Multidisciplinary Assessment Team (MAT) Assessments and Meetings
0600-500.05 | Revision Date: 5/26/2022

Overview

This policy guide provides information on Multidisciplinary Assessment Team (MAT) Assessments and their incorporation into Child and Family Team (CFT) Meetings, including information on MAT eligibility. It provides guidance on completing the MAT assessments, and the required steps when receiving a MAT eligible case, including in situations when a MAT assessment was completed after the initial jurisdiction/disposition court date.

Table of Contents

Version Summary

This policy guide was updated from the 07/01/14 version, to update procedures for the Coordinated Services Action Team (CSAT), provide instructions to upload documents onto the DCFS Referral Portal, remove reference to ISW CSWs, and outline the process for the MAT CFT meetings.

POLICY

Multidisciplinary Assessment Team (MAT)

The Multidisciplinary Assessment Team (MAT) is a collaboration between DCFS and the Department of Mental Health (DMH) designed to ensure the immediate and comprehensive assessment of children entering out-of-home placement. MAT’s goals are:

  • More timely, comprehensive, and strength-based assessments of detained children and their families.
  • Early diagnostic awareness of critical medical conditions leading to early intervention and consistent management of such conditions.
  • Increased cooperation between families, caregivers, providers of services, and DCFS.
  • More appropriate team placement decisions for children.

The Coordinated Services Action Team (CSAT) is responsible for identifying and referring MAT eligible children at the time of detention.

MAT Eligibility Criteria

In order to be eligible for MAT, all of the following criteria must be met:

  • The child is placed within Los Angeles County
  • The child is straight Medi-Cal eligible
  • It is a detention on an Emergency Response referral
    • It cannot be a detention on an already open case – this includes failed VFMs and Court FM cases
  • The child is placed in out-of-home care (relative or foster care)
    • Children placed with a non-offending parent do not qualify

MAT Referrals

After eligibility is determined, the DCFS Coordinated Services Action Team (CSAT) CSA I puts together a complete referral package, which includes the following:

  • Mental Health Referral (MHR) created by the CSW in the DCFS Referral Portal.
  •  DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services, signed by the parent or legal guardian (obtained by the ER CSW and uploaded to the DCFS Referral Portal).
  • DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information, signed by the parent or legal guardian (obtained by the ER CSW and uploaded to the DCFS Referral Portal).
  • If the parent declines, or is unavailable to sign the DCFS 179-MH and DCFS 179-PHI, the package will include the minute order with the standard language ordering consent and release of information language.
  • The two-page MAT Referral Form which is completed in the MAT Automated System by the CSAT team.
  • Medi-Cal verification.
  • A copy of the Detention Report (uploaded to the DCFS Referral Portal by the ER CSW).
  • Completed Initial CANS with Behavior and Risk domains completed with comments (uploaded to the DCFS Referral Portal by the ER CSW).

Once the package is complete, the DCFS CSAT CSA I or DMH MAT Coordinator assigns a provider from the MAT Provider List to meet the needs of the family.

MAT Participants/Roles

The following individuals/groups participate in the MAT process:

The Continuing Services CSW:

  • Maintains frequent and continuing communication with the DI, DCFS CSAT CSA I, DMH MAT Provider, and other team members.
  • Provides the DMH MAT Provider any necessary case information when requested.
  • Informs the DCFS CSAT CSA I of all placement changes of identified MAT children.
  • If a case is post-disposition and the MAT results were not available prior to disposition, the continuing services CSW provides court status on the MAT assessment process and attaches the final MAT Summary of Findings (SOF) report to a supplemental report, or walks it on to court.

The SCSW of the Continuing Services CSW:

  • Ensures that CSW is communicating with the CFT team members.
  • Ensures that CSW provides necessary case information to provider when requested.
  • Facilitates the MAT CFT Staff Engagement.
  • Facilitates MAT CFT Family Engagement and/or MAT CFT Meeting in the CSW’s absence.
  • Ensures status of the MAT assessment process is reflected in the court report.

