[Federal Register Volume 87, Number 12 (Wednesday, January 19, 2022)]
[Notices]
[Pages 2885-2887]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-00861]


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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

    In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction 
Act of 1995 concerning opportunity for public comment on proposed 
collections of information, the Substance Abuse and Mental Health 
Services Administration (SAMHSA) will publish periodic summaries of 
proposed projects. To request more information on the proposed projects 
or to obtain a copy of the information collection plans, call the 
SAMHSA Reports Clearance Officer at (240) 276-0361.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information will have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

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.

[[Page 2886]]

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 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:
     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?
     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
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                             Number of
                                                                  Total      responses      Total       Average      Average      Average
                           Activity                             number of       per       number of    hours per      burden       hourly     Total cost
                                                               respondents   respondent   responses     response      hours       wage **
--------------------------------------------------------------------------------------------------------------------------------------------------------
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 non-household).........        7,200            1        7,200         1.40       10,080        19.83      199,886
    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

[[Page 2887]]

 
    Jail Clinical Interview..................................           63            1           63         1.40           88        19.83         1749
                                                              ------------------------------------------------------------------------------------------
        Sub-total Interviewing Estimates.....................  ...........  ...........  ...........  ...........       44,437  ...........      881,192
                                                              ------------------------------------------------------------------------------------------
Facility Recruitment
    Information package review for facility administrators...           58            1           58         0.75         43.5        25.09        1,091
    Initial call with facility staff.........................           58            1           58            1           58        25.09        1,455
    Telephone call with facility staff to explain roster file           58            1           58            2          116        25.09        2,910
     process.................................................
    Facility staff provides roster...........................           58            4          232            2          464        25.09       11,642
    Facility staff coordinates time and location for clinical           58            4          232            2          464        25.09       11,642
     interview administration................................
                                                              ------------------------------------------------------------------------------------------
        Sub-total Facility Recruitment Estimates.............  ...........  ...........  ...........  ...........      1,145.5  ...........       28,740
                                                              ------------------------------------------------------------------------------------------
            Total............................................  ...........  ...........  ...........  ...........     45,582.5  ...........      909,932
--------------------------------------------------------------------------------------------------------------------------------------------------------
*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 (bls.gov)). 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.

    Send comments to Carlos Graham, SAMHSA Reports Clearance Officer, 
5600 Fishers Lane, Room 15E57-A, Rockville, Maryland 20857, OR email a 
copy to [email protected]. Written comments should be 
received by March 21, 2022.

Carlos Graham,
Reports Clearance Officer.
[FR Doc. 2022-00861 Filed 1-18-22; 8:45 am]
BILLING CODE 4162-20-P