SSA Request.pdf

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Request for Sole Source Authorization (SSA) Division of Purchasing (DOP)

Email Completed Request Form to DOP at purchasing@adm.idaho.gov

New Request (Answer Questions 1-5)

Request to Renew SSA#01405-3 (Answer Questions 6-8)

(Check this box to request an additional term for the same goods/services)

Request to Amend SSA# (Answer Questions 9-10) (Check this box to request a change to the goods/services, term, or other conditions of the SSA)

Agency Purchasing Representative (Name): Katie Giesbrecht

E-mail/Phone: Katie.Giesbrecht@dhw.idaho.gov

Name of Agency: Department of Health and Welfare

Request for the Purchase of: Crisis Prevention Institute Nonviolent Crisis Intervention, Trainer Certification Training

Requested Supplier (vendor name): Crisis Prevention Institute, Inc.

Cost Estimate (attach quote): $500,000.00

Desired Term: Start Date: 5/1/2024 to End Date: 4/30/2029 (For one-time purchases, please enter a one-year term from the date on which you wish to place the order)

Do you anticipate the need for renewals? Yes No

Sole Source History (renewals and amendments):

Provide a history of the sole source including: SSA number, date issued, term, cost, and brief description for original SSA and each renewal/amendment; and total value to date. See SSA Instructions for examples.

IDAPA 38.05.01.045 provides that sole source purchase shall be used only if a requirement is reasonably available from a single supplier.

NEW REQUESTS (complete #1-5)

1. Describe the Product or Service.

Proprietary Nonviolent Crisis Intervention Training from the Crisis Prevention Institute, Inc. (CPI) provides staff with the resources to respond to crisis. Training includes de-escalation communication, proactive verbal de-escalation strategies, and safety intervention and disengagement skills. Staff are taught improved decision making, how to minimize physical intervention, confidence in recognizing risk behavior, how to respond to defensive behaviors, how to better understand behavior, and how to address the needs of the individual. The CPI proprietary framework includes a four (4) step process to turn crisis into an opportunity for positive outcomes. CPI utilizes a train-the-trainer method allowing certified trainers to train additional staff. CPI Nonviolent Crisis Intervention includes both online learning and in-classroom training designed to enable staff with the skill-set necessary to recognize risk level and apply the appropriate interventions for de-escalation and alternatives to the use of restraints.

DOP use only:

SSA#

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2. Describe your Agency’s Business Need for the requested product or service.

Nonviolent Crisis Intervention Training from the Crisis Prevention Institute, Inc. (CPI) is the required training for the seven (7) adult Idaho Crisis Centers and will be the required training for mobile crisis response teams as a core function of the Division of Behavioral Health's Center of Excellence. IDAPA 16.03.14 relating to facility standards for hospitals requires training in de-escalation techniques, use of least restrictive interventions, application of safe restraints, monitoring patients in restraint or seclusion, and providing care for a patient in restraint or seclusion. All three (3) State Hospitals (West, South, and North) have staff who are currently certified CPI trainers and would like to maintain current CPI certifications and in addition to certifying additional staff trainers. Each State Hospital has a history of success in utilizing CPI training. In addition, Optum has been offering CPI Nonviolent Crisis Intervention training to the provider network for many years, providing continuity between the provider network and Department supported services.

3. Justification: Check each box that applies and attach required documentation.

X Sole source provider of a licensed or patented good or service (attach provider’s letter) Sole manufacturer AND distributor (attach manufacturer’s letter) Sole provider of factory-authorized/warranty service (attach provider’s letter) Sole provider of items that are compatible with existing equipment, systems, programs, etc.

Other (attach description and justification)

4. Describe what makes this Product or Service unique.

CPI Nonviolent Crisis Intervention training is an evidence-based training that includes person-centered training and is considered a best practice in crisis intervention. According to SAMHSA Best Practice Toolkit (2020), CPI Nonviolent Crisis Intervention is a nationally recognized best practice in crisis intervention and highly effective in minimizing the need for physical interventions. CPI is unique in the fact that "the training focuses on prevention and de-escalation techniques and other alternatives to the use of restraint, as well as information on evaluating risk of harm;

monitoring for signs of distress; documenting incidents; and safe, less-restrictive physical interventions to be used only as a last resort". CPI has received both copyrights and trademarks for their proprietary training materials.

5. Provide a list of other suppliers contacted and describe the method for determining that there are no other possible suppliers.