The DI:

  • Maintains frequent and continuing communication with the case-carrying CSW, MAT Coordinator, and DMH MAT Provider.
  • Attends and participates in the Summary of Findings MAT Meetings (if available).
  • Provides court status on the MAT assessment process and attaches the final MAT Summary of Findings report to the Jurisdiction/Disposition report, and/or supplemental report, and/or ex-parte report.

The DI SCSW:

  • Facilitates MAT CFT staff engagement for ERCP cases.
  • Participates in and/or facilitates MAT CFT Meetings in DI’s absence.
  • Ensures status of the MAT assessment process is appropriately addressed in the court report.

The DMH Contracted MAT Provider:

  • Reviews information provided by DCFS and determines case acceptance in a timely fashion.
  • Makes appropriate collateral contacts.
  • Provides assessments in the following areas: health, dental, mental health, education, development, family strengths, and placement.
  • Completes DMH required forms.
  • Provides CSAT CSA I with a SOF draft and initial CANS at least twenty-four (24) hours in advance of the MAT CFT.
  • Attends and participates in all four steps of the MAT CFT process to finalize the SOF Report.
  • Prepares the final SOF Report.
  • Assists in providing linkages to mental health services as needed.

DMH MAT Staff:

  • Consults with the DCFS CSAT CSA I Coordinator on provider selection for each child requiring a MAT (as needed).
  • Intervenes on behalf of DCFS when problematic issues arise with DMH MAT Providers.
  • Assists with the interpretation of assessment information.
  • Advises DCFS CSW/DI on applicable intervention strategies and necessary level of care.
  • Assists the continuing services CSW with the linkage of children and families to necessary services.
  • Participates in the MAT CFT Meeting, as needed.
  • Participates in program evaluation and further planning.

The ER CSW:

  • Submits the Mental Health Referral (MHR) to the DCFS Referral Portal (On 2Pen cases from ERCP, the CS CSW must submit the MHR).
  • Explains to the family the MAT process and obtains signatures on the DCFS 179-MH and DCFS 179-PHI.
  • Documents when a parent declines to sign the DCFS 179-MH and DCFS 179-PHI, and includes standard court language requesting court authorization for consent and release of information.
  • Provides requested information to MAT Coordinator.
  • Attends CFT staff engagement meetings for warm handoff information (if available).
  • Refers the caregiver to the Medical HUB for the child’s initial medical examination of MHST.

The ER SCSW:

  • Ensures the DCFS CSAT CSA I receives information regarding any detention.
  • Ensures that information regarding the MAT CFT process is provided to the family and that efforts have been made to obtain authorization.
  • Ensures that the DCFS 179-MH and DCFS 179-PHI have parent signatures. If the parent declined to sign, ensures that the documentation of refusal is in the Detention Report and document standard court language requesting court authorization for consent and release of information is documented in the Detention Report.
  • Ensures provision of any information requested by the DCFS CSAT CSA I.
  • Ensures provision of information regarding the MAT CFT process to foster parent.

The DCFS CSAT Team:

  • Ensures all eligible children receive a MAT assessment and are linked to mental health services (as needed).
  • Ensures coordination of the MAT CFT staff engagement and MAT CFT meeting.
  • Serves as a point of contact for DMH and the DMH Providers.
  • Attends or facilitates MAT Child and Family Team meetings (as appropriate).
  • Completes the MAT Referral Form.
  • Obtains a Detention Hearing Minute Order or Stand Alone order and ensures receipt of and facilitates necessary court authorization language if omitted in cases where a parent has declined to, or is unable to sign the DCFS 179-MH and DCFS 179-PHI.
  • Consults with DMH regarding provider capacity.
  • Sends the complete MAT referral packets to the MAT Provider Agency or DMH partners.
  • Ensures receipt of the HUB medical findings and ensures timely distribution to the MAT provider.
  • Ensures the assignment of a PHN to each case for medical assessment follow through.
  • Responds to questions and solves problems as needed with DCFS, DMH, and DMH MAT Providers.
  • Sends MAT notification email including a request to schedule the MAT CFT Staff Engagement meeting. Also sends Outlook invitation including meeting details for staff engagement meeting.
  • Follows up with CSW to confirm date for MAT CFT Meeting and sends Outlook invitation with meeting details to all team members for MAT CFT meeting.

