SSJF Crisis Prevention Institute Training - B-51541 SPO approved.pdf

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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

Crisis Prevention Institute (CPI) Non-Violent Intervention Training

Crisis Prevention Institute (CPI) Non-Violent Intervention Training

Crisis Prevention Institute (CPI) Non-Violent Intervention Training

Upon review of each program, CPI continues to be the only program designed for mental health inpatient settings with appropriate physical intervention techniques designed to safely handle aggressive individuals in mental health hospitals. In addition, CPI is the only vendor recognized by The Joint Commission. CPI is the worldwide leader in evidence-based de-escalation and crisis prevention training utilizing unique training materials and methods for which it has obtained copyright and trademark protection. Switching the entire agency from CPI would not be a feasible economic solution.

Q1Answer: The Department of Behavioral Health and Recovery (DBHR) is establishing a contract with the Crisis Intervention Institute (CPI) for Nonviolent Crisis Intervention (NCI) Advanced Physical Skills training at the following DBHR and DD facilities: Alton, Chester, Choate, Chicago-Read, Elgin, Madden, Packard, IL School for the Visually Impaired, and IL School for the Deaf . The Nonviolent Crisis Intervention® training program is a behavior management system that offers prevention and intervention approaches that provides staff with a framework for decision making and problem solving to prevent, de-escalate, and safely respond to disruptive or assaultive behavior. This program also provides training for physical intervention to ensure the safety of both patients and staff. NCI training complies with all current legislation, is evidence-based, and fully accredited. Per the Joint Commission, hospitals must use the least restrictive form of restraint or seclusion that protects the physical safety of the patient, staff, or others.

The Nonviolent Crisis Intervention® Foundation Course offers the optimal mix of concepts and skills to safely address many of the behaviors staff encounter in a behavioral health setting. In organizations that support persons who are likely to demonstrate higher risk behaviors, Nonviolent Crisis Intervention® Foundation offers Advanced Physical Skills training to provides more effective tools to help staff manage more complex situations. This certification also offers additional skills in risk assessment and problem solving, along with strategies for teaching advanced physical interventions to front-line staff.

Q2Answer: Instructor certification training occurs at a CPI training facility. CPI does make exceptions and has traveled to the mental health hospitals if multiple staff are being certified as trainers. Certified CPI trainers conduct training at their own facilities for their own staff. Initial certification training and renewal trainings are separate and vary greatly in duration and cost.

1. Instructor Certification: Staff from each facility are selected for training as certified instructors in NCI. Once certified, each instructor returns to their respective facilities to train all staff across all three shifts. Crisis Prevention Institute provides 4 days of instructor certification training for all new Division of Mental Health instructors.

2. Renewal Training: All certified trainers are required to complete renewal training every 2 years. Crisis Prevention Institute provides 2 days of renewal training for all qualified Division of Behavioral Health and Recovery staff.

3. Annual Fees: Crisis Prevention Institute charges an annual fee for all certified trainers. This fee is imposed on any instructor who leads a class during the calendar year.

4. Work books: Each certified trainer must train all staff at their respective facilities across all three shifts. Each staff receives a workbook as part of the training program. Crisis Prevention Institute is the sole provider of their instructional workbook.

Q3Answer: A statewide work group consisting of identified hospital administrators, staff development specialists, directors of nursing, quality management and others was tasked to choose a non-violent crisis intervention vendor for all hospitals. Central Office Quality Coordinator conducted an Internet search for similar non-violent crisis intervention training programs. The following vendors were assessed as potential alternatives to CPI: MANDT, APT-USA, Relias, QBS, AIU8, SAMA (Sartori), CRTI, FAAC’S (MILO), CEBC.

Upon review of each program, CPI continues to be the only program designed for mental health inpatient settings with appropriate physical intervention techniques designed to safely handle aggressive individuals in mental health hospitals. CPI is the worldwide leader in evidence-based deescalation and crisis prevention training utilizing unique training materials and methods for which it has obtained copyright and trademark protection. Switching the entire agency from CPI would not be a feasible economic solution.

The training is compliant with all current legislation, is evidence-based, and fully accredited. Currently, over 2,700 staff have been trained in CPI / NCI by their in-house certified trainers. Per policy, staff are not allowed to work with patients until they have completed the training.

1) MANDT: Provides non-verbal and verbal crisis intervention techniques and physical intervention techniques. However the physical intervention techniques are very different and somewhat limiting (standing only restraint and two person seated restraint). The majority of their clients include agencies in Education Services, Healthcare Services, Human Services and Juvenile Justice. No specific mention of Mental Health or Behavioral Health. MANDT also utilizes shields and large pads for blocking aggressive patients. These tools appear confrontational and does not support the Division’s recovery based principles.

2) APT-USA: Provides psychological interventions to help angry, irritable and violent people to change. Does not have the in depth course components like CPI.

3) Relias: Provides an aggression management training foundation for mulit-site critical access hospitals, skilled nursing and retirement communities, home health, community health and family serving organizations. These skills lack advanced physical skill techniques that target the population served in inpatient psychiatric hospitals.

4) QBS: Provides safety care crisis prevention training in skills and competency to prevent, minimize and manage behavioral challenges with dignity and safety. This program does not include physical intervention techniques designed for Mental Health settings.

5) AIU8 Non-Violent Crisis Intervention: (CPI affiliate for school settings) Provides strategies for decision making and problem solving to prevent, de-escalate and safely respond to disruptive or physically aggressive behavior. This program is intended for school settings.

6) SAMA (Sartori) Training: Provides strategies on prevention, containment, protecting self and others by reducing the chance of injuries and to create a safe environment where aggression is not likely to be acted out physically. This program is not nearly as robust as the strategies and techniques currently utilized in our facilities to ensure safety.

7) CRTI (Crisis and Trauma Resource Institute): Provides over 60 training topics in a variety of formats. There is one module for de-escalating potentially violent situations. This workshop is designed to diffuse situations though assertiveness and interpersonal communication. This program lacks the physical intervention techniques our facilities require.

8) FAAC’S (MILO – Multiple Interactive Learning Objectives): Provides strategies designed for police/military.

CEBC Non-Violent Crisis Intervention Training: (CPI affiliate for child welfare professionals) Provides a framework for preventing, de-escalating and safely responding to crisis behavior. Only physical hold techniques are taught and is intended for staff working in child welfare settings, human services, healthcare facilities and educators.

The cost breakdown is as follows:

Training Instructor – Renewal: $71,021.00 Training Instructor – New: $101,983.00 Annual Fee : $9,200.00 Manuals : $96,648.80 Total Estimated Cost: $278,852.80

The cost breakdown was calculated based on the following figures (the price for manuals is an average as it varies per number ordered due to the discount element):

Item Qty Price Total Training Instructor - Renewal 29 $2,449.00 $71,021.00 Training Instructor - New 17 $5,999.00 $101,983.00 Annual Fee 46 $200.00 $9,200.00 Manuals 3220 $30.02 $96,648.80 Total $278,852.80

These figures are estimates and may adjust based on actual requirements. The estimates may vary depending on factors, including the number of instructors required for renewal as well as new instructors, the total number of manuals required and change in over all demand of facilities.