Clinical Validation Study Attachments 6 8 9 10

2020 NSDUH Clinical Validation Study (CVS)
Attachment CVS-6 – Follow-Up Clinical
Interview Recruitment Flyers

Adult Certification Participant Recruitment Flyer for Print/Web

Volunteers Needed to
Test a Questionnaire
RTI International, a research company based in Research
Triangle Park, North Carolina, is looking for adult
volunteers (age 18 or older) to test a questionnaire for
interviewer training purposes.

Volunteers must have received services from a drug or
alcohol use treatment facility or substance abuse
counselor at least once during the past 12 months.

Volunteers may not be RTI employees or family of RTI
employees. Friends of RTI employees are eligible.

Interviews will take about one hour and will be completed
over the phone. Study participants will receive $40 upon
completion of the full interview.

Interviews will take place through MONTH, DATE, YEAR.

FOR MORE INFORMATION, PLEASE CALL
[PROJECT STAFF] AT 800-334-8571, ext. XXXX.

[Alternate Text for Web Flyer]
To see if you are eligible for the study, please complete a short
questionnaire at www.XXXXX

CS Adult Certification Participant Recruitment Flyer for
Print/Web

Volunteers Needed to
Test a Questionnaire
RTI International, a research company based in Research
Triangle Park, North Carolina, is looking for adult
volunteers (age 18 or older) to test a questionnaire for
training purposes.
Volunteers must have received services from a drug or
alcohol use treatment facility or substance abuse
counselor at least once during the past 12 months.
Volunteers may not be RTI employees or family of RTI
employees. Friends of RTI employees are eligible.
Interviews will take about one hour and will be completed
over the phone. Study participants will receive $40 upon
completion of the full interview.
Interviews will take place through MONTH, DATE, YEAR.

FOR MORE INFORMATION, PLEASE CALL
[PROJECT STAFF] AT 800-334-8571, ext. XXXX.

[Alternate Text for Web Flyer]
To see if you are eligible for the study, please complete a short
questionnaire at www.XXXXX

Youth Certification Participant Recruitment Flyer

Volunteers Needed to
Test a Questionnaire
RTI International, a research company based in Research
Triangle Park, North Carolina, is looking for youth
volunteers (age 12-17) to test a questionnaire for
interviewer training purposes.

Volunteers must have received services from a drug or
alcohol use treatment facility or substance abuse
counselor at least once during the past 12 months.

Volunteers may not be RTI employees or family of RTI
employees. Friends of RTI employees are eligible.

Interviews will take about one hour and will be completed
over the phone. Study participants will receive $40 upon
completion of the full interview. Parental consent required.

Interviews will take place through MONTH, DATE, YEAR.

FOR MORE INFORMATION, PLEASE CALL
[PROJECT STAFF] AT 800-334-8571, ext. XXXX.

2020 NSDUH Clinical Validation Study (CVS)
Attachment CVS-8 – Follow-Up Clinical
Certification Study Descriptions

Adult Certification
Study Description

You have been chosen for a special telephone study for the National Survey on Drug Use and
Health. This study is sponsored by the U.S. Department of Health and Human Services. The
study will involve your participation in an interview that includes questions about your
experiences with the use or non-use of alcohol and drugs. The interview will be conducted
over the phone and takes about an hour.
When you agreed to participate, we asked for your name and telephone number. This
information will be used only to contact you for the telephone interview. Federal law requires
us to keep all of your answers private and confidential. Any data you provide will only be used
by authorized personnel for statistical purposes according to the Confidential Information
Protection and Statistical Efficiency Act of 2002. The only exceptions to this promise of
confidentiality are if you tell the interviewer you intend to seriously harm yourself or someone
else, or if a child has been or will be seriously harmed. In this situation RTI may need to notify
a mental health professional or other authorities.
Your participation is voluntary. Each person who completes the interview will receive
$40 by mail.
You may consider some of the questions to be sensitive and some of the questions also may
make you feel certain emotions, such as sadness. Remember you can refuse to answer any
questions you do not want to answer, and you can stop the interview at any time. If you
become upset at any time during the interview and wish to speak to a mental health
professional about how you are feeling, the interviewer can provide you with toll-free hotline
numbers.
If you have questions about the study, call [PROJECT CONTACT] at [CONTACT’s NUMBER]. If
you have questions about your rights as a study participant, call RTI’s Office of Research
Protection at 1-866-214-2043 (a toll-free number). You can also visit our project Website:
http://nsduhweb.rti.org/ for more information.
Thank you for your cooperation and time.

