Multidisciplinary Team (MDT)

The NCW MDT is a community-based, family-focused team of community partners, providers, and advocates who aim to assist families with complex behavioral health needs through team meeting’s, care coordination and case planning. The MDT can assist with tasks such as: outpatient service recommendations, care coordination needs, behavioral management strategies, safety planning strategies, transitional planning, discharge planning and family engagement strategies for youth and families who reside in Okanogan, Chelan/Douglas, and Grant counties.

Frequently Asked Questions

Please review the NCW MDT FAQs below for additional information and to answer FAQ.

If possible, we ask that you obtain an a signed release of information (ROI) (Español) at the time of referral to our program. This helps our Outreach Specialists begin gathering resources quickly for the youth and family. If you are not able to obtain an ROI, you may still make a referral to our program and we can assist you with getting an ROI signed. If you are a youth or family referring yourself, we can also walk you through the process of getting a signed ROI to us. Parent/Guardian signature for youth 12 and under. Youth signature for 13 and older.

The NCW Youth Behavioral Health Navigator Program is a community collaborative in Okanogan, Chelan/Douglas and Grant counties which work together to achieve our community-wide goal of improving children’s mental health services.

The program’s mission is to develop a coordinated, responsive behavioral health system that serves the needs of children, youth, and families at the right time, in the best place, with the best outcome for every family. The long-term goal is to reduce the instances of youth spending unnecessary time in emergency rooms without behavioral health services.

The NCW MDT is a community-based, family-focused team of community partners, providers, and advocates who aim to assist families with complex behavioral health needs through team meeting’s, care coordination and case planning. The MDT can assist with tasks such as: outpatient service recommendations, care coordination needs, behavioral management strategies, safety planning strategies, transitional planning, discharge planning and family engagement strategies for youth and families who reside in Okanogan, Chelan/Douglas, and Grant counties.

MDT’s are driven by youth and family voice by which they identify both familial, natural, and other supports in their lives.

The core MDT  is made up of volunteer community partners from local community organizations including but not limited to: Behavioral HealthCare agencies, Tribal Services, Medical Providers, Department of Children, Youth and Families (DCYF), Juvenile Departments/Courts, Catholic Community Services, Developmental Disabilities Administration (DDA), Managed Care Organizations (MCO), Carelon Behavioral Health (formerly Beacon Health Options) , Café, School Districts, Law Enforcement, Housing Authority etc.. There is an additional network of specialty providers to include: special education advocates, Substance Use Disorder Professionals, behavior analysist, and faith-based organizations that can be requested to attend as needed.

MDT’s are held monthly on a set schedule or as requested for consultation regarding complex cases and youth who access crisis services on a regular basis.

Complex Cases defined as youth with high-risk behaviors or risk factors, youth involved in two or more systems (juvenile justice, mental health, substance use disorder, foster care, etc.). Youth who access the Emergency Department (ED) on a regular basis, multiple inpatient hospitalizations etc. We will not turn away anyone and will triage youth and family’s dependent on need.

Requests for support are made to NCW’s Youth Behavioral Health Navigator Program via our Website: https://kidsmentalhealthnc.org or phone?  Once the referral is received by our team, an initial call is made to the referent within 24 to 72 business hours by our Outreach Specialists, Kristi O’Neill or Coral Rodriguez who also contacts the youth and family to determine next steps. The Youth Behavioral Health Navigator Program is still able to provide resources and support even if a family does not meet eligibility or is not needed for an MDT at that time.

The youth and family must reside in Okanogan, Chelan/Douglas or Grant counties to receive services through NCW’s Youth Behavioral Health Navigator Program.  A Release of Information (ROI) will be required in order to be able to communicate with others and to coordinate services. Parent/Guardian signature for youth 12 and under. Youth signature for 13 and older.

Meetings are scheduled for one hour. The team will provide introductions. The referent and/or family will provide history for the MDT. Upon history and identified needs, the team will be able to ask clarifying questions. The team will share recommendations based on the meeting (identification of additional resources, discharge planning, safety planning, etc.) with individuals involved. Additional recommendations may be made by the team if there are appropriate out of county resources that may be available to support the family.

The facilitator will document the team’s recommendation and provide it to the referent or family via email. The MDT cannot make referrals to services on the youth’s behalf or ensure acceptance into a service based on the team’s recommendation.
MDT will follow up as needed with the family and walk alongside them as resources are put into place. The amount of time spent following up with youth and families and frequency of follow up will depend on need.
If you have questions or need additional assistance, please email Krisana Shrable, Project Manager at krisana.shrable@carelon.com or call 509-557-5644.

Disclaimer: The North Central Washington’s Multidisciplinary Team (MDT) is a collaboration of community volunteer partners with the shared purpose of being a community resource for youth and families. The recommendations of team members do not necessarily reflect their associated agency or organization. The recommendations of the MDT does not guarantee acceptance into services or provider acceptance.