Wyoming MDT Triptych

Multidisciplinary team (MDT) psychiatric evaluations are funded by the state of Wyoming and are available to children involved in Wyoming’s Department of Family Services (DFS). Child and adolescent psychiatrists affiliated with the University of Washington School of Medicine and Seattle Children's Hospital provide psychiatric face-to-face evaluations using telemedicine. The Multi-disciplinary team (MDT) evaluations are funded by the state of Wyoming and are available to children involved in Wyoming’s Department of Family Services (DFS) and community clinicians working with WYhealth.

This MDT psychiatric evaluation can be used as the tool to inform the team of a broad range of treatment planning issues, including level of care, diagnosis, medication strategies and appropriate psychosocial supports. It also can serve as the physician order for admission to a psychiatric residential treatment facility (PRTF).

MDT Psychiatric Evaluation and Instructions

  1. Complete the MDT referral form.
  2. Complete and sign the applicable consent forms:
  3. Gather required records based on evaluation type (see below for specific requirements).

Medication evaluation requirements

  • Current medication list (within last six months)
  • Past medication trials (within last six months)

Diagnosis evaluation requirements

  • Current medication list (within last six months)
  • Past psychological evaluation (within last six months)
  • Past psychiatric evaluation (within last six months)
  • Testing reports (within last six months)

Placement evaluation requirements

  • Current medication list (within last six months)
  • Admission assessment (within last six months)
  • DFS placement and/or social history (within last six months)

Fax the completed referral packet and records to 206-985-3195 or email to us as an attachment. Once all necessary paperwork and appropriate documentation have been received, the MDT administrative team will contact you to schedule the appointment.

Appointments are performed using secure, dedicated telemedicine equipment. We are available Monday through Friday, 9 a.m. to 6 p.m. Mountain time, to answer questions about our services and to schedule appointments.

Frequently Asked Questions

  • What are MDT psychiatric evaluations?

    MDT psychiatric evaluations are one-time evaluations for the purpose of assessing mental and behavioral health for treatment planning.
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  • Who can request an MDT?

    MDT evaluations may be requested by Wyoming’s Department of Family Services (DFS) case workers and community clinicians working with WYhealth.
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  • How long will it take to schedule my MDT request?

    We can usually schedule an evaluation within 2 weeks, depending on availability and the volume of referrals in process. All required documentation and records must be received before scheduling the telemed appointment.
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  • How will the MDT evaluation proceed?

    The psychiatrist will start the evaluation with a call to the caseworker or community clinician, generally scheduled 30 minutes prior to the evaluation. This call allows the psychiatrist to ask any follow-up questions after reviewing the patient records.

    Next, the psychiatrist will meet the child to observe and interview them. The caregiver may or may not be present, depending on the child’s age. The psychiatrist will ask questions about the history of the child, which may not require the presence of the child, particularly if this will cause unnecessary distress. Older children will have much to contribute themselves in describing their history.

    The visit will end with our psychiatrist providing some general feedback to those present during the evaluation.

    The clinical report will be ready within 5 business days. If there are special circumstances that require a faster turnaround, please let program staff know in advance and prior to the telemed appointment.

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  • Is the child required to be present for the MDT evaluation?

    Yes, the child needs be present for at least part of the videoconference meeting. Our psychiatrists need to interact with the patient to get a better sense of their needs. If the child is not available, the psychiatrist will miss vital information, and the meeting will need to be rescheduled until he or she can attend.
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  • Who performs the MDT evaluation?

    The evaluation is performed by a University of Washington/Seattle Children’s Hospital child and adolescent psychiatrist under a contract with the Wyoming Department of Health.
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  • Can an MDT evaluation be done if the case worker or community clinician is not present at the time of the telemedicine visit?

    Yes, as long as our psychiatrist has had the opportunity to discuss the case with the requester in advance, or someone who knows the case well can be contacted. Someone at the facility must be present to help turn on the equipment, introduce the child and caregiver and conclude the visit.
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  • Why should the case worker or community clinician speak to the psychiatrist by phone apart from the patient and caregivers?

    We are most helpful when we know the evaluation question you would like the psychiatrist to answer and what you hope to accomplish by the appointment. Our psychiatrist would like to hear from you first about the child’s circumstances, and will want to know if there is anything important to share that cannot be discussed openly during the appointment itself. This call will generally take 30 minutes, followed by the telemedicine evaluation.
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  • How much time should be planned for the MDT appointment?

    Allow for a maximum of 2 hours.
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  • Can an MDT evaluation be done using Skype or a PC connection?

    No – due to security concerns, we will not do appointments with Skype or standard PC connections. As of July 2017, the state of Wyoming has contracted with Zoom, a secure video conferencing service, which will be used almost exclusively for MDT psychiatric evaluations. Please contact your supervisor for more information.
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  • Should the child’s current treating providers submit written statements?

    Input from current providers is very helpful. Written statements from these individuals are encouraged. Fax to 206-985-3195 or email mdtconsult@seattlechildrens.org.
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  • What required records should I send with the MDT referral form?

    Depending on the evaluation selected, these are the minimum required records:

    • Medication evaluation requirements
      • Current medication list
      • Past medication trials
    • Diagnosis evaluation requirements
      • Current medication list
      • Past psychological evaluation
      • Past psychiatric evaluation
      • Testing reports
    • Placement evaluation requirements
      • Current medication list
      • Admission assessment
      • DFS placement and/or social history
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  • When will the final report on the MDT evaluation be ready?

    Generally, the report will be ready within 5 business days. If there are special circumstances that require a faster turnaround, please let our schedulers know in advance of scheduling the appointment.
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  • Where do you provide telemedicine appointments?

    • Afton Department of Family Services
    • Buffalo Department of Family Services
    • Casper Department of Family Services
    • Casper Juvenile Detention Center
    • Catholic Charities of Wyoming
    • Cheyenne Department of Family Services (East Pershing)
    • Cody Department of Family Services
    • Douglas Department of Family Services
    • Evanston Department of Family Services
    • Gillette Department of Family Services
    • Jackson Department of Family Services
    • Lander Department of Family Services
    • Laramie County Detention Center
    • Laramie Department of Family Services
    • Normative Services
    • Park County Detention Center
    • Rawlins Department of Family Services
    • Riverton Department of Family Services
    • Rock Springs Department of Family Services
    • Sweetwater County Detention Center
    • Sheridan Department of Family Services
    • Specialty Counseling and Consulting
    • Thermopolis Department of Family Services
    • Wheatland Department of Family Services
    • Worland Department of Family Services
    • Wyoming Behavioral Institute
    • Wyoming Boys' School
    • Wyoming Girls' School
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Contact Us

Contact us for more information.