Peter Tice, Ph.D.
Project Officer
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration (SAMHSA)
U.S. Department of Health and Human Services
Your confidentiality is protected by the Confidential Information Protection and Statistical Efficiency Act of 2002
(CIPSEA, PL 107-347). Any project staff or authorized data user who violates CIPSEA may be subject to a jail term of
up to 5 years, a fine of up to $250,000, or both.

NOTICE: Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, Paperwork Reduction Project (xxxx-xxxx), Center for
Behavioral Health Statistics and Quality; Room 15E57B; 5600 Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to,
a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is xxxx-xxxx, expiration date xx/xx/xx.

Adult CS
Certification
Study Description
You have been chosen for a special telephone study for the National Survey on Drug Use and
Health. This study is sponsored by the U.S. Department of Health and Human Services. The
study will involve your participation in an interview that includes questions about your
experiences with the use or non-use of alcohol and drugs. The interview will be conducted
over the phone and takes about an hour.
When you agreed to participate, we asked for your name and telephone number. This
information will be used only to contact you for the interview. Federal law requires us to keep
all of your answers private and confidential. Any data you provide will only be used by
authorized personnel for statistical purposes according to the Confidential Information
Protection and Statistical Efficiency Act of 2002. The only exceptions to this promise of
confidentiality are if you tell the interviewer you intend to seriously harm yourself or someone
else, or if a child has been or will be seriously harmed. In this situation RTI may need to notify
a mental health professional or other authorities.
Your participation is voluntary. Each person who completes the interview will receive
$40 by mail.
You may consider some of the questions to be sensitive and some of the questions also may
make you feel certain emotions, such as sadness. Remember you can refuse to answer any
questions you do not want to answer, and you can stop the interview at any time. If you
become upset at any time during the interview and wish to speak to a mental health
professional about how you are feeling, the interviewer can provide you with toll-free hotline
numbers.
If you have questions about the study, call [PROJECT CONTACT] at [CONTACT’s NUMBER]. If
you have questions about your rights as a study participant, call RTI’s Office of Research
Protection at 1-866-214-2043 (a toll-free number). You can also visit our project Website:
http://nsduhweb.rti.org/ for more information.
Thank you for your cooperation and time.

Peter Tice, Ph.D.
Project Officer
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration (SAMHSA)
U.S. Department of Health and Human Services
Your confidentiality is protected by the Confidential Information Protection and Statistical Efficiency Act of 2002
(CIPSEA, PL 107-347). Any project staff or authorized data user who violates CIPSEA may be subject to a jail term of
up to 5 years, a fine of up to $250,000, or both.
NOTICE: Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, Paperwork Reduction Project (xxxx-xxxx), Center for
Behavioral Health Statistics and Quality; Room 15E57B; 5600 Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to,
a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is xxxx-xxxx, expiration date xx/xx/xx.

Youth Certification
Study Description

You have been chosen to take part in a special study for the National Survey on Drug Use
and Health. This study is sponsored by the U.S. Department of Health and Human
Services. The interview will ask questions about your experiences with the use or non-use
of alcohol and drugs. The interview will take place over the phone and takes about an hour.
Your parent said you can do this interview if you want.
When you agreed to participate, we asked for your name, your parent’s name, and a
telephone number. This information will only be used to contact you for the telephone
interview.
Federal law requires us to keep all of your answers private and confidential. Any data you
provide will only be used by authorized personnel for statistical purposes. The law
protecting your information is the Confidential Information Protection and Statistical
Efficiency Act of 2002. This promise is true unless you tell the interviewer you plan to harm
yourself or someone else, or if you say someone is harming you. Then the interviewer would
need to tell your parent, a counselor, or another adult who can help. All other information
you share is private.
It is up to you whether you do the interview. Each person who completes the
interview will receive $40 by mail.
You may think some of the questions are sensitive and some of the questions also may
make you feel certain emotions, such as sadness. Remember you do not have to answer
any questions you do not want to answer, and you can stop the interview at any time. If
you become upset at any time during the interview and want to talk to a counselor about
how you are feeling, the interviewer will give you toll-free hotline numbers.
If you have questions about the study, call [PROJECT CONTACT] at [CONTACT’s NUMBER].
If you have questions about your rights as a study participant, call RTI’s Office of Research
Protection at 1-866-214-2043 (a toll-free number). You can also go to our project
Website: http://nsduhweb.rti.org/ for more information. Thank you for your help.

