizes the
Computerized Adaptive Testing for Mental Health Disorders (CAT-MH) or
the World Health Organization's Composite International Diagnostic
Interview (CIDI) instruments to assess symptoms related to the mental
health and substance use disorders of interest, including schizophrenia
or schizoaffective disorder; bipolar I disorder; major depressive
disorder; generalized anxiety disorder; posttraumatic stress disorder
(PTSD); obsessive-compulsive disorder; anorexia nervosa; and alcohol,
benzodiazepine, opioid, stimulant, and cannabis use. The screening
instrument also includes questions on treatment, receipt of Social
Security Disability Income (SSDI), military experience, and exposure to
and impact of COVID-19. The computerized mental health screening can be
completed online, by phone, on paper or in-person. The primary
objectives of the household mental health screening interview are to
assess the symptoms endorsed and determine eligibility and selection
for the MDPS pilot program clinical interview.
Clinical Interview
The MDPS pilot program clinical interview includes questions that
assess the mental health and substance use disorders using the NetSCID,
a computerized version of the Structured Clinical Interview for DSM-V
(SCID). This instrument includes questions on symptoms and their
duration and frequency for the disorders of interest. Also collected
from respondents is demographic information, including sex, gender,
age, education and employment status. Hospitalization and treatment
history are asked as well as questions to assess exposure to COVID-19
of self or other close family members and the impact on mental health.
Up to two adults per household will be selected to complete the
clinical interview. Participants from the prisons, jails, homeless
shelters and state psychiatric hospitals will complete the clinical
interview as well. The computer-assisted personal interview (CAPI) is
administered by a trained clinical interviewer, and can be conducted by
video conference, such as Zoom or WebEx, phone or in person.
Approximately 7,200 clinical interviews will be conducted as part of
the MDPS pilot program. The primary objective of the clinical interview
is to estimate the prevalence of the disorders of interest, including
schizophrenia or schizoaffective disorder; bipolar I disorder; major
depressive disorder; generalized anxiety disorder; posttraumatic stress
disorder (PTSD); obsessive-compulsive disorder; anorexia nervosa; and
alcohol, benzodiazepine, opioid, stimulant, and cannabis use, as well
as unmet treatment needs.
Jail Mental Health Screening
The jail mental health screening interview utilizes the CIDI
screening instruments to assess symptoms related to the primary mental
health and substance use disorders of interest including schizophrenia
or schizoaffective disorder; bipolar I disorder; major depressive
disorder; generalized anxiety disorder; posttraumatic stress disorder
(PTSD); obsessive-compulsive disorder; anorexia nervosa; and alcohol,
benzodiazepine, opioid, stimulant, and cannabis use. The screening
instrument also includes questions on treatment, receipt of Social
Security Disability Income (SSDI), military experience, and exposure to
and impact of COVID-19. The computerized mental health screening will
be completed in person or by phone. The target population is a
convenience sample of incarcerated 18-65-year-old adults, in up to six
jails identified by the MDPS co-investigator team. Up to 208 mental
health screening interviews will be conducted among incarcerated
respondents. Respondents will be provided with a card that includes
contact information and asked to contact the project personnel when
they are released for inclusion in the household clinical interview
sample. The primary objective of the jail mental
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health screening interview is to determine the feasibility of
conducting mental health screening interviews within a jail population,
as well as whether they would have been included in the household
sample during the data collection period should they not have been
incarcerated.
Facility Recruitment
Information packets will be sent to all selected prisons, state
psychiatric hospitals, homeless shelters and jails including a letter
of invitation, letters of support, an overview of the project and an
overview of the data collection process in the facility. Facilities
will be contacted by telephone, to answer any questions and provide
additional information regarding the MDPS pilot program. Once approval
is obtained, a logistics manager will contact the facility to provide
instructions on the rostering and selection processes, to schedule the
data collection visit, and to determine the appropriate space to
conduct the interviews and the number of days and hours per day for
data collection. Facilities will be asked to provide a roster
(deidentified or identified) of eligible residents within one week of
scheduling the data collection visit and again one-to-two weeks prior
to the actual data collection visit (note: Data collection can be
scheduled up to 4 months in advance). At the time of data collection,
facility staff will assist with data collection activities including
escorting selected inmates to and from the data collection area.
