Multi-Disciplinary Team - Alberta Human Services - Government of Alberta

Multi-Disciplinary Team

What is a Multi-Disciplinary Team?

The FSCD Multi-Disciplinary Team (MDT) is a group of health professionals established by the FSCD program to provide information to support FSCD in making decisions about providing specialized services and expert advice to families and their service providers about the service plan.

The MDT is made up of the following health professionals who have experience and expert knowledge about services and best practices for children with severe disabilities and their families, including:

  • speech-language pathologists
  • occupational therapists
  • physical therapists
  • psychologists

What does the MDT do?

The MDT reviews and considers information provided by the family, their service provider(s) and other professionals working with the child and makes recommendations to the guardian and the FSCD worker about the need, type and level of specialized services that may be the most helpful for the child and family. The MDT supports families to ensure their plan is based on best practice and will address their child’s needs and family’s goals.

The health professionals participating on the MDT do not see the child, complete clinical assessments or make final decisions about the FSCD services that a child and family receives.

Are there different types of MDTs?

  • There are two types of MDT meetings:
  • The FSCD worker and the family decide together what type of MDT is needed in order to assist them in making a decision about providing specialized services.
  • For some new requests for specialized services, in lieu of an FSCD MDT meeting a recent report from one of the following clinics may be considered as the MDT recommendations:
    • Children's Hospital Early Childhood Development Team (ECDT) in Calgary; or
    • Glenrose Rehabilitation Hospital Preschool Assessment Service (PAS) in Edmonton.

What happens at a Face-to-Face or Video/Teleconference MDT Meeting?

  • The MDT members meet alone to review all of the information and documents that have been provided in advance of the meeting for their consideration.
  • When the MDT members have finished reviewing the information and documents:
    • the family, their advocate or support person and service providers (where applicable) and the FSCD worker join the meeting to discuss the child's and family’s needs, priorities and what they hope to achieve through specialized services; or
    • the FSCD worker, with the parent’s consent, shares information on behalf of the family.
  • After discussing the child’s and family’s needs and circumstances with the team, the family, their advocate or support person and service providers (where applicable) and the FSCD worker leave the meeting.
  • The MDT members meet privately to develop their recommendations.
  • The recommendations are provided to the guardian and the FSCD worker within 10 working days of MDT meeting.

What happens at a Paper Review MDT?

  • The MDT members meet to review all of the information and documents that have been provided in advance of the meeting for their consideration.
  • After the MDT members have finished reviewing the information and documents, the FSCD worker joins the meeting and shares information on behalf of the family regarding the needs of the child and family and what they hope to achieve through specialized services.
  • After discussing the child's and family's needs and circumstances, the FSCD worker leaves the meeting and the MDT members discuss and develop their recommendations.
  • The recommendations are provided to the guardian and the FSCD worker within 10 working days of the Paper Review MDT.

The MDT Process

A family, their service provider (if they have one) or their FSCD worker may identify that the child and their family would benefit from specialized services, or continued specialized services.  The family's FSCD worker will advise them regarding what information and documents will be needed when requesting specialized services and can assist the family with gathering the information.

When are MDT recommendations not required?

  • MDT recommendations may not be required for requests to continue specialized services if:
    • there is sufficient information and rationale to support the services being requested;
    • the previous MDT recommended, and subsequent Individualized Service Plan supported, transitioning from specialized services to another type of service;
    • consultation with an expert, or an individual MDT member who has the necessary expertise, is adequate to clarify service needs; or
    • the previous MDT recommendations are still considered relevant.

When are MDT recommendations required?

  • MDT recommendations are required for all new requests for specialized services.
  • MDT recommendations may be required for requests to continue specialized services if:
    • there is not enough information available to support the continuation of services being requested;
    • the previous MDT recommended a follow-up MDT review;
    • there have been significant changes in the child's and family's needs, circumstances or goals since the previous MDT recommendations;
    • there is a significant change in the services being requested, compared to the services recommended by the previous MDT, and/or the services currently being provided;
    • the Individual Service Plan does not:
      • reflect the guardian's priorities,
      • indicate a co-ordinated and integrated service delivery approach,
      • demonstrate an individualized approach based on the child's and family's strengths and needs,
      • reflect established practices, or
      • provide information about which goals have been achieved, why goals may have changed or build upon previous goals and accomplishments, or provide rationale for why goals were not achieved.

When is a Paper Review MDT recommended?

A paper review is often recommended as the most appropriate type of MDT if:

  • the child’s and family's need for specialized services is evident and clearly supported;
  • the services being requested and the Individualized Service Plan, where applicable, are appropriate to address the child’s and family's identified needs and priorities;
  • there are no significant questions or concerns with respect to the requested services or the proposed Individualized Service Plan, and it is likely that the services being requested will be supported by the MDT; and
  • the guardian agrees to this expedited MDT process and for the worker to verify that there is a critical need for an integrated and coordinated specialized service.

MDT Process Chart

If an MDT is required, your FSCD worker will advise what information is needed to prepare for the MDT. The following chart illustrates the MDT process:

How are MDT recommendations used?

  • MDT recommendations are part of the information the FSCD worker uses when making a decision about providing specialized services.
  • The FSCD worker considers all of the information and documentation that a parent provides, including information from:
    • their service providers
    • the child’s educational program
    • other professionals working with the child and family
    • clinical assessments and reports
    • the individualized service plan, and
    • any other information relevant to the child and family's needs and circumstances.

Who gets a copy of the MDT recommendations?

  • A copy of the written MDT recommendations is provided to the family within 10 working days of the MDT meeting.
  • FSCD workers meet with the family to discuss the MDT recommendations.
Created:
Modified: 2018-08-01
PID: 15682