Peter Tice, Ph.D.
Project Officer
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration (SAMHSA)
U.S. Department of Health and Human Services
Your confidentiality is protected by the Confidential Information Protection and Statistical Efficiency Act of 2002
(CIPSEA, PL 107-347). Any project staff or authorized data user who violates CIPSEA may be subject to a jail term
of up to 5 years, a fine of up to $250,000, or both.
NOTICE: Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, Paperwork Reduction Project (xxxx-xxxx), Center for
Behavioral Health Statistics and Quality; Room 15E57B; 5600 Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to,
a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is xxxx-xxxx, expiration date xx/xx/xx.

2020 NSDUH Clinical Validation Study (CVS)
Attachment CVS-9 – Follow-Up Clinical
Certification Introduction and Informed Consent

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 1

Adult Introduction to Certification Clinical Interview
Before you call, be prepared:
 Review the assignment information provided including the respondent name, telephone
number, as well as the date of the recruiter/web screening.
 Have your schedule available (in case you need to schedule an appointment).
 Have all interviewing materials available.
VERIFY NUMBER AND LOCATE RESPONDENT
Hi, my name is _______________ and I’m calling on behalf of the U.S. Department of
Health and Human Services. Is this [PHONE NUMBER]?
YES: PROCEED BELOW
NO: I apologize. I need to double check my records. Thank you for your time. END
CALL.
I’m trying to reach [FIRST NAME] who agreed to take part in a telephone interview we’re
conducting. May I speak to [FIRST NAME]?
IF R NOT HOME OR UNAVAILABLE
When would be a good time to call again? ENTER CODE XX AND DETAILS IN CMS.
Thank you for your time. END CALL.
IF R AVAILABLE
(Hi, my name is _______________.)
You recently (spoke with a recruiter/completed a web screening) about participating in an
interview regarding your experiences with the use or non-use of alcohol and drugs. I am
the interviewer you were told would contact you for a telephone interview. Do you recall
(speaking with the recruiter/completing the web screener)?
YES:
NO:

PROCEED BELOW.
VERIFY FIRST NAME OF PERSON YOU ARE SPEAKING TO.
IF NOT SPEAKING TO CORRECT PERSON, ASK TO SPEAK TO RESPONDENT.
IF NAME IS CORRECT AND RESPONDENT DOESN’T RECALL, REMIND OF DATE
OF CONTACT WITH RECRUITER/WEB SCREENING.
IF CORRECT RESPONDENT STILL NOT FOUND: I apologize. I need to double
check my records. Thank you for your time. END CALL. ENTER CODE XX AND
INVESTIGATE.

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 2

AVAILABLE CERT R
Your safety is important, so I want to be sure you are not driving or in an area where you
might be distracted. Are you in a place where you can safely talk on the phone and
answer my questions?
YES:
NO:

PROCEED
Are you able to move to a place where you can safely talk?
YES: PAUSE, THEN CONTINUE
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS
IN CMS. Thank you for your time. END CALL.

