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The creation of an MDT can emerge from any stakeholder in the county. It could be that DSS or other key stakeholders would be willing to participate but do not have the capacity to logistically support the MDT meetings. It could be they don't see the potential benefit of having an MDT.
The stakeholders who ARE interested could initiate the meetings and encourage participation from all key stakeholders. The first meeting could include an exercise to surface the various reasons why having an MDT might benefit your community. An initial meeting that includes an exploratory discussion can inform stakeholders who inaccurately assume “everything is fine” or who are unaware of the potential benefits of having an MDT.
Reluctant members might need personal encouragement to attend. You could consider coaching them about the benefit that their participation would offer others in the system of care. It might be appropriate to ask them to train others about what their role is or what they need from others to succeed in their responsibilities.