Many benefits have been attributed to multidisciplinary team (MDT) approaches used in the investigation and resolution of child abuse and neglect. Yet more than a decade has passed since the nature and characteristics of MDTs have been examined. Findings presented in this article suggest that MDTs vary according to configuration, legislation, function, composition, and training. Current approaches are distinctive when compared with approaches found in previous national surveys. Specifically, the past 10 years have been characterized by the creation of a variety of MDT configurations, a dramatic expansion of legislation permitting or mandating MDT use, an increased diversity of MDT functions, a broader spectrum of discipline representation on MDTs, and an augmented use of training to implement and maintain MDTs. Results described here enable comparison with previous national surveys to shed light on the evolution of MDT system design and to suggest an agenda for future research.