Is now a good time to complete this interview?
YES: PROCEED. BE SURE TO READ VERBATIM.
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS IN
CMS. Thank you for your time. END CALL.
INFORMED CONSENT
Before we begin, I would like to remind you of the study details. This study, sponsored by
the U.S. Department of Health and Human Services, asks questions about your experiences
with the use or non-use of alcohol and drugs. Although there is no benefit to you
personally, knowledge gained from this study will improve our ability to describe and
understand alcohol and drug use in the United States. Federal law requires us to keep all of
your answers private and confidential. Any data you provide will only be used by
authorized personnel for statistical purposes. The only exceptions to this promise of
confidentiality are if you tell me you intend to seriously harm yourself or someone else, or if
a child has been or will be seriously harmed. In this situation I may need to notify a mental
health professional or other authorities.
Your participation is voluntary. The interview will take about an hour. You may consider
some of the questions to be sensitive and some of the questions may also make you feel
certain emotions, such as sadness. Remember you can refuse to answer any questions
you do not want to answer, and you can stop the interview at any time. If you become
upset at any time during the interview and wish to speak to a mental health professional
about how you are feeling, I will provide you with the toll-free hotline numbers to call.
The information we are collecting today is only for training purposes. A check for $40
will be sent to you after you complete the interview.
These study details are also included on the Adult Certification Study Description that
was provided to you by email. Do you have any questions before we begin? ANSWER
RESPONDENT QUESTIONS.
IF R DOESN’T REMEMBER STUDY DESCRIPTION: The Study Description covers the same
information I just reviewed with you about the study. Do you have any (other) questions?
Is it OK to continue with the interview?
YES:
NO:

PROCEED TO NEXT PAGE
BASED ON CONVERSATION:
What sort of concerns do you have about participating?
OR
Are there other questions that I could answer for you?

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 3

IF R STILL UNWILLING TO PARTICIPATE: Thank you for your time. END CALL.
DOCUMENT THE SITUATION IN THE CMS

PRIVACY
Because you may not want others to hear the responses to some of our questions, I’d
like to be sure you’re in a private area. Where are you right now? Are you at home, at
work, or somewhere else? Are you in an area where you can answer these questions
privately?
YES: PROCEED
NO: Please move to a more private area. Do you need more time?
YES: PAUSE, THEN CONTINUE
NO:
CONTINUE
RECORDING PERMISSION
To ensure that I am conducting this interview accurately and properly, I would like to
make an audio recording of this interview. This is done strictly for quality control
purposes. The recording will only be listened to by staff members on the project who
have signed confidentiality pledges. The recording will be stored in a secure manner and
will not contain your name—only a random number we can use to match the recording to
the interview. To help maintain confidentiality, we ask that you not give your name or
any other identifying information, such as an address or place of business, during the
interview. All recordings will be permanently destroyed within 24 months after the end of
the data collection period.
Do you agree to allow me to record the interview?
YES: I will now begin recording. START RECORDING AND SAY: “This is [YOUR FIRST
AND LAST NAME] conducting telephone interview [QUEST ID] on [DATE].” Ok, let’s get
started.
NO:

DON’T RECORD. ATTEMPT TO ADDRESS CONCERNS. Because this is a
certification interview to determine if I am following all procedures correctly we
will not be able to continue with the interview. Thank you for your time.

CI NOTES:
IF ASKED AT ANY TIME BY A RESPONDENT WHETHER THE INTERVIEWER IS A DOCTOR,
PSYCHIATRIST, PSYCHOLOGIST, SOCIAL WORKER, OR OTHER MENTAL HEALTH
PROFESSIONAL, YOU MAY DISCLOSE THAT YOU HAVE MEDICAL OR PSYCHOLOGICAL
TRAINING THAT ALLOWS YOU TO FULLY UNDERSTAND THE SURVEY.
HOWEVER, YOU SHOULD EXPLAIN THAT YOUR INVOLVEMENT IN THIS STUDY IS FOR
TRAINING PURPOSES ONLY AND IN NO WAY CONSTITUTES MEDICAL OR
PSYCHOLOGICAL ADVICE, TREATMENT, OR DIAGNOSIS. EXPLAIN THAT THIS IS NOT
THE NATURE OF THIS EFFORT.
IF RESPONDENT REQUESTS PSYCHOLOGICAL COUNSELING OR ADVICE OF ANY KIND,
REFER HIM/HER TO THE NATIONAL LIFELINE. IF RESPONDENT IS INTERESTED IN
CONTACTING THE LIFELINE, OFFER TO STAY ON THE PHONE AND CONNECT THEM VIA
A THREE-WAY CALL.

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 4

This page has been intentionally left blank.

