Table 3.

Practitioner and supervisor quotes related to theme 2.

Theme 2: Implementation success is dependent on shared perspectives	Practitioner quotes	Supervisor quotes
Sub-theme: Individuals involved in implementation require adequate and collective awareness, knowledge, and confidence	“I would say probably the trickiest point, it's usually the family doctors, who most of them haven't been trained and if they’re aware or not, it's usually based on kind of like their private desire to increase their knowledge on the subject. Yeah, so they usually are kind of like the trickier part to explain what it is about and why do I think this child needs certain support.” “[The training] just really gave it form, it gave it some background to what I was trying to do, and it helped me to be able to manage what needed to be done within my day.” “Because we understand it better, we understand how the tools can help us in our work to help the family and have a whole clearer understanding of the resources that go along with it. And how to code it and what that means… that, I think, that has certainly made a difference.”	“Because we have different representatives from different departments within the organization, it allows for them to bring information back to their individual teams, which is inclusive of this training. And I ensured as we looked at which group should be trained, we had our children in care, we had our family support, we included some of our children/youth mental health staff.” “We have a really excellent infant mental health practice leads program in our agency. I think what it's done is that it's expanded the knowledge to the teams like family support team and child and care worker teams that they might not have thought about infant mental health before. So I think it's just – it's grown the knowledge for sure and when I bring up infant mental health like, you know, what's this baby telling us, what do we see, they’re thinking now that babies do have mental health so I think that's really promoted it; like there's a great knowledge.”
Sub-theme: Consistent and critical conversations on implementation strategies and follow-up	“I'm the chair of our team, we talk about ASQ's and DSPs at every meeting just as a standing agenda item so it's always kind of coming up […] and then [the manager and director] support our communication if we have questions, our manager supports that conversation with [Facilitator].” “Team meetings are generally to be honest administrative, we don't have team meetings where we’re talking about, very rarely, like it has happened but where we’re talking about clinical work or stuff like that, that's not what team meetings are for. It's kind of sad actually; like we don't do any type of group work like that.” “The protocol is the teacher and the ECE, early childhood educator, they communicate to one another, they see a need, they communicate that to the Special Education Teacher and the Special Education teacher communicates with them and they figure out who they need to bring in from the board office or what needs to be administered.”	“Early intervention and prevention is certainly one of our pillars and one of our strategic plans, as indicated in our organizational operational planning. With that comes conversations around prevention and early intervention, which is inclusive of early mental health. And so at a leadership level, in conversations with each other, we're also within capacity to have those conversations with each other to support continued learning. And to consider how we might formalize the use of ASQ and practice across those departments that have been trained.” “I think the coaching sessions really helped when things are so busy to help staff be reminded about not only the conversations, but the purpose and how it can help a child.”