The Public Health Nurse (PHN):

  • Assists in linking MAT family to a board certified pediatrician or Medical HUB
  • Assists in arranging for a dental exam.
  • Assists in ensuring that the initial Medical Screening is completed in a timely fashion.
  • Reviews medical findings with all necessary parties (DMH Provider, CSW, and DI).
  • Participates in MAT CFT Meeting (as needed).
  • Arranges for any necessary medical follow-up.
  • Documents medical findings in CWS/CMS.

MAT Assessments

Designated DMH Providers have been identified to complete the MAT assessment within 30-45 days of receiving a complete referral packet. The MAT assessment process occurs independently of the DCFS detention process. The MAT assessment addresses the following areas of need:

  • Developmental
  • Speech/language
  • Education
  • Vocation
  • Mental health
  • Family/caregiver

The DMH MAT Provider is required to conduct the standard DMH Child and Adolescent Assessment and complete the MAT Summary of Findings (SOF) Report. The information gathered is used to determine what services are needed by the child and the most appropriate placement for the child that will reduce the amount of time the child is separated from their family. The assessment process culminates in the MAT SOF Report and is incorporated in to the child’s Case Plan which is presented to the Court. The DMH Child and Adolescent Assessment includes:

  • Interviewing the child to assess functioning, history, strengths and needs.
  • Interviewing the parent/legal guardian to assess parenting skills, family dynamics, family strengths, family needs, parents’ perception of the quality of the attachment between child and family, and the parents’ mental health status.
  • Observing parent/child interactions to assess the quality of the attachment between the child and their family.
  • Interviewing the current caretaker to assess for permanency, parenting skills, family dynamics, family strengths, quality of attachment to child, and home environment.
  • Interviewing other potential caregiver(s) as identified by DCFS.
  • Consulting with past or current service providers.
  • Collecting data (health records, HUB Medical Exam 561(a) [if available]), education and vocational records, psychosocial/mental health treatment records, prior psychological assessments, developmental and family history, DCFS placement history, and Regional Center and juvenile justice records (if applicable).
  • Performing diagnostic testing (if needed).

MAT CFT Meetings

The process outlined below is with the understanding that the MAT CFT is the initial CFT for the family. Should the initial CFT take place in ER, the MAT CFT meeting will be treated as a follow-up CFT meeting. CSAT will schedule a staff engagement meeting prior to the follow up CFT, to accommodate new professional team members, but a family engagement meeting will not be necessary for a follow up MAT CFT meeting.

The DMH MAT Provider gathers information for the Summary of Findings (SOF) report via staff engagement, family engagement and additional interviews with parents, caregivers and through observation of the identified child(ren). The DCFS CSAT staff will coordinate and confirm a date for the MAT CFT, based on the family’s availability, with the Continuing Services CSW. Twenty-four (24) business hours before the MAT meeting, the DMH MAT Provider provides the DCFS CSAT CSA I with a copy of the draft SOF Report and Initial CANS document for review by the team members. The team reviews the findings at the MAT CFT meeting through the course of the CFT agenda including the following:

  • Strengths and Needs;
  • Worries/challenges;
  • Develop an Action Plan, including mental health treatment options for the child, parent(s), and caregiver;
  • Identification and linkage of client/family to necessary and viable community resources;

The CSW facilitates the CFT meeting where MAT findings are presented. The meeting runs about 1.5-2 hours, depending on the number of children in the family and may include any of the following core team members:

  • The family
  • The child (when appropriate)
  • The Continuing Services CSW
  • SCSW of Continuing Services CSW (if the CSW is not available)
  • The DI
  • The PHN
  • The Education Specialist
  • The foster parent or relative caregiver (if appropriate)
  • Any additional team members identified by the CSW, Provider, family, relatives, and family support persons.