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 1

Adult Introduction to CS Certification Clinical Interview
Before you call, be prepared:
 Review the assignment information provided including the respondent name, telephone
number, as well as the date of the recruiter/web screening.
 Have your schedule available (in case you need to schedule an appointment).
 Have all interviewing materials available.
VERIFY NUMBER AND LOCATE RESPONDENT
Hi, my name is _______________ and I’m calling on behalf of the U.S. Department of
Health and Human Services. Is this [PHONE NUMBER]?
YES: PROCEED BELOW
NO: I apologize. I need to double check my records. Thank you for your time. END
CALL.
I’m trying to reach [FIRST NAME] who agreed to take part in a telephone interview we’re
conducting. May I speak to [FIRST NAME]?
IF R NOT HOME OR UNAVAILABLE
When would be a good time to call again? ENTER CODE XX AND DETAILS IN CMS.
Thank you for your time. END CALL.
IF R AVAILABLE
(Hi, my name is _______________.)
You recently (spoke with a recruiter/completed a web screening) about participating in an
interview regarding your experiences with the use or non-use of alcohol and drugs. I am
the interviewer you were told would contact you for a telephone interview. Do you recall
(speaking with the recruiter/completing the web screener)?
YES:
NO:

PROCEED BELOW.
VERIFY FIRST NAME OF PERSON YOU ARE SPEAKING TO.
IF NOT SPEAKING TO CORRECT PERSON, ASK TO SPEAK TO RESPONDENT.
IF NAME IS CORRECT AND RESPONDENT DOESN’T RECALL, REMIND OF DATE
OF CONTACT WITH RECRUITER/WEB SCREENING.
IF CORRECT RESPONDENT STILL NOT FOUND: I apologize. I need to double
check my records. Thank you for your time. END CALL. ENTER CODE XX AND
INVESTIGATE.

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 2

AVAILABLE CERT R
Your safety is important, so I want to be sure you are not driving or in an area where you
might be distracted. Are you in a place where you can safely talk on the phone and
answer my questions?
YES:
NO:

PROCEED
Are you able to move to a place where you can safely talk?
YES: PAUSE, THEN CONTINUE
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS
IN CMS. Thank you for your time. END CALL.

Is now a good time to complete this interview?
YES: PROCEED. BE SURE TO READ VERBATIM.
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS IN
CMS. Thank you for your time. END CALL.
INFORMED CONSENT
Before we begin, I would like to remind you of the study details. This study, sponsored by
the U.S. Department of Health and Human Services, asks questions about your experiences
with the use or non-use of alcohol and drugs. Although there is no benefit to you
personally, knowledge gained from this study will improve our ability to describe and
understand alcohol and drug use in the United States. Federal law requires us to keep all of
your answers private and confidential. Any data you provide will only be used by
authorized personnel for statistical purposes. The only exceptions to this promise of
confidentiality are if you tell me you intend to seriously harm yourself or someone else, or if
a child has been or will be seriously harmed. In this situation I may need to notify a mental
health professional or other authorities.
Your participation is voluntary. The interview will take about an hour. You may consider
some of the questions to be sensitive and some of the questions may also make you feel
certain emotions, such as sadness. Remember you can refuse to answer any questions
you do not want to answer, and you can stop the interview at any time. If you become
upset at any time during the interview and wish to speak to a mental health professional
about how you are feeling, I will provide you with the toll-free hotline numbers to call.
The information we are collecting today is only for training purposes. A check for $40
will be sent to you after you complete the interview.
These study details are also included on the Adult Certification Study Description that
was provided to you by email. Do you have any questions before we begin? ANSWER
RESPONDENT QUESTIONS.
IF R DOESN’T REMEMBER STUDY DESCRIPTION: The Study Description covers the same
information I just reviewed with you about the study. Do you have any (other) questions?
Is it OK to continue with the interview?
YES:
NO:

PROCEED TO NEXT PAGE
BASED ON CONVERSATION:
What sort of concerns do you have about participating?
OR
Are there other questions that I could answer for you?