The primary objective of the MDPS pilot program is to examine
methods to estimate the prevalence of specific mental illnesses,
particularly adults with psychotic disorders and serious functional
impairment, and treatment in both populations to answer two core
research questions:
<bullet> What is the prevalence of schizophrenia/schizoaffective
disorder (lifetime and past year), bipolar I disorder (past year),
major depressive disorder (past year), generalized anxiety disorder
(past year), posttraumatic stress disorder (past year), obsessive-
compulsive disorder (past year), anorexia nervosa (past year), and
alcohol, benzodiazepine, opioid, stimulant, and cannabis use disorders
(past year) among adults, ages 18-65, in the United States?
<bullet> What proportion of adults in the United States with these
disorders received treatment in the past year?
In addition to these research questions, the MDPS pilot program
will allow for procedural evaluation to:
[ssquf] Identify which set of screening instruments might be best
to accurately identify mental and substance use disorders within the
U.S. household population;
[ssquf] Understand the best approaches to conducting data
collection within non-household settings, to gather information on
mental illness and treatment;
[ssquf] Design protocols for collecting clinical interviews from
proxy respondents; and
[ssquf] Establish a protocol that can be used at a larger scale to
understand the prevalence and burden of specific mental disorders in
both non-household and household populations across the United States.
Exhibit 1--Total Estimated Annualized Respondent Burden by Instrument and Facility Recruitment
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Number of
Activity Total number responses per Total number Average hours Average burden Average hourly Total cost
of respondents respondent of responses per response hours wage **
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Instrument:
Household Rostering................. 45,000 1 45,000 0.13 5,850 $19.83 $116,006
Household contact attempts *........ 45,000 1 45,000 0.17 7,650 19.83 151,700
Household Screening................. 45,000 1 45,000 0.25 11,250 19.83 223,088
Screening contact attempts *........ 45,000 1 45,000 0.17 7,650 19.83 151,700
Clinical Interview (household and 7,200 1 7,200 1.40 10,080 19.83 199,886
non-household).....................
Clinical Interview contact attempts 7,200 1 7,200 0.25 1,800 19.83 35,694
*..................................
Jail Screening Interview............ 208 1 208 0.33 69 19.83 1,369
Jail Clinical Interview............. 63 1 63 1.40 88 19.83 1749
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Sub-total Interviewing Estimates .............. .............. .............. .............. 44,437 .............. 881,192
===============================================================================================================
Facility Recruitment:
Information package review for 58 1 58 0.75 43.5 25.09 1,091
facility administrators............
Initial call with facility staff.... 58 1 58 1 58 25.09 1,455
Telephone call with facility staff 58 1 58 2 116 25.09 2,910
to explain roster file process.....
Facility staff provides roster...... 58 4 232 2 464 25.09 11,642
Facility staff coordinates time and 58 4 232 2 464 25.09 11,642
location for clinical interview
administration.....................
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Sub-total Facility Recruitment .............. .............. .............. .............. 1,145.5 .............. 28,740
Estimates......................
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45,582.5 .............. 909,932
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* Contact attempts include the time spent reviewing all follow-up letters and study materials, including the respondent website, interactions with field
and telephone interviewers, the consent process including asking questions regarding rights as a participant and receiving responses, and all other
exchanges during the recruitment and interviewing processes.
** To compute total estimated annual cost for Interviewing, the total burden hours were multiplied by the average hourly wage for each adult
participant, according to a Bureau of Labor Statistics (BLS) chart called ``Median usual weekly earnings of full-time wage and salary workers by
educational attainment.'' (Median usual weekly earnings of full-time wage and salary workers by educational attainment (<a href="http://bls.gov">bls.gov</a>)). We used the median
salary for full-time employees over the age of 25 who are high school graduates with no college experience in the 2nd quarter of 2021 ($19.83 per
hour). * For the Facility Recruitment, the total average burden assumes an average hourly rate of $25.09 for Community and Social Service Managers,
given in the Bureau of Labor Statistic's Occupational Employment Statistics, May 2020.
Written comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
[[Page 17315]]
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
Carlos Graham,
Reports Clearance Officer.
[FR Doc. 2022-06414 Filed 3-25-22; 8:45 am]
BILLING CODE 4162-20-P
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</html>Indexed from Federal Register on March 28, 2022.
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