Multidisciplinary Assessment Team (MAT):
The Masada MAT Program is an exciting collaborative effort between the Department of Children and Family Services (DCFS), the Department of Mental Health (DMH), and other community providers. It is designed to ensure the immediate and comprehensive assessment of children and youth entering out-of-home placement. The MAT Program has been operational countywide as of October 2009.

Program Goals:
• Timely and comprehensive strength-based assessment of children and families
• Earlier diagnosis of critical medical and mental health conditions
• Increased cooperation between families, caregivers, providers of services and DCFS
• More consideration given to sibling, relative, and community placements
• Earlier access to medical, educational, and mental health services for children and families

Program Description:
When a child is newly detained, he/she is eligible to receive a Multidisciplinary Assessment Team (MAT) assessment through DCFS. The MAT assessment was designed to make sure that all child/family needs are assessed when a child/youth enters foster care.
This assessment is meant to help a family meet some special needs a child(ren) may have that place this family in danger of a lengthy separation. The information gathered by this assessment will be used to determine what services are most needed by the child(ren) with the intention of using this information for the most appropriate placement of the child while ensuring that his/her needs will be met.

MAT Assessments address the following areas:
• Medical
• Dental
• Developmental
• Hearing/Language
• Vocational
• Child and family strengths and needs
• Caregiver strengths and needs
• Education
• Mental Health

Caregiver Services:
In 2014, Masada started providing individual mental health services to parents and caregivers of youth receiving treatment from any of our provider program sites in Service Area 1, 6, 7, and 8. The program was developed based upon the belief that providing mental health and substance abuse treatment to parents and caregivers is critical to the successful stabilization of the family unit and the successful achievement of children meeting their treatment goals. Given the complexity of various cultural issues in Los Angeles County, Masada utilizes culturally sensitive practices that support the emotional well-being and mental health outcomes of diverse communities. The following evidenced based (EBP) treatment models are used: Individual Cognitive Behavioral Therapy (ICBT), Seeking Safety, Interpersonal Psychotherapy for Depression (IPT), and Crisis Oriented Recovery Services (CORS). Services extending beyond completion of an evidence-based treatment program and/or 12 months of treatment are referred to adult specialty mental health services for longer term or more intensive interventions.

Participant Criteria:
• The individual is a parent or caregiver of at least one child (age 0-20 years) currently receiving mental health services with Masada
• The parent or caregiver will benefit from short term interventions
• The parent or caregiver is a MediCal beneficiary

In coordination and collaboration with the Department of Children and Family Services (DCFS), Department of Mental Health (DMH) and Department of Probation (Probation), Masada’s Wraparound Program is a child–focused, family-centered, strengths-based, needs-driven planning process. The Wraparound Program also provides access to an array of comprehensive mental health services. Service delivery objectives are 1) Safety, youth receiving Wraparound shall remain in a safe environment, free from abuse and neglect; 2) Permanency, youth shall remain in or transition to a safe, nurturing permanent family environment, ideally in their own home; 3) Well-Being/Self-Sufficiency, youth receive services and supports that are individualized and tailored to their needs. All interactions with children, youth, and families are responsive to the trauma and loss they may have experienced.

Wraparound serves children who are under the jurisdiction of the Departments Children and Family Services, Probation, and Mental Health. Wraparound is a community-based process, and referrals are based on the location (i.e., Service Area) where the child and family are to receive services. Referrals are made to the Service Area Interagency Screening Committee (ISC) Liaison where a family member or caregiver has been identified and has agreed to participate in Wraparound. Once enrolled, the ISC team continues to monitor key aspects of Wraparound service delivery in coordination and partnership with the case-carrying Children’s Social Worker (CSW) or Probation Deputy, as applicable.

Wraparound supports family voice, choices and ownership of strategies to return or maintain youth in their community with normalized and inclusive community options, activities and opportunities (i.e., services provided in the most homelike setting). Wraparound includes a commitment to create and provide a highly individualized planning process and to persevere until the desirable outcomes for the children and families are achieved.

The L.A. County’s Wraparound Program will follow the basic tenets of Phases and Activities of The Wraparound Process and the National Wraparound Initiative Advisory Group: 1) Family voice, 2) Team –based, 3) Collaborative and integrative, 4) Community-based, 5) Culturally Competent, 6) Individualized, 7) Strength based, 8) Natural Supports, 9) Persistent, and 10) Outcome-based.
Each child, adolescent, and family enrolled in Wraparound will participate as a driving force in the development of their treatment plan, and as an ongoing partner in the implementation and review of their plan. The organizing group to facilitate the Wraparound process: Child and Family Team (CFT) shall be defined as the group that is dedicated to developing and completing the individualized Child and Family Plan of Care (POC).

In summary, Wraparound practice principles are organized around three main elements; family strengths/child needs-based approach; multi-agency collaboration in the community; and cultural competence.

Full Service Partnership (FSP)
Masada FSP provides comprehensive and intensive mental health services to children and transitional age youth (TAY) in their home and in the community. We provide a wide array of services and supports, guided by a commitment to do “whatever it takes” within the resources available to help individuals who are unserved, underserved or have been inappropriately served to make progress on their particular paths to recovery and wellness.

Child FSP:
Masada’s Child Full Service Partnership (FSP) program is a unique intensive in-home mental health service program for children ages 6 – 15 years old and their families. Masada’s Child FSP staff are dedicated to working with children and their families to assist them plan and accomplish goals that are important to the health, well-being, safety and stability of the family. Services may include but are not limited to individual and family counseling, 24/7 assessment and crisis services, substance abuse and domestic violence counseling and assistance. Services are provided in the language of the families’ choice.
• FSP teams provide 24/7 crisis services and develop plans with families to help clients meet individualized recovery, resiliency, development and/or recovery goals or treatment plan.
• FSP teams are responsive and appropriate to the cultural and linguistic needs of the child and their family
• FSP teams are multi-disciplinary teams of professional and paraprofessional staff who have received specialized training, preparing them to work effectively with children and their families.

Transition Age Youth FSP
Masada’s Transition Age Youth (TAY) seeks to provide an array of mental health and supportive services for Seriously Emotionally Disturbed (SED) and Severe and Persistently Mentally Ill (SPMI) youth ages 16-25 years old. The LA County Department of Mental Health TAY Division identifies a number of priority TAY populations to receive these services; along with a specific emphasis on outreaching and engaging TAY who are currently unserved and underserved.

These priority populations include the following:
• TAY struggling with substance abuse disorders
• TAY who are homeless or at-risk of homelessness
• TAY aging out of the children’s mental health, child welfare, or juvenile justice systems
• TAY leaving long-term institutional care
• TAY experiencing their first episode of major mental illness

Assisted Outpatient Treatment (AOT) FSP
The AOT FSP program serves individuals 18 years of age or older, diagnosed with chronic, serious mental illness or co-occurring mental illness and substance use disorders, who have been clinically determined to be unlikely to survive safely in the community without supervision, who have a history of non-compliance with outpatient mental health treatment, whose condition is substantially deteriorating and likely to result in grave disability or serious harm to self or others, as defined in WIC Section 5150 and who are judicially mandated to receive AOT.

Core Services to be Delivered:

• Benefits assistance
• Case management
• Client self-help and peer support services
• Crisis intervention 24 hours/day, 7 days/week
• Culturally and linguistically competent services
• Education, support and housing assistance
• Evidence-based mental health treatment
• Linkage to physical health care
• Medication support
• Money management
• Outreach and engagement
• Socialization and recreation
• Substance use services
• Vocational services