[Federal Register Volume 87, Number 59 (Monday, March 28, 2022)]
[Notices]
[Pages 17313-17315]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[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

[[Page 17314]]

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
                Activity                   Total number    responses per   Total number    Average hours  Average burden  Average hourly    Total cost
                                          of respondents    respondent     of responses    per 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              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
                                         ---------------------------------------------------------------------------------------------------------------
        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.....................
                                         ---------------------------------------------------------------------------------------------------------------
        Sub-total Facility Recruitment    ..............  ..............  ..............  ..............         1,145.5  ..............          28,740
         Estimates......................
                                         ===============================================================================================================
                                                                                                                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.

    Written comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
to www.reginfo.gov/public/do/PRAMain. 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