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 (online submission).
  2. Complete and sign the applicable consent forms:
  3. Records are not required at the time of referral submission. Specific records will be discussed in a follow-up call with the program social worker.

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.
    back to top
  • 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.
    back to top
  • How do I contact WYhealth?

    To contact a behavioral health advocate at WYhealth Optum, please call 855-690-0364.
    back to top
  • 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.

    Please submit all relevant records and documentation as efficiently as possible upon completion of the referral form. This helps facilitate efficient scheduling of the consultation and ensures up-to-date information is provided to the consulting psychiatrist.

    All required documentation and records must be received before scheduling the telemed appointment.

    back to top
  • 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.

    back to top
  • 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.
    back to top
  • 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.
    back to top
  • 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.
    back to top
  • 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.
    back to top
  • How much time should be planned for the MDT appointment?

    Allow for a maximum of 2 hours.
    back to top
  • 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.
    back to top
  • 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.
    back to top
  • What records may be requested by the program social worker?

    The following records may be requested by the program social worker, and should be submitted prior to the evaluation:

    • Admission/discharge summaries
    • Therapist notes
    • Pre-disposition report
    • MDT meeting notes
    • Current medication list
    • Past medication trials
    • Past evaluations
    • Testing reports
    back to top
  • 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.
    back to top
  • Where do you provide telemedicine appointments?

    See a list of all Wyoming Public Health offices.

    • 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
    back to top

Contact Us

Contact us for more information.