DCFS B-35958 PO24-020 Safe Model SPO Signed SSJF 230404~1.pdf

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PO24-020 SAFETY ASSESSMENT TOOL TP
Solicitation number
24-418DCFS-PROCU-B-35958
Issued by
Illinois

About this file

This document is a Sole Source Justification Form for the Illinois Department of Children and Family Services (DCFS) seeking to award a sole source contract to Action for Child Protection for a new comprehensive safety decision-making model and intervention framework (tool). DCFS requires this tool to help facilitate their goal of ensuring the safety of Illinois youth from intake through case closure. The tool must be grounded in research, proven effective, easy to use, and produce consistent assessments across diverse families. DCFS will require extensive implementation support, training, and technical assistance from the vendor to fully implement the new model statewide over 3-5 years.

The estimated initial contract term is July 1, 2023 to June 30, 2024 with no renewal options. The estimated initial contract value is $4,220,480. DCFS has determined this sole source is justified as Action for Child Protection's SAFE Model is the only tool that meets all of DCFS' required specifications and has been successfully implemented in 45 jurisdictions nationwide. DCFS reviewed other similar models but found them insufficient to address the shortcomings of their current assessment tool. The SAFE Model implementation and training costs may be eligible for reimbursement under the Family First Prevention Services Act.

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Sole Source Justification Form Version 7.01 Page of Sole Source Justification Form - Part I Section I - General Information Will this Sole Source amend a Professional or Artistic Services contract?

If yes, what was the original contract value?

*Sole Source may not be used for amendments for Professional or Artistic Services if the amendment would increase the value by more than 5% of the initial award or extend the term by more than 60 days.

Section II - Proposed Term If a Term Contract, does the term, including renewals, exceed 12 months?

If yes, provide a detailed justification including any economic benefit received for agreeing to a multi-year term:

Section III - Funding Source Select the type of funding to be used (Check all that apply):

Section IV - Sole Source Justification Are there secondary justification(s) for this sole source?

Section V - Purchase History Has the Agency or University Purchased these supplies or services in the past?

Term Term From Term To Value Description Contract Number Type Section VI - Business Rationale

1. Provide a detailed explanation of the need for the supplies or services:

2. Provide a list and describe in detail the specifications required to satisfy the need:

3. Provide detail explaining the justification selected in Section IV to explain why the requested supplies or services are the only ones available that can satisfy the agency or university requirements?

4. What are the unique features of the supplies or services that are not available in any other product or by any other vendor? Provide specific quantifiable factors/qualifications:

5. Has the Agency or University considered alternative supplies or services to satisfy their need?

5a. If yes, name the alternative vendors whose supplies or services were evaluated:

5b. If yes, what were the alternatives for each vendor and why were they unacceptable? Be specific with regard to features, characteristics, requirements, capabilities and compatibility:

5c. Explain how the market evaluation was conducted?

*This evaluation is to determine available options within a market. If the evaluation is to determine quality or best suited option, this is not the appropriate source selection. Under no circumstances shall the evaluation consist of testing alternative options. These activities must be conducted in a competitive transparent environment (i.e. IFB or RFP).

5a. If no, why weren't alternatives evaluated?

6. Are there resellers or distributors?

7. What efforts were made to get the best possible price (i.e. did the agency/university negotiate) and how did you determine the price for this purchase is considered fair and reasonable?

8. Will this purchase obligate the State to this vendor for future purchases such as maintenance, licensing or continuing need?

8a. If yes, please provide details regarding future obligations and/or needs:

9. What will be the financial or other impact to the State if this sole source is not approved and a competitive bid is required?

10. Is there any additional information you would like to add to justify this sole source?

Section VII Requesting Department Signature Required I know and understand the contents of this Sole Source Justification and attest that all statements are true and correct and the fairness and reasonableness of the price was adequately confirmed.

State Agency Bureau/Division Head or University Purchasing Director Approval and Signature Required I know and understand the contents of this Sole Source Justification and attest that all statements are true and correct and the fairness and reasonableness of the price was adequately confirmed. (All prior form fields will lock once this e-signature is completed) SPO Approval and Signature Required Sole Source Justification Form - Part II Section I - General Information Was a Sole Source hearing held per 30 ILCS 500/20-25?

Section II - Sole Source Hearing Details The State posted to the Illinois Procurement Bulletin a description of the State's need, the justification for the sole source decision, and information regarding the opportunity to submit comments and testify at a public hearing. Notice of the hearing was also posted outside of the hearing room 48 hours prior to the hearing.

