Effective collaboration between agencies is often difficult to achieve
. Children and their families/carers, who have complex therapeutic nee
ds, present particular difficulties in that agencies need to work toge
ther, if they are to produce a co-ordinated and integrated package of
care. A Multi-Agency-Consultation-Team (MACT) was set up in an attempt
to overcome some of these problems of interagency co-operation. This
paper describes the protocol, types of children referred and the recom
mendations made by the team. Follow-up of these children at 4 months s
uggests that a MACT does have a role to play in developing high qualit
y services.