All members who attend the MAT CFT Meeting must sign the Confidentiality Declaration.

If members of the MAT CFT assessment team cannot reach a consensus in the MAT CFT Meeting, the MAT Provider and CSW will present the conflict to the SCSW for a proposed resolution. If no decision is reached at the SCSW level, the case will be referred to the ARA. If no decision is reached at the ARA level, the case will be referred to the RA. If no decision is reached at the RA level, the case will be referred to the DCFS Medical Director or their designee for final resolution.

Based on the final agreements concluded in the MAT CFT Meeting, the DMH MAT Provider revises the draft SOF Report during the meeting and submits one (1) copy of the final MAT SOF Report to the DCFS CSAT CSA I . Additionally, the MAT Provider’s CANS is finalized with the team during the debrief meeting and provided to the Continuing Services CSW for entry into CWS CARES as an updated CANS. The DMH MAT Provider submits the final MAT SOF within 30-45 days after acceptance of the completed referral packet.

PROCEDURE

A MAT Eligible Child is Detained

ER CSW Responsibilities

  1. When a detention takes place, submit the Mental Health Referral (MHR) in the DCFS Referral Portal. Be sure to upload the following documents as attachments:
    • The Initial CANS.
    • DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services, signed by the parent(s).
    • DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information, signed by the parent(s).
    • If the parent(s) is not available or declines to sign the DCFS 179-MH and DCFS 179-PHI, provide the Minute order stating that mental health and/or a developmental assessment and/or services, and release of information is court ordered. A youth age twelve (12) or older has the statutory authority to consent to their own treatment, the youth may also authorize disclosure of the medical records pertaining to such healthcare. Refer to PG 0600-500.20, Health and Medical Information for more detailed information.
    • Up-Front Assessment (if applicable).
    • Explain the MAT CFT process to the parent or guardian (this can be done during the Child and Family Team (CFT) meeting), if the initial CFT takes place in ER.
  2. Explain the MAT process to the parent or guardian (this can be done during the Child and Family Team (CFT) meeting).
  3. Provide the parent or guardian with a MAT brochure or the Introduction to MAT for Parents and Caregivers (available in English and Spanish).
  4. Ask the family if they are engaged with any service providers (medical, dental, developmental, hearing/language, education, mental health, etc.).
    1. If they are, explain that the service provider’s input will be requested to help determine the needs of the child and the family.
  5. Obtain parent(s) signatures on the DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services and the DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information.
  6. If the parent or legal guardian signed the DCFS 179-MH and the DCFS 179-PHI prior to the detention hearing, document the following in the “Reasonable Efforts and/or Prior Interventions/Services Offered” section of the Detention Report:
    • “Parent/Legal Guardian (enter parent’s name) signed the DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services, and the DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information.”
  7. If the parent or legal guardian declined or is unavailable to sign the DCFS 179-MH and the DCFS 179-PHI prior to the detention hearing, document the following in the  “Reasonable Efforts and/or Prior Interventions/Services Offered” section of the Detention Report:
    • Efforts made to obtain the parent(s) signature on the forms.
    • The reason why it was not possible to obtain the signatures on the forms.
  8. Add the following language under the “Recommendation” section of the Detention Report:

“It is respectfully recommended that the court make the following order:” “The court orders a mental health and/or developmental assessment of the child(ren) (insert child(ren’s) name here) to be performed by a licensed mental health professional within the State DMH approved disciplines. Further, the developmental assessment of the child(ren) may be performed by an approved Regional Center provider.

The above referenced mental health and/or developmental assessment is to be used solely for the purpose of coordinating/providing treatment and/or other services for the child(ren).