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 3

IF R STILL UNWILLING TO PARTICIPATE: Thank you for your time. END CALL.
DOCUMENT THE SITUATION IN THE CMS

PRIVACY
Because you may not want others to hear the responses to some of our questions, I’d
like to be sure you’re in a private area. Where are you right now? Are you at home, at
work, or somewhere else? Are you in an area where you can answer these questions
privately?
YES: PROCEED
NO: Please move to a more private area. Do you need more time?
YES: PAUSE, THEN CONTINUE
NO:
CONTINUE
RECORDING PERMISSION
To ensure that I am conducting this interview accurately and properly, I would like to
make an audio recording of this interview. This is done strictly for quality control
purposes. The recording will only be listened to by staff members on the project who
have signed confidentiality pledges. The recording will be stored in a secure manner and
will not contain your name—only a random number we can use to match the recording to
the interview. To help maintain confidentiality, we ask that you not give your name or
any other identifying information, such as an address or place of business, during the
interview. All recordings will be permanently destroyed within 24 months after the end of
the data collection period.
Do you agree to allow me to record the interview?
YES: I will now begin recording. START RECORDING AND SAY: “This is [YOUR FIRST
AND LAST NAME] conducting telephone interview [QUEST ID] on [DATE].” Ok, let’s get
started.
NO:

DON’T RECORD. ATTEMPT TO ADDRESS CONCERNS. Because this is a
certification interview to determine if I am following all procedures correctly we
will not be able to continue with the interview. Thank you for your time.

CI NOTES:
IF ASKED AT ANY TIME BY A RESPONDENT WHETHER THE INTERVIEWER IS A DOCTOR,
PSYCHIATRIST, PSYCHOLOGIST, SOCIAL WORKER, OR OTHER MENTAL HEALTH
PROFESSIONAL, YOU MAY DISCLOSE THAT YOU HAVE MEDICAL OR PSYCHOLOGICAL
TRAINING THAT ALLOWS YOU TO FULLY UNDERSTAND THE SURVEY.
HOWEVER, YOU SHOULD EXPLAIN THAT YOUR INVOLVEMENT IN THIS STUDY IS FOR
TRAINING PURPOSES ONLY AND IN NO WAY CONSTITUTES MEDICAL OR
PSYCHOLOGICAL ADVICE, TREATMENT, OR DIAGNOSIS. EXPLAIN THAT THIS IS NOT
THE NATURE OF THIS EFFORT.
IF RESPONDENT REQUESTS PSYCHOLOGICAL COUNSELING OR ADVICE OF ANY KIND,
REFER HIM/HER TO THE NATIONAL LIFELINE. IF RESPONDENT IS INTERESTED IN
CONTACTING THE LIFELINE, OFFER TO STAY ON THE PHONE AND CONNECT THEM VIA
A THREE-WAY CALL.

SCID-I/NP (for DSM-5)

(October 2019)

Certification Introduction Page 4

This page has been intentionally left blank.

SCID-I/NP (for DSM-5)

(December 2019)

Introduction Page 1

Youth Introduction to Certification Clinical Interview
Before you call, be prepared:
 Review the assignment information provided including the respondent name, parent name,
telephone number(s), as well as the date of the screening.
 Note whether the parent requested to be at home during the interview.
 Have your schedule available (in case you need to schedule an appointment).
 Have all interviewing materials available.
VERIFY NUMBER AND LOCATE RESPONDENT
Hi, my name is _______________ and I’m calling on behalf of the U.S. Department of
Health and Human Services. Is this [PHONE NUMBER]?
YES: PROCEED BELOW
NO: I apologize. I need to double check my records. Thank you for your time. END
CALL.
[IF PARENT REQUESTED TO BE HOME DURING INTERVIEW, CONTINUE BELOW]
[IF PARENT DID NOT REQUEST TO BE HOME DURING INTERVIEW, GO TO “IF PARENT
AVAILABLE”]
I’m trying to reach [PARENT NAME] who agreed to allow [YOUTH FIRST NAME] to take
part in a telephone interview we’re conducting. May I speak to [PARENT NAME]?
YES: PROCEED BELOW
NO: When would be a good time to call again? ENTER CODE XX AND DETAILS IN CMS.
Thank you for your time. END CALL.
IF PARENT AVAILABLE
As you may recall, you and your child [FILL NAME] previously spoke with us about your
child participating in an interview on their experiences with the use or non-use of alcohol
and drugs. I am the interviewer you were told would contact you for a telephone
interview. Do you recall speaking with us?
YES:
NO:

PROCEED BELOW.
VERIFY FIRST NAME OF PERSON YOU ARE SPEAKING TO.
IF NOT SPEAKING TO CORRECT PERSON, ASK TO SPEAK TO PARENT.
IF NAME IS CORRECT AND PARENT DOESN’T RECALL, REMIND OF DATE OF
CONTACT WITH RECRUITER.
IF CORRECT PERSON STILL NOT FOUND OR PARENT DOSEN’T REMEMBER: I
apologize. I need to double check my records. Thank you for your time. END
CALL. ENTER CODE XX AND INVESTIGATE.

