To the subject of having to complete an SSPI at the initiation of a crisis. This is not in the regulations  but was part of the Magellan training. That in itself is unclear as we are being trained for something that is not part of regulations. Does this include the prescreening? In Virginia we have 8 hours to complete an assessment, gather all information and find a bed. At times that includes calling up to 26 hospitals and faxing prescreening to each one of them. Our goal should be to provide intervention for a person in crisis. We are already completely overwhelmed by documentation and now Magellan wants a SSPI for a person we may never see again once they are hospitalized or a safety plan has been formulated. I'm sure this is true for the other CSBs/Regions.  If this is not required at prescreening then it should be made clear. We are getting conflicting directives. Our priority is to keep the person in crisis safe not duplicating our justification for providing the service. The prescreening is 10 pages that contains every piece of information needed. An SSPI is not justified in this case.