Upon recommendation of the approved professional, necessary mental health and/or developmental treatment is authorized and DCFS is to secure services to be provided by a licensed mental health professional within the State DMH approved disciplines, or a qualified person under the direction of a licensed mental health professional within the State DMH approved disciplines. Further, necessary mental health and/or developmental treatment may be provided by Regional Center staff or an approved Regional Center provider. The child(ren) is referred for mental health and/or developmental treatment.

This order does not apply to administration of psychotropic medications.

The child(ren)’s service provider shall provide DCFS with information relevant to the care and treatment of the child(ren) upon request by DCFS. Such information shall not include the details of therapeutic sessions or statements made by the child(ren) unless otherwise required by law. Further pursuant to Welfare and Institutions Code Section 5328.04 and Civil Code Section 56.103 information disclosed pursuant to this order may not be admitted into evidence in any criminal or delinquency proceeding against the child. Nothing in this order shall prohibit identical evidence derived from other lawful means from being admissible in a criminal proceeding.

DCFS is to regularly update this Court, all parties to this case, and their legal counsel, regarding the status of the mental health and/or developmental assessment and treatment authorized pursuant to this order.”

Continuing Services CSW Responsibilities

The Continuing Services CSW must complete the following steps for 2-Pen cases:

  1. When a detention takes place, submit the Mental Health Referral (MHR) in the DCFS Referral Portal. Be sure to upload the following documents as attachments:
    • The Initial CANS.
    • DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services, signed by the parent(s).
    • DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information, signed by the parent(s).
    • If the parent(s) is not available or declines to sign the DCFS 179-MH and DCFS 179-PHI, provide the Minute order stating that mental health and/or a developmental assessment and/or services, and release of information is court ordered.
    • Up-Front Assessment (if applicable)
  2. Prior to completing the initial case plan, communicate with the DMH Provider to formulate the initial case plan that will most likely reflect the final MAT Summary of Findings Report.

ER SCSW Responsibilities

  1. Confirm that the following steps were completed:
    1. The CSW submitted the Mental Health Referral (MHR) and all appropriate attachments to the CSAT team via the DCFS Referral Portal.
    2. The family was informed about the MAT process and efforts have been made to obtain the parent(s) signature on the DCFS 179-MH and DCFS 179-PHI.
    3. Any information requested by the DCFS CSAT CSA I has been provided.
  2. Review the Detention Report to confirm that the correct language recommending the MAT order is included.
    1. If everything is correct, approve the Detention Report.
    2. If not, return to the ER CSW to make required changes.

The Court Did Not Order a MAT Assessment on a MAT Eligible Child

DI Responsibilities

  1. If not already completed, obtain authorization (signature) from the parent(s) or guardian by completing the:
    1. DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services, and
    2. DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information.
  2. If the parent(s) or guardian is not available to sign for authorization, call County Counsel  on the case to request authorization for a mental health and/or developmental assessment and/or services, and disclosure of the child’s protected health information from the court.
    • If granted by the court, County Counsel will provide the CSW with an Attorney’s Order for the authorization of a mental health and/or developmental assessment and/or services, and disclosure of the child’s protected health information.

Receiving MAT Identified Cases

Continuing Services CSW Responsibilities

  1. Maintain frequent and continuing communication with the DI.
  2. Provide the MAT DMH Provider and the DCFS CSAT CSA I with any necessary case information when requested.
  3. Respond to scheduling inquiries promptly so that CSAT can schedule the MAT CFT staff engagement meeting.
  4. Coordinate family engagement meeting with MAT DMH Provider.
  5. Communicate final MAT CFT date with CSAT Scheduler for coordination of MAT CFT.
  6. Facilitate the MAT CFT meeting and Debrief.
  7. If the final MAT Summary of Findings report is completed (after the Disposition Hearing), and a DI is no longer assigned to the case, provide the court with an update on the MAT assessment.

Continuing Services SCSW Responsibilities

  1. Lead CFT Staff Engagement meeting per CFT policy.
  2. Facilitate the MAT CFT Meeting, if the CSW is not available.
  3. Ensure that the CSW is communicating with the DI and DCFS CSAT CSA I.
  4. Ensure that the CSW provides necessary case information to the DMH MAT Provider when requested.