SCID-I/NP (for DSM-5)

(December 2019)

Introduction Page 2

IF PARENT REQUESTED BEING HOME DURING INTERVIEW:
During the screening, you said you would like to be at home with your child when
they complete the interview. If your child is available to complete the interview
now, will you be at home for the next hour or so while we complete the interview?
YES: PROCEED BELOW
NO: When would be a good time to call again when you will both be available?
ENTER CODE XX AND DETAILS IN CMS.
Thank you for your time. END CALL.

PARENTAL RECORDING PERMISSION
To make sure I am doing my job correctly, I am required to make an audio recording of
your child’s interview. This is done strictly for quality control purposes. During the
screening, you said you were willing to have the interview audio recorded.
To confirm, may I audio record your child’s interview?
YES: CONTINUE.
PARENT REQUESTS ADDITIONAL INFORMATION: The recording will only be
listened to by project staff who have signed confidentiality pledges. The
recording will not include your child’s name—only a random number we can use
to match the recording to the interview. The recording will be stored securely and
permanently destroyed within 24 months after the end of the project. Do you
agree to allow me to record the interview? IF YES, PROCEED (ASK TO SPEAK
WITH YOUTH)
NO: Because this is a certification interview, an audio recording is required to be
sure I am conducting the interview correctly. Thank you for your time. END CALL
AND ENTER NOTES IN CMS.

May I speak to [YOUTH FIRST NAME]?
YES: PROCEED WITH YOUTH
NO: When would be a good time to call again? RECORD DETAILS IN CMS
Thank you for your time. END CALL

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Introduction Page 3

IF R AVAILABLE
(Hi, my name is _______________.)
You recently spoke with us about participating in an interview on your experiences with the
use or non-use of alcohol and drugs. I am the interviewer you were told would contact you
for a telephone interview. Do you recall speaking with us?
YES:
NO:

PROCEED BELOW.
VERIFY FIRST NAME OF PERSON YOU ARE SPEAKING TO.
IF NOT SPEAKING TO CORRECT PERSON, ASK TO SPEAK TO RESPONDENT.
IF NAME IS CORRECT AND RESPONDENT DOESN’T RECALL INITIAL INTERVIEW,
REMIND OF DATE OF CONTACT WITH RECRUITER.
IF CORRECT RESPONDENT STILL NOT FOUND OR PERSON DOESN’T
REMEMBER: I apologize. I need to double check my records. Thank you for your
time. END CALL. ENTER CODE XX AND INVESTIGATE.

AVAILABLE CVS R
Your safety is important, so I want to be sure you are at home, not walking or in an area
where you might be distracted. Are you at home in a place where you can safely talk on
the phone and answer my questions?
YES:
NO:

PROCEED
Are you able to move to a place within your home where you can safely talk?
YES: PAUSE, THEN CONTINUE
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS
IN CMS. Thank you for your time. END CALL.

Is now a good time to complete this interview?
YES: GO TO INFORMED ASSENT. BE SURE TO READ VERBATIM.
NO:
When would be a good time to call again? ENTER CODE XX AND DETAILS IN
CMS. Thank you for your time. END CALL.

