Table 5.

Practitioner and supervisor quotes related to theme 4.

Theme 4: COVID-19 guidelines create organizational challenges	Practitioner quotes	Supervisor quotes
	“Not only are we dealing with the children, but we’re all trying to do the Covid cleaning too, and the Covid paperwork and then dealing with the children and working on ASQs and getting all of the other documentation that needs to be done, there's just, there's not enough hours when you’re at work to do it all.” “The other approach too when we weren't doing in home visits during COVID, when things were shut down is again we would mail it out to the mom and then we’d be able to do it with them over the phone. So they have their copy in front of them and that helped too but again just, it was really long, a long process of – and then with mom being on the phone the whole time, it was a challenge to complete them.”	“We moved into the virtual so they would start to do it virtually. It's really hard to do it virtually. There's too many distractions for the parent and etcetera, etcetera. Much better to do all of those assessment tools, anything that's a tool really with a person in their home or a setting that's similar to home.” “The biggest I think barrier, and this is across the board throughout our practice for the last almost closing in on 2 years here is while learning, even my staff who are sitting on the same team, who typically be sitting four feet away from each other while doing such training, they can converse with themselves as they're doing the training. To bounce ideas are talking about a common client that they're both familiar with, to kind of to add more context, which they were unable to do.”