DI/Continuing Services CSW Responsibilities

In Vertical Case Management Units, the Continuing Services CSW must complete the DI responsibilities.

  1. Maintain ongoing communication with the following MAT Participants:
    • Continuing Services CSW
    • DMH MAT Provider
    • DCFS CSAT CSA I
  2. Participate in the MAT CFT Staff Engagement and MAT CFT Meeting (if available).
  3. Facilitate MAT CFT meetings on ERCP cases per CFT policy.
  4. When the MAT assessment is complete, update the court on the status of the MAT assessment via the Jurisdiction/Disposition Report, and:
    1. Incorporate the final Summary of Findings (SOF) into the court recommendations.
    2. If the initial case plan is significantly altered by the final MAT SOF Report, complete a case plan update.
    3. Attach the updated case plan to the court report.
    4. Attach the final SOF Report to the Jurisdictional/Disposition report.
  5. If the MAT assessment is not complete, remind the hearing officer that the assessment will take 30-45 days from the MAT referral date, and provide the court with the following information:
    • The provider conducting the assessment
    • The date the case was referred
    • The contact person for the assessment
    • Detail on where the family is in the assessment process
    • Tentative court orders and a case plan based on conversations with the DMH Provider

DI SCSW Responsibilities

  1. Review and approve the Jurisdiction/Disposition report to ensure the following:
    • The status of the MAT assessment is appropriately addressed in the report
    • If the final MAT Summary of Findings (SOF) Report is complete, ensure the recommendations are incorporated in to the court recommendations and case plan
    • The final MAT SOF Report is attached to the court report
  2. Review and approve the case plan update (if applicable).
  3. Participate in the MAT Meeting if the DI is not available.

MAT Assessment Completed After the Initial Jurisdiction/ Disposition Court Date

DI Responsibilities

  1. For a Pre-Disposition Case:
    1. If the Jurisdiction/Disposition hearing was postponed to a later date to enable receipt of the MAT results, attach the final MAT Summary of Findings report and incorporate  it into the court recommendations and case plan for the family.
    2. If the initial case plan is significantly changed by the final MAT Summary of Findings Report, complete a case plan update.
      • Attach the updated case plan to the court report.

Continuing Services CSW Responsibilities

  1. For a Post-Disposition Case:
    1. Walk on the final MAT Summary of Findings (SOF) Report using the MAT Court Cover (available on CWS/CMS under LA County specific templates).
      1. Indicate if DCFS is recommending modifications to existing court orders.
    2. If the initial case plan is significantly changed by the final MAT SOF Report, complete a case plan update.
      1. Attach the updated case plan to the court report.

Continuing Services SCSW Responsibilities

  1. Review and approve the court report to confirm that the recommendations in the final MAT Summary of Findings (SOF) Report are incorporated in to the court recommendations.
    1. If not, instruct the CSW to make the required changes.
  2. Review and approve the case plan update to ensure that the recommendations in the final MAT SOF Report are incorporated in the case plan.
    1. If not, instruct the CSW to make the required changes.
APPROVALS

SCSW Approval

  • Detention Report
  • Initial Case Plan
  • Case Plan Update (if applicable)
  • Jurisdiction/Disposition Report
  • MAT Court Cover
  • Supplemental Report
HELPFUL LINKS

Forms

CWS/CMS

Detention Report

Jurisdiction/Disposition Report

Supplemental Report

MAT Court Cover (LA County specific templates)

LA Kids

MAT Brochure

DCFS 179-MH, Parental Consent for Child’s Mental Health/Developmental Assessment and Participation in Mental Health/Developmental Services (all available in Spanish)

DCFS 179-PHI, Authorization for Disclosure of Child’s Protected Health Information (also available in Spanish)

REFERENCED POLICY GUIDES

0070-548.00, Community-Based Resources

0070-548.01, Child and Family Teams

0080-502.10, Case Plans

0600-500.20, Health and Medical Information