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Introduction Page 4

INFORMED ASSENT
I would like to remind you of the study details. This study, sponsored by the U.S.
Department of Health and Human Services, asks questions to help us understand how
different people think and talk about their use or non-use of alcohol and drugs. The
interview will include questions about your knowledge of and experiences with alcohol
and drugs.
The study will not directly benefit you, but information from you and others your age will
help us understand alcohol and drug use issues for youth across the country.
Federal law requires us to keep all of your answers private and confidential. This is true
except if you tell me you plan to seriously harm yourself or someone else, or that
someone is harming you. Then I may need to tell your parent, a counselor, or another
adult who can help. All other information you share is private. We hope that protecting
your privacy will help you to give truthful answers. You can quit the interview at any
time. You can also refuse to answer any questions. The interview will take about an
hour. A check for $40 will be sent to you after you complete the interview.
It is your choice whether or not you do the interview. You may think some of the
questions are sensitive, and some of the questions may make you feel certain ways,
such as sad. Remember you do not have to answer any questions you do not want to
answer, and you can stop the interview at any time. If you become upset at any time
during the interview and want to speak to a counselor about how you are feeling, I will
give you toll-free hotline numbers to call. The information we are collecting today is only
for training purposes.
This information about the study is also included on the Youth Certification Study
Description that was sent to you via email. Do you have any questions before we begin?
ANSWER ANY RESPONDENT QUESTIONS.
IF R DOESN’T REMEMBER STUDY DESCRIPTION: The Study Description covers the
same information I just reviewed with you about the study. Do you have any (other)
questions?
Is it OK to continue with the interview?
YES: PROCEED TO NEXT PAGE
NO:
BASED ON CONVERSATION:
What sort of concerns do you have about participating?
OR
Are there other questions that I could answer for you?
IF R STILL UNWILLING TO PARTICIPATE: Thank you for your time. END CALL.
DOCUMENT THE SITUATION IN THE CMS.

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Introduction Page 5

PRIVACY
Because you may not want others to hear the responses to some of our questions, I’d
like to be sure you’re at home in a private area. Where are you right now? Are you at
home? Are you in an area where you can answer these questions privately?
YES: PROCEED
NO: Please move to a more private area. Do you need more time?
YES: PAUSE, THEN CONTINUE
NO:
CONTINUE
YOUTH RECORDING PERMISSION
In order to make sure that I am doing my job correctly, I would like to make an audio
recording of this interview. This is done only to make sure I am doing my job correctly.
The recording will only be listened to by people who work on the project who have
signed confidentiality pledges. A confidentiality pledge is a written promise that
information will not be shared with anyone. The recording will not include your name—
only a random number we can use to match the recording to the interview. To help
provide confidentiality, we ask that you not give your name or any other identifying
information, such as your address during the interview. The recording will be destroyed
within 24 months after the end of the project. Do you agree to allow me to record the
interview?
YES: I will now begin recording.
START RECORDING AND SAY: “This is [YOUR FIRST AND LAST NAME]
conducting telephone interview [QUEST ID] on [DATE].”
NO: DON’T RECORD. ATTEMPT TO ADDRESS CONCERNS. Because this is a
certification interview to determine if I am following all procedures correctly we
will not be able to continue with the interview. Thank you for your time.
Ok, let’s get started.
CI NOTES:
IF ASKED AT ANY TIME BY A RESPONDENT WHETHER THE INTERVIEWER IS A DOCTOR,
PSYCHIATRIST, PSYCHOLOGIST, SOCIAL WORKER, OR OTHER MENTAL HEALTH
PROFESSIONAL, YOU MAY DISCLOSE THAT YOU HAVE MEDICAL OR PSYCHOLOGICAL
TRAINING THAT ALLOWS YOU TO FULLY UNDERSTAND THE SURVEY.
HOWEVER, YOU SHOULD EXPLAIN THAT YOUR INVOLVEMENT IN THIS STUDY IS FOR
TRAINING PURPOSES ONLY AND IN NO WAY CONSTITUTES MEDICAL OR
PSYCHOLOGICAL ADVICE, TREATMENT, OR DIAGNOSIS. EXPLAIN THAT THIS IS NOT
THE NATURE OF THIS EFFORT.
IF RESPONDENT REQUESTS PSYCHOLOGICAL COUNSELING OR ADVICE OF ANY KIND,
REFER HIM/HER TO THE NATIONAL HELPLINE. IF RESPONDENT IS INTERESTED IN
CONTACTING THE HELPLINE, OFFER TO STAY ON THE PHONE AND CONNECT THEM
VIA A THREE-WAY CALL.

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Introduction Page 6

2020 NSDUH Clinical Validation Study (CVS)
Attachment CVS-10 – Follow-Up Clinical
Certification Thank You Letter

DATE
Dear Study Participant:
Thank you for your recent participation in our special study sponsored by the U.S. Department
of Health and Human Services. As a token of our appreciation, we’ve enclosed $40 for your
completion of the full interview.
Thank you again for your assistance!
Sincerely,
Kathy Batts
Study Director
RTI International