Attachment MICS-17_Phase 2 and 3 SCID Review Form_Final_9-12-22

Attachment MICS-17_Phase 2 and 3 SCID Review Form_Final_9-12-22.pdf

2022 National Survey on Drug Use and Health (NSDUH)

Attachment MICS-17_Phase 2 and 3 SCID Review Form_Final_9-12-22

OMB: 0930-0110

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SCID Quality Review Form: Phase 2/3
CI name:
Case ID:
CS name:

Interview Length:
Overview Length:

Interview Date:
Review Date:
Form Sent to CI:
Feedback Meeting Date:
For Phase 2 only: SCID Quality Review Case # (1-10): _______
For Phase 3 only: Type of review:
•
•

Partial: _______
Full: _______

Partial Review: For use when CI asks for input on a specific module(s) or symptom(s)
and only watches those portions of the interview necessary to give feedback in
response to the CI concern.
Full Review: For use in the typical quality review process (i.e., cases flagged through
the 10% review). This involves watching the full video in its entirety and
comparing the video administration to the NetSCID pdf.
Phase 3 Quality Review Initiated by:
•
•
•
•
•

10% _______
Use of secondary informant _______
CI request _______
CS request _______
Other (Specify): ______________________________

Score Definitions
•

•
•

•
•

3 = Excellent. Demonstrated appropriate competence. No retraining needed.
2 = Minor issues. Needs some retraining (e.g., instructions, watching parts of the
interview together, roleplay).
1 = Major issues. Needs retraining in the fundamentals of administering the
SCID and/or has a poor grasp on the diagnostic criteria. Individuals who receive
a “1” score may need to be routed to another certification interview for retraining.
N/A = Topic reviewed did not occur during interview.
NFA (Not Fully Assessed) = The respondent did not screen into the diagnostic
module or had too few symptoms to evaluate the interviewer’s performance.

Phase 2/3 SCID Quality Review Form, Page 1

1I. Interviewing Style
1. Established rapport with respondent
2. Professionalism
3. Recognized and dealt with respondent’s
emotional responses during the interview (e.g.,
anger, tearfulness, etc.)
4. Helped rambling respondent to focus on the
issue under consideration
5. Completed interview in a reasonable period of
time (may vary from 45 minutes to 2 hours,
depending on complexity of history)

Excellent

Minor
Issues

Major
Issues

N/A

3
3
3

2
2
2

1
1
1

n/a

3

2

1

n/a

3

2

1

n/a

Excellent

Minor
Issues

Major
Issues

N/A

3

2

1

-

3
3

2
2

1
1

-

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

3
3

2
2

1
1

n/a
n/a

Section 1 Average Score: ______________
Notes:

II. Obtaining Diagnostic Information
1. Elicited enough information in the Overview to
understand the context and development of the
problem
2. Elicited adequate treatment history in Overview
3. Followed structure of the SCID whenever
possible
4. Elicited a description of each symptom in
respondent’s own words
5. Obtained enough information to make judgments
on each item
6. Provided adequate documentation to justify
ratings
7. Modified questions when necessary to use
language that was clear to respondent
8. Modified questions when necessary to take into
account information already obtained
9. Resolved contradictions in respondent’s story
10. Appropriately ruled out general medical or
substance etiologies (where necessary)

Phase 2/3 SCID Quality Review Form, Page 2

11. Focused interview on time period under
consideration (e.g., worst time during episode)
12. Clearly differentiated symptoms that are easily
confused (e.g., social phobia and fear of having a
panic attack in a crowd; inability to concentrate
and loss of interest)
13. Read questions verbatim when necessary.
Interviewers may incorporate information from
elsewhere in the interview to tailor NetSCID
questions.
14. Asked all questions, as needed, within the
diagnostic modules
15. Employed DRP as needed*

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

3

2

1

n/a

Excellent

Minor
Issues

Major
Issues

NFA

3
3
3
3
3
3
3
3

2
2
2
2
2
2
2
2

1
1
1
1
1
1
1
1

NFA
NFA
NFA
NFA
NFA
NFA
NFA
NFA

Section 2 Average Score: ______________
*Score of 2 or higher required to pass certification.
Notes:

III. Skills Assessing Specific Disorders
1.
2.
3.
4.
5.
6.
7.
8.

Schizophrenia/Schizoaffective Disorder
Major Depressive Disorder
Bipolar I Disorder
Substance Use Disorders
Generalized Anxiety Disorder
Obsessive-Compulsive Disorder
Posttraumatic Stress Disorder
Anorexia Nervosa

Section 3 Average Score: ______________

Phase 2/3 SCID Quality Review Form, Page 3

Notes:
OV:
MDE:
Mania:
Psychotic symptoms:
SUD:
GAD:
OCD:
PTSD:
AN:

Excellent

Minor
Issues

Major
Issues

N/A

3
3
3
3

2
2
2
2

1
1
1
1

n/a
n/a
n/a
n/a

3

2

1

n/a

IV. Technical Skills
1.
2.
3.
4.

Was skilled at video interviewing
Was proficient at using the NetSCID (navigating)
Effectively handled technical problems that arose
Used NetSCID features correctly (unblinding,
Notes, Dx tracker)
5. Transitioned smoothly from NetSCID to Blaise
Section 4 Average Score: ______________
Notes:

Phase 2/3 SCID Quality Review Form, Page 4

OVERALL QUALITY SCORING
Quality Scores by Section:
Section
1. Interviewing Style
2. Obtaining Diagnostic Information
3. Skills Assessing Specific Disorders
4. Technical Skills
Total Overall Quality Score

Average Score

Phase 2 Outcome: Mark results below.
_______ Passes to Phase 3*
_______ Needs additional certification interview.
_______ Needs to have another Phase 2 interview reviewed.
_______ Needs additional retraining in specific area (role play or instructions)
_______ CS revises CI scores as necessary to correct inaccurate coding.
_______ Recommendation for CI termination. Note: This would occur in situations
where an interviewer has not demonstrated competence after repeated attempts to
improve.
*Criteria for passing from Phase 2 to Phase 3: CI received scores of “3” across
Domains I-IV on a quality review of an interview with a study respondent. Exceptions
may be made on a case-by-case basis according to CS review and discussion with
supervisory team.
Phase 3 Outcome: Mark results below.
_______ CS provides feedback (list the areas where the CS wants to give feedback)
_______ Needs additional retraining in specific area (role play or instructions)
_______ CS revises CI scores as necessary to correct inaccurate coding.
_______ Recommendation for CI termination.
Plan of action:
_______ No action needed
_______ Schedule a role play with CS
_______ Contact Amy to have another certification interview scheduled
_______ Termination

Phase 2/3 SCID Quality Review Form, Page 5


File Typeapplication/pdf
File TitleMicrosoft Word - Attachment MICS-17_Phase 2 and 3 SCID Review Form_Final_9-12-22
Authorcjewett
File Modified2022-09-13
File Created2022-09-13

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