Initial research generated the following list of four possible suppliers in addition to Crisis Prevention Institute.

These possible suppliers were evaluated based on three criteria:

1. Utilizing a person-centered approach;

2. Focus on de-escalation techniques; and

3. Minimizing the need for physical intervention.

Crisis Intervention Team (CIT) International: Focuses on providing community-wide and state-wide solutions to reduce stigma and further involvement with the criminal justice system for individuals with mental health conditions or substance use disorders. CIT focus is too broad to suit the needs of the State Hospitals and Crisis Teams. CIT does not offer a person-centered approach, de-escalation training, or training to minimize the use of restraints.

MOAB Training International: Focuses on teaching participants how to protect themselves from injury along with controlling and managing aggressive behavior. Teaches the use of a wide variety of restraints. MOAB does not offer a person-centered approach, de-escalation training, or training to minimize the use of restraints.

The Mandt System: Focuses on de-escalation techniques and crisis prevention specifically in the workplace or a school setting. The de-escalation training and crisis prevention training are two distinct programs. The State Hospitals and Crisis Teams will routinely be interacting with new individuals and will need de-escalation and crisis prevention techniques meant for individuals with whom a familiar relationship may not have been established. The Mandt System does not offer a person-centered approach, nor training to minimize the use of restraints or physical intervention.

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Right Response: Focuses on de-escalation techniques and conflict prevention. Right Response does not focus on minimizing the need for physical intervention and focuses mainly on the "impact of self" in conflict and crisis response.

Using the criteria outline above, none of the four potential suppliers are adequate suppliers.

After researching the above possible suppliers, a secondary search was done to determine if any other suppliers not already researched offer person-centered crisis intervention programs. Search results returned only the Crisis Prevention Institute. None of the above listed four suppliers are an adequate supplier.

REQUEST TO RENEW (complete #6-8) Note: each agency seeking authorization to renew a current SSA must conduct a business/financial analysis every 5 years, at a minimum, documenting estimated costs (as well as other factors) related to maintaining the current provider versus switching/migrating to a new provider/alternative solution, if one is available.

6. Confirm your Agency’s continuing Business Needs.

7. Justification: Check each box that applies and attach required documentation.

Sole source provider of a licensed or patented good or service (attach provider’s letter) Sole manufacturer AND distributor (attach manufacturer’s letter) Sole provider of factory-authorized/warranty service (attach provider’s letter) Sole provider of items that are compatible with existing equipment, systems, programs, etc.

Other (attach description and justification)

8. Describe the steps taken to confirm that the product/service continues to qualify as a sole source; include a list of suppliers contacted.

REQUEST TO AMEND (complete #9-10)

9. Describe (with specificity) the requested modifications to the scope of work, product requirements, cost or other proposed changes to your current SSA.

10. Describe your Agency’s business need for the requested modifications.

Agency Certifications:

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I certify that the Agency has sufficient appropriation balances for payment of the requested product/service.

(Checking this box takes the place of a DA-1 or IPRO request.)

I am aware that Idaho Code and IDAPA require procurements to be competitively bid unless specifically exempt;

that the statements contained in this Request are complete and accurate, based on my professional judgment and independent investigation; that no personal advantage will accrue to me or any member of my immediate family as a result of this direct procurement; and that based on my analysis of my agency’s business need and research into available products or services, no other vendor can provide the same or similar product or service to meet my agency’s need.

End-User/Program Agency Requestor: Alena Andersen 3/25/2024 Signature Date

On Behalf of SHW, SHS, SHN, COE-Crisis Team Printed Name Title

Agency Purchasing Representative:

Signature Date

Katie Giesbrecht Grants/Contracts Officer Printed Name Title

Upon approval by the Administrator, the Agency may proceed with the purchase and issue its own purchase order or contract document for this acquisition. The Division of Purchasing’s SSA number noted above (with Administrator approval, below) is the only authorization needed for the Agency to proceed with this purchase. Agency purchases from this sole source authorization shall not exceed the dollar amount listed above unless approved in writing by the Division of Purchasing.

APPROVED REJECTED

DOP ADMINISTRATOR:

Signature Date

Printed Name

Additional Conditions which apply to this approval:

The Agency must consult with its legal counsel regarding terms and conditions prior to entering into a contract with the approved supplier.

The Agency must complete a business/financial analysis prior to any additional renewals of this SSA.

Other (specify):

03/27/2024