The public hearing was conducted for the purpose of receiving testimony regarding the sole source determination. The Hearing Officer recommends the following:

The following relevant documents are attached:

Section III - CPO Approval and Signature Required 9.0.0.2.20101008.1.734229 ellen.h.daley@illinois.gov

BulletinNum: 24-418DCFS-PROCU-B-35958
Requesting: Department of Children and Family Services
CurrentPage:
PageCount:
Department: Operations - Child Protection
NeedIdentifiedDate: 02/01/2023
NeedbyDate: 07/01/2023
ProjectTitle: Safety Assessment Family Evaluation (SAFE) Model
ProjectTitle: Safety Assessment Family Evaluation (SAFE) Model
Vendor: Action 4 Child Protection - A Not-For-Profit Organization
Vendor: Action 4 Child Protection - A Not-For-Profit Organization
Description: The Department of Children and Family Services (DCFS) is in need of a new more robust comprehensive safety decision-making model and intervention framework tool. Implementation, training, and technical support is also required.
ValueIs: Estimated
ValueofInitialTerm: 4220480.00000000
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ThisIsA: New Sole Source
One-Time:
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BeginDate: 7/01/2023
EndDate: 6/30/2024
NumberofRenewals: 0.00000000
RenewalLength: 0.00000000
RenewalValue: 0.00000000
ExceedingYes:
ExceedingNo:
TextField3: Given the size of the jurisdiction, full implementation, including training DCFS staff, could take between 3 to 4 years (See federal ACF Children's Bureau back up documentation). Failing to complete implementation and training would render the model a less effective tool for intake safety assessments.
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FederalFunds: 1
FundingOther: 0
TextField4: SAFE Model
DropDownList1: Items are Copyrighted and/or Patented and the Items are Only Available from the vendor.
DropDownList1: See attachment for measurable non-financial success outcomes.
DropDownList1: See second attachment from ACF Children's Bureau for more information and other tools/models that were considered.
DropDownList1: Sole Source
Justify:
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Q1Answer: DCFS is charged with ensuring the safety of Illinois youth. DCFS is in need of a new comprehensive safety decision-making model and intervention framework (tool) to help facilitate that goal. Risk and safety assessment decision making tools do not replace clinical judgment, rather they supplement solid practices utilizing a combination of approaches and tools. According to the U.S. Department of Health and Human Services Children's Bureau, the Capacity Building Center for State, implementation is critical, case workers must be adequately trained and supervised to ensure fidelity to the model.

The Department needs a full implementation model from intake to case closure that can be used throughout the life of the case, along with implementation support, training and technical assistance. This assessment process incorporates gathering information related to family behaviors, conditions, and circumstances across six domains including: the Extent of Maltreatment, the Surrounding Circumstances of the Maltreatment, Child Functioning, Adult Functioning, General Parenting Practices, and Disciplinary Practices. The SAFE Model provides the framework to make a safety determination utilizing the interplay between the threats of danger and the things that might mitigate the threats of danger. The required specifications are for the Tool are to guide the CPSW to gather sufficient and relevant information to make an informed decision about whether a child is safe or unsafe.

It must guide their decision-making process as they click through:

• the 6 domains of family functioning,

• identification of whether there is a threat of danger (well-defined in the tool),

• assessment of each parent/caregiver protective capacity to control any threat of danger

• applies the 5 safety threshold criteria to the identified threat of danger

The model uses a standard tool to assess threats of danger, caregiver protective capacities, and unique vulnerability. The assessment distinguishes between "present" and "impending" danger, providing guidance about a child's risk and safety at first contact and throughout the course of the investigation (Pecora et al., 2013).

The model then determines whether each child in the home is safe or unsafe due to impending danger by automatically generates a safety determination based on the investigator’s selections. The tool provides a concrete and systematic approach to critical thinking and decision making. It does not require long narratives to be written by the investigator, rather it guides the child protection worker’s assessment and decision-making through the same Decision Process Flow every time.

This tool would reduce maltreatment because it would provide clear direction for front line staff in making the correct decision about the Safety of a child. Making the correct safety decision on a case does not alone reduce out‐ofhome care, it does reduce maltreatment.

The current model, CERAP, has been in use since 1996, and came into existence upon the passing of Senate Bill 1357, which became PA 88-614 in response to increased maltreatment of children in Illinois. PA 88-614 required DCFS to form a multi-disciplinary task force to develop and implement a child endangerment risk assessment protocol. The task force wrote CERAP based on another state’s form, and DCFS has modified and maintained it since.

DCFS with our partner, University of Chicago Chapin Hall, determined DCFS' current assessment model, CERAP, is outdated and does not adequately support DCFS' need to uniformly make objective safety decisions when assessing the safety of the children brought to the Department's attention. DCFS requires a model from intake to case closure that can be used throughout the life of the case. Due to the scale of use and users of the safety model, DCFS also requires implementation support, training and technical assistance adopting a new model.

There are a number of decision making approaches, such as consensus-based models, teaming approaches, and more recently predictive analytic approaches. While each approach can enhance decision making processes, and ultimately safety outcomes, risk assessments are limited to identifying correlations, rather than causes and are not evidence based models.

DCFS and Chapin Hall have determined a consensus based model, which uses expert agreement about the characteristics associated with maltreatment is the best model for IL DCFS.

The Capacity Building Center estimates successful implementation of any new model to take 3 to 5 years of practice (Fixsen et al., 2005).

Q2Answer: DCFS requires an model/tool to help staff improve decision making and ultimately safety outcomes for Illinois youth. The tool/model must be able to be used from referral to case closure, used to assess safety for all types of maltreatment, and must be continually updated to reflect current research and field practice. The tool/model must be grounded in research and proven effective by use in other states and jurisdictions, be easy to use, produce practical results, and measure what it is intended to measure. Perhaps most importantly, the tool/model must provide consistent assessments/conclusions across users and work similarly with diverse families throughout Illinois.

Ideally, a new tool will reduce maltreatment because it will provide clear direction for front line staff in making the correct decision about the safety of a child.

The tool must guide the case worker to gather sufficient and relevant information to make an informed decision about whether a child is safe or unsafe. It must guide their decision-making process by:

• assess the need for an urgent response,

• review the 6 domains of family functioning,

• identification of whether there is a threat of danger,

• assessment of each parent/caregiver protective capacity to control any threat of danger,

• assess impending threats to guide staff to establish a in-home or out-of-home safety plan, and

• upon reunification confirm safety threats have been eliminated,

• upon case closure, assess family functioning and support network, to determine safety.

In order to implement the tool/model DCFS will require extensive technical assistance from the developer/purveyor to install the program and move it from initial (pilot) to full implementation. This will include training all staff, creating new forms, training materials for each phase of the model implementation, intervention manuals, integrating all changes into existing DCFS policies and procedures, adapting the model to fit within our IT system.

Q3Answer: The SAFE Model by Action 4 Child Protection is credited as the first comprehensive safety decision-making model. The model is copyrighted and currently implemented in 45 jurisdictions and territories nationwide. The model uses a standard tool to assess threats of danger, caregiver protective capacities, and a child's unique vulnerability. The assessment distinguishes between present and impending danger, providing guidance about a child's risk and safety at first contact and through the course of the investigation.

In the last 30 years, Action 4 Child Protection has been a leader in this sector and has served as the National Resource Center on Child Maltreatment, jointly with the Child Welfare Institute, and then independently as the National Resource Center for Child Protective Services for more than 15 years.

In 2009 Action for Child Protection published “Child Safety A Guide for Judges and Attorneys” in partnership with the American Bar Association. 2010 The SAFE Model was designated as a Promising Practice by the Federal Children’s Bureau. In a 2011 PPI evaluations study conducted by the Children’s Bureau the Safe Model was given level 4 evidence rating based on a systematic review of research evidence. The SAFE Model is used by Center for States as technical assistants, which is funded by federal HHS, ACF Children’s Bureau.

Children’s Bureau just did a study of all state’s safety and risk based on statute – Action 4 Children was asked to be a peer reviewer “Use of Safety and Risk Assessments in Child Protection Cases.”

The SAFE Model provides the framework to make a safety determination utilizing the interplay between the threats of danger and the things that might mitigate the threats of danger.

The SAFE Model determines whether each child in the home is safe or unsafe due to impending danger by automatically generating a safety determination based on the investigator’s selections. It provides a concrete and systematic approach to critical thinking and decision making. It does not require long narratives to be written by the investigator, rather it guides the child protection worker’s assessment and decision-making through the same Decision Process Flow every time.

Q4Answer: The goal of the assessment tool is not to save time for front line staff, or somehow reduce cost, rather the goal is to make the correct safety decision about a youth's safety thereby reducing maltreatment. The CERAP checklist oversimplifies this complex decision. Time, or other non-maltreatment related considerations should not be part of the selection decision. See attachment for more information on non-financial success outcomes of the SAFE Model. Ideally, a new tool will reduce maltreatment because it will provide clear direction for front line staff in making the correct decision about the safety of a child.

No other vendor can write, implement, or provide training for the copy-righted consensus based model that possesses the required characteristics outlined above. Action 4 Child Protection (The Safe Model) has the proven expertise and history of implementation since they have already done this in 45 jurisdictions and territories.

altYes:
altNo:
Q5aAnswer: DCFS and Chapin Hall reviewed several other models, including other consensus and teaming models, but found the other models to be too similar to DCFS' current model which only provides a simple checklist which oversimplifies the complex decision and does not follow the youth through from intake to case closure. Other models typically require additional tools and competencies to ensure their effectiveness throughout the case process. The comprehensive nature of the SAFE Model was determined to be the most robust and best fit for DCFS.

A similar model, the Structure Decision Making Developed (National Council on Crime and Delinquency - Children's Research Center). While one of the most widely used models, it is similar to DCFS current model CERAP, and requires extensive clinical judgement, a mix of other tools, and a different assessment for each decision point throughout a case. This model does not fit DCFS strengths and weaknesses.

This new framework is monumental undertaking for DCFS. This will require current policies and practices to be updated along with forms. The fundamental changes will require all staff to be trained on the new framework, forms, and policy and procedures in order for this framework to work for DCFS. This framework will better assist DCFS to reduce maltreatment and help make the correct decision about the safety of a child or children.

Q5bAnswer: SDM includes a checklist approach to the consideration of the impending danger threats, this is very similar to the current tool used by DCFS and does not provide the interplay of the additional assessment components.
Q5cAnswer: The University of Chicago, Chapin Hall, under Contract by DCFS, conducted an independent review to examine the implementation and effectiveness of DCFS current assessment, the Child Endangerment Risk Assessment Protocol (CERAP) tool for safety decision-making and identify any best-practice alternatives as applicable. Chapin Hall examined the tool, mapped the business processes prescribed by the policy, investigated current implementation practices through focus groups, interviews, and case reviews, reviewed trends in CERAP use over time, and identified best practice exemplars in front-end safety assessment. Overall, this review found that the CERAP tool falls short of best practice in the following key ways:

1) It documents the factors that influenced safety determinations but does not provide guidance in making the safety determination.

2) It is implemented with considerable variation with respect to mitigating factors, safety threats, and safety plans.

3) It does not encourage consideration of contextual and environmental factors that are important to a determination based on the total case circumstances.

Chapin Hall recommended that DCFS consider best practice alternatives to the use of CERAP and specifically identified the ACTION 4 Child Protection Safety Assessment Evaluation (SAFE) model as one that would address current deficits and support the field in ensuring the safety of children.

Q6Yes:
Q6No:
Q6NA:
Q7Answer: DCFS did a review of several states that implementation of the SAFE model. The State of Florida implemented the SAFE model conduct analysis from referral until case closure. This is similar to the same SAFE model that IL-DCFS is wanting to implement. The tool will cost more up front with all the infrastructure, developing new forms, policy and practices that align with DCFS rules and laws. The vendor has had the same prices since 2011. After the Statewide implementation there are no on-going cost or subscriptions required for SAFE model.
Q8y:
Q8n:
Q8aAnswer: Continued implementation, training, and technical support until DCFS has fully implemented the model statewide and is able to take over policies and procedures and updates for it's use. Depending upon the implementation process and time it could take up to 3-5 years.
Q9Answer: While there is not a current financial impact, the feds just started allowing independent submissions that were due in December 2021 for Family First reimbursement review. Action 4 Children submitted the SAFE Model and it appears the model will receive a well-supported rating. If approved, the SAFE Model and all related implementation, training, and technical assistance costs should be reimbursable under FFPSA. Additionally, an additional 5-6 months delay for competitive proposals, in addition to the months spent studying DCFS' current model, only prolong providing case workers better tools for better decision making which will lead to better, safer, outcomes for Illinois youth. As indicated above, this model and tool should be well researched and chosen without regard for traditional measurable outcomes of procurements under the Code. Instead, a medically informed evidence based monitoring of a reduction in maltreatment should drive the selection of a new model/tool.
Q10Answer:
SignatureField1:
TextField63: Jassen Strokosch
TextField63: jassen.strokosch@illinois.gov
TextField63: william.blount-stephens@illinois.gov
TextField63: Will Blount-Stephens
TextField64: 312-802-9786
TextField65: 2175580011
Approve:
denied:
Comments:
Phone: 217-299-5563
Date:
PN: Gina Jacaway
Email: gina.jacaway@illinois.gov
InitialPostingDate: 2023-04-05
HearingYes:
HearingNo:
HearingDate:
HearingTime:
HearingLocation:
No: 0
Members: 0
recommends:
WrittenComments: 0
DecisionMemo: 0
HearingMinutes: 0
Other: 0
OtherComments:
HearingOfficerSignature:
Authorize:
AuthorizeWChanges:
Cancel:
CPOComments:
CPOSignature:
CPOTelephone: 217-558-6897
CPOPrintedName: Ellen H. Daley